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  • Discovery Pmb Appeal Form

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Contact us Tel: 0860 99 88 77, PO Box 784262, Sandton, 2146, www.discovery.co.za Prescribed Minimum Benefits (PMB) Chronic Disease List (CDL) application form Please complete this form if you want.

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Prescribed Minimum Benefits (PMBs) are a set of defined benefits to ensure that all medical scheme members have access to certain minimum health services, regardless of the benefit option they have selected.

Prescribed Minimum Benefits (PMBs) ensure that all medical scheme members have access to continuous care for a defined list of conditions to improve their health. Discovery Health Medical Scheme plans are structured in a way that maximises cover no matter which health plan you choose.

PMBs are guided by a list of medical conditions as defined in the Medical Schemes Act. ing to this, all medical schemes have to cover diagnosis, treatment and care costs related to: An emergency medical condition. A defined set of 271 diagnoses.

Sleep apnoea is only included in the PMB regulations if you also suffer from cor pulmonale. Cor Pulmonale is failure of the right side of the heart (right ventri- cle failure). It is caused by long-term high blood pressure in the arteries of the lung and right ventricle of the heart.

You must send the completed Prescribed Minimum Benefit (PMB) application form using either of the following methods: Email to: PMB_APP_FORMS@discovery.co.za Post to: Discovery Health, PMB Department, PO Box 652919, Benmore, 2010.

ICD 10 code - The PMB Provision is 236K. This is one of the listed 271 Provisions (listed 271 conditions) as published in the Medical Schemes Act and Regulations. this provision, if the diagnosis is not a life threatening episode, the condition does not qualify for PMB funding.

Waiting periods can either be a general three month waiting period or a 12-month condition-specific waiting period. Members can still have full cover if you meet the requirements stipulated by the PMB regulations. 5.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232