PRESCRIBED MINIMUM BENEFITS (PMBs) APPLICATION
Prescribed Minimum Benets (PMB) Application Form 2020-11-30 BMF-2001 2.00 3 of 3 SECTION E: MOTIVATION SECTION F: DETAILS OF DOCTOR APPLYING FOR BENEFITS Please attach copies of blood test results and / or any other relevant diagnostic reports. Is the treatment in accordance with treatment as practised in the state sector?
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www.bestmed.co.za• Artificial disc - no benefit. • Drug-eluting stents - PMBs and DSP products only. • Mesh R11 508. • Gynaecology/Urology R9 404. • Lens implants R7 176 a lens per eye. Prosthesis – External
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www.bestmed.co.za• Artificial disc - no benefit • Drug-eluting stents - PMBs and DSP products only • Mesh R11 044 • Gynaecology/Urology R9 025 • Lens implants R6 887 a lens per eye Prosthesis – External No benefit (PMBs only). Exclusions Limits and co-payments applicable. Preferred provider network available. Joint replacement surgery (except for PMBs).
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www.bestmed.co.zaformularies, funding guidelines and the Mediscor Reference Price (MRP) may apply. • Should a member voluntarily choose not to make use of a hospital forming part of a hospital network for the Beat network benefit option a maximum co-payment of R12 373 shall apply.
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