Prescribed Minimum Benefits definition

Prescribed Minimum Benefits means the benefits contemplated in section 29
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Prescribed Minimum Benefits. (PMB’s) means, “a set of defined benefits to ensure that all medical scheme Members have access to certain minimum health services, regardless of the option they have chosen”. This means that there are approximately 270 listed conditions that according to the Medical Schemes Act 131 of 1998, your medical scheme should provide you with cover for. This list is updated once a year and can be found on the Council for Medical Schemes’ website at www.medicalschemes.com;
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Prescribed Minimum Benefits. ’ means prescribed minimum benefits 10
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Examples of Prescribed Minimum Benefits in a sentence

  • We do not pay for healthcare services related to the following, except where stipulated as part of a defined benefit or under the Prescribed Minimum Benefits (PMBs).

  • Consultations that do not form part of Prescribed Minimum Benefits (PMBs) will be paid from your available day-to-day benefits.

  • To access Prescribed Minimum Benefits (PMBs), there are rules defined by the Council for Medical Schemes (CMS) that apply:Your medical condition must qualify for cover and be part of the defined list of Prescribed Minimum Benefit (PMB) conditions.The treatment needed must match the treatments in the defined benefits.You must use designated service providers (DSPs) in our network.

  • If you had a break in cover of less than 90 days before joining Discovery Health Medical Scheme, you may have access to Prescribed Minimum Benefits (PMBs) during waiting periods.

  • A series of technical studies have been developed which have contributed in Peru’s compliance to the requirements to the under the Intergovernmental Panel of Climate Change (IPCC), and to elaboration of its National Communication, namely: (i) an emissions inventory of GHGs (through Danish financing); (ii) mitigation of GHGs in Peru in the energy, transport and forest sectors; (iii) vulnerability and adaptation to climate change; and (iv) the climate change action plan 1994-2004.

  • Are they planning to or reasonably expecting to be hospitalised (including for pregnancy) or expecting to receive dental or medical treatment/investigations costing more than R2 000 in the next 12 months?Yes No If you answered yes to any questions in 10.2, we will apply a three-month general waiting period to your application and you do not have to complete Section 11.During these three months, we will only cover claims relating to Prescribed Minimum Benefits according to the Scheme’s rules.

  • MEDICAL CONDITIONS DURING A WAITING PERIOD If we apply waiting periods because you have never belonged to a medical scheme or you have had a break in membership of more than 90 days before joining Discovery Health Medical Scheme, you will not have access to the Prescribed Minimum Benefits (PMBs) during your waiting periods.

  • During these three months, we will only cover claims relating to Prescribed Minimum Benefits according to the Scheme’s rules.

  • WHAT WE COVERPrescribed Minimum Benefit (PMB) conditionsYou have access to treatment for a list of medical conditions under the Prescribed Minimum Benefits (PMBs).

  • Medical conditions during a waiting periodIf we apply waiting periods because you have never belonged to a medical scheme or you have had a break in membership of more than 90 days before joining Discovery Health Medical Scheme, you will not have access to the Prescribed Minimum Benefits (PMBs) during your waiting periods.


More Definitions of Prescribed Minimum Benefits

Prescribed Minimum Benefits means the benefits contemplated in section 29(1)(o) of the Act, and consist of the provision of the diagnosis, treatment and care costs of-
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Prescribed Minimum Benefits or “PMB” means the set of medical services defined in the Medical Schemes Act.
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Related to Prescribed Minimum Benefits

  • Maximum Benefit Amount means the maximum amount payable for coverage provided to You as shown in the Schedule of Benefits.

  • Benefit Period means the period of time from the date of the Accident causing the Injury for which benefits are payable, as shown in the Schedule of Benefits, and the date after which no further benefits will be paid.

  • Disability allowance means monthly payments during

  • Disability retirement for plan 1 members, means the period

  • BENEFIT LIMIT means the total benefit allowed under this plan for a covered healthcare service. The benefit limit may apply to the amount we pay, the duration, or the number of visits for a covered healthcare service.

  • Severance Period means the period of time commencing on the date of an occurrence of a Change of Control and continuing until the earlier of (i) the date which is one and one-half years following the occurrence of the Change of Control, and (ii) the Executive's death.

  • Disability Support Pension means the Commonwealth pension scheme to provide income security for persons with a disability as provided under the Social Security Act 1991, as amended from time to time, or any successor to that scheme.

  • Accrued Benefit means the amount standing in a Participant's Account(s) as of any date derived from both Employer contributions and Employee contributions, if any.

  • Benefit Commencement Date means, for any Participant or beneficiary, the date as of which the first benefit payment, including a single sum, from the Participant’s Account is due, other than pursuant to a withdrawal under Article VIII.

  • Final Average Compensation means the aggregate amount of a member's compensation earned within the averaging period in which the aggregate amount of compensation was highest divided by the member's number of years, including any fraction of a year, of credited service during the averaging period. The averaging period shall be 36 consecutive calendar months if the member contributes to the member investment plan except for a member who contributes to the member investment plan and first became a member on or after July 1, 2010; otherwise, the averaging period shall be 60 consecutive calendar months. A member who contributes to the member investment plan and first became a member on or after July 1, 2010 shall also have an averaging period of 60 consecutive calendar months. If the member has less than 1 year of credited service in the averaging period, the number of consecutive calendar months in the averaging period shall be increased to the lowest number of consecutive calendar months that contains 1 year of credited service.

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.