Prescribed minimum benefits (PMBs)
Select plan
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Treatment plan services
Treatment plan services
Paid at the Transmed rate or at costHealthcare providers of own choice may be used
Other services
Paid at 100% at a State hospital Pre-authorisation required
Please call 0800 225 151100%
at Transmed rate
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Hospitalisation
Paid at UPFS rate at a State hospital
In the case of an emergency or if a State hospital is not accessible in terms of the set criteria, authorisation will be considered for admission to a hospital on the Transmed private hospital network as the secondary DSP and paid at the Transmed rate
The co-payment for the voluntary use of a non-DSP will be the amount equal to the difference between the total cost incurred in respect of the hospital services, including all related medical services, and the cost that would have been payable to the DSP (State hospital)
Pre-authorisation required
Please call 0800 225 151100%
at UPFS rate