Note: We are updating 2024 benefits as they are released. Some plans show old benefits until schemes release new plans.

List of PMB conditions: Female reproductive system

PMB list

Below is a list of the PMB condition treatment pairs for Brain and Nervous 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.


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