Prescribed Minimum Benefits

What are PMB's?

PMB's are a set of defined benefits in the Medical Schemes Act (The Act) aimed at ensuring that all medical scheme members have access to certain minimum health services. They ensure cover for costs related to the diagnosis, treatment and care of : Any medical condition which meets The Act's definition of an emergency, a limited set of 270 medical conditions and 25 chronic conditions defined in the Chronic Disease Listing (CDL).

Are there any limitations that can be applied to PMB's?
What are Designated Service Providers (DSP's)?
How do I apply for cover for PMB's?