PMB list
Below is a list of the PMB condition treatment pairs for Eye.. Your medical aid has to pay for the treatment, and cannot use funds from your savings, even if the treatment is given out-of-hospital.
To see the rest of the 270 PMB conditions, please see our “List of PMBs” page.
For an explanation of general treatments (example: “Medical Management”) please read our explainer.
Eye
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 47B | Acute orbital cellulitis | Medical and surgical management |
| 394B | Angle-closure glaucoma | Iridectomy; laser surgery; medical and surgical management |
| 586B | Bell’s palsy; exposure keratoconjunctivitis | Tarsorrhaphy; medical and surgical management |
| 950B | Cancer of the eye and orbit – treatable | Medical and surgical management, which includes radiation therapy and chemotherapy |
| 901B | Cataract; aphakia | Extraction of cataract; lens implant |
| 911B | Corneal ulcer; Superficial injury of eye and adnexa | Conjunctival flap; medical management |
| 405B | Glaucoma associated with disorders of the lens | Surgical management |
| 386B | Herpes zoster & herpes simplex with ophthalmic complications | Medical management |
| 389B | Hyphaema | Removal of blood clot; observation |
| 485B | Inflammation of lacrimal passages | Incision; medical management |
| 909B | Open wound of eyeball and other eye structures | Medical and surgical management |
| 407B | Primary and open angle glaucoma with failed medical management | Trabeculectomy; other surgery |
| 419B | Purulent endophthalmitis | Vitrectomy |
| 922B | intraocular foreign body | Surgical management |
| 904B | Retinal detachment, tear and other retinal disorders | Vitrectomy; laser treatment; other surgery |
| 906B | Retinal vascular occlusion; central retinal vein occlusion | Laser surgery |
| 409B | Sympathetic uveitis and degenerative disorders and conditions of globe; sight threatening thyroid optopathy | Enucleation; medical management; surgery |
To see the rest of the 270 PMB conditions, please see our “List of PMBs” page.
How does your medial aid plan cover this benefit?
What you see above is the minimum level of cover for each condition. Medical aids can offer more benefits than the limits above.To see how your plan pays out for a condition, find your plan here, and view your plan’s full benefits.
You can also compare any two medical aid plans side by side, to see which one suits your needs best.
Remember, a medical aid can still impose conditions on how PMBs are treated. For example, the scheme can impose network service providers (DSPs), a medicine formulary or even require that you be treated in a state hospital. You can read a full explanation on how medical aids must pay for PMBs here.
