Prescribed minimum benefits (PMBs)

Benefits guide - English
Benefits guide - Afrikaans

Prime plan

  • Treatment plan services

    Treatment plan services
    Paid at the Transmed rate or at cost

    Obtain from Transmed GP or specialist networks

    Other services
    Paid at 100% at a State hospital

    Pre-authorisation required
    Please call 0800 225 151

    100%

    at Transmed rate

  • Hospitalisation

    Paid at the Transmed rate
    Transmed private hospital network is the DSP

    A 30% co-payment applies for the voluntary use of a non-network hospital and is payable on the hospital claim

    Pre-authorisation required
    Please call 0800 225 151

    100%

    at Transmed rate