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.