PMB list
Below is a list of the PMB condition treatment pairs for Female Reproductive System.. 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.
Female reproductive system
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 539M | Abscesses of Bartholin’s gland and vulva | Incision and drainage; medical management |
| 288M | Acute pelvic inflammatory disease | Medical and surgical management |
| 954M | Cancer of Cervix – treatable | Medical and surgical management, which includes radiation therapy and chemotherapy |
| 952M | Cancer of ovary – treatable | Medical and surgical management, which includes radiation therapy and chemotherapy |
| 950M | Cancer of uterus – treatable | Medical and surgical management, which includes radiation therapy and chemotherapy |
| 953M | Cancer of vagina, vulva and other female genital organs NOS – treatable | Medical and surgical management, which includes radiation therapy and chemotherapy |
| 960M | Cervical and breast cancer screening | Cervical smears; periodic breast examination |
| 645M | Congenital abnormalities of the female genitalia | Medical and surgical management |
| 266M | Dysplasia of cervix and cervical carcinoma-in-situ; cervical condylomata | Medical and surgical management |
| 53M | Ectopic pregnancy | Surgery |
| 460M | Fistula involving female genital tract | Closure of fistula |
| 951M | Hydatidiform mole; choriocarcinoma | D & C; hysterectomy; chemotherapy |
| 902M | Infertility (Explanatory Note 9 of Annexure A of Regulations) | Medical and surgical management |
| 528M | Menopausal management, anomalies of ovaries, primary and secondary amenorrhoea, female sex hormones abnormalities NOS, including hirsutism | Medical and surgical management, including hormone replacement therapy |
| 434M | Non-inflammatory disorders and benign neoplasms of ovary, fallopian tubes and uterus | Salpingectomy; oophorectomy; hysterectomy; medical and surgical management |
| 237M | Sexual abuse, including rape | Medical management; psychotherapy |
| 903M | Spontaneous abortion | Medical and surgical manegment |
| 435M | Torsion of ovary | Oophorectomy; ovarian cystectomy |
| 530M | Uterine prolapse; cystocele | Surgical repair |
| 296M | Voluntary termination of pregnancy | Induced abortion; medical and surgical management |
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.
