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Prescribed Minimum Benefits (PMBs) form part of the Medical Schemes Act, which states that medical schemes are legally obligated to provide full cover for costs related to the diagnosis, treatment and care of emergency medical conditions, a limited set of approximately 271 acute medical conditions and 27 chronic conditions.
For many South Africans, gap cover remains somewhat a mystery. Three brokers with experience in dealing with many clients reveal what common concerns are – and what consumers should understand about the role that they play.
The strongest deterrent against FSP compliance missteps is or should be: