Prescribed Minimum Benefits

Background

The Council for Medical Schemes (CMS) is embarking on a process to review the Prescribed Minimum Benefits (PMBs). In terms of the Medical Schemes Act 131 of 1998, the PMBs are subject to review after every two years to address issues relating to:

(i) inconsistencies or flaws in the current regulations;

(ii) the cost-effectiveness of health technologies or interventions;

(iii) consistency with developments in the health policy; and

(iv) the impact on medical scheme viability and its affordability on members