Prescribed Minimum Benefits (PMB) is a set of defined benefits that ensure that members have access to certain minimum health services, regardless of the benefit option you have selected. In accordance with the Medical Scheme’s Act, medical schemes have to cover the costs related to these conditions including: – Any emergency medical admission and the twenty-six (26) chronic medical conditions.

Your doctor will guide you in determining whether your condition falls into one of the PMB conditions. It is vital that members obtain a Pre-Authorisation for any PMB condition as the Scheme may require you to be referred to a designated service provider so that all associated costs are in line with SAMWUMED’s Scheme Rules.