Chronic PMB conditions

PMB (Prescribed Minimum Benefits), including chronic PMB conditions, are conditions that any medical aid needs to pay for, regardless of what plan you are on. No savings should be used to pay for this treatment, and there should be no co-payments.

To find out more about PMBs, view our full list of PMB articles.

This is the set of chronic conditions that all medical schemes have to cover. If you use the recommended treatment plan, and use the recommended doctors and service providers (DSPs) you should not pay for treatment out of pocket, even for out-of-hospital treatment (including medicine).

Some schemes and plans cover more than just these conditions. To see what chronic conditions are covered by which plan, see the full-plan info page on this site. The easiest way to find a specific plan is to click on the “By Scheme” navigation in the top menu.

This list only shows the chronic conditions that are covered. We also have the full list of all 270 PMB conditions. Remember, all life-threatening conditions are PMBs, and need to be covered by medical aid.

  • Addison’s Disease
  • Asthma
  • Bipolar Mood Disorder
  • Bronchiectasis
  • Cardiac Failure
  • Cardiomyopathy
  • Chronic Renal Disease
  • Chronic Obstructive Pulmonary Disease
  • Coronary Artery Disease
  • Crohn’s Disease
  • Diabetes Insipidus
  • Diabetes Mellitus Types 1 & 2
  • Dysrhythmias
  • Epilepsy
  • Glaucoma
  • Haemophilia
  • Hyperlipidaemia
  • Hypertension
  • Hypothyroidism
  • Multiple Sclerosis
  • Parkinson’s Disease
  • Rheumatoid Arthritis
  • Schizophrenia
  • Systemic Lupus Erythematosus
  • Ulcerative Colitis

Did you know?

It’s End-Of-Year season in the medical aid world, which means it is time to review your medical aid plan and make sure it still fits your needs. You can change to any plan on January 1. We can review your plan and recommend 2-3 alternative plans for you to consider, so that you can rest easy that you are on the right option. To request a plan review, please click here. It’s free.

If you don’t have medical aid, let’s explore your options! We can recommend a medial aid or a medical insurance product to suit your pocket and your needs. For a non-obligation quote, please click here.

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