Prescribed minimum benefits (PMBs)

Benefits guide - English
Benefits guide - Afrikaans

Select plan

  • Treatment plan services

    Treatment plan services
    Paid at the Transmed rate or at cost

    Healthcare providers of own choice may be used

    Other services
    Paid at 100% at a State hospital

    Pre-authorisation required
    Please call 0800 225 151

    100%

    at Transmed rate

  • 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 225 151

    100%

    at UPFS rate