Opportunities

CMS provides resources (including an "Understanding TB and PMB entitlements" webpage) to help people understand TB-related medical scheme benefits, promote early diagnosis, and reduce TB spread in communities.

Who it is for:

all South Africans seeking information about TB and PMB entitlements

How to act on it:

Use CMS’s resources, including the Understanding TB and PMB entitlements webpage, to learn about TB and medical scheme benefits.

CMS states that TB is a Prescribed Minimum Benefit (PMB) condition, so your medical scheme is legally required to fund TB diagnosis, treatment and care in line with National Department of Health guidelines, including diagnostic investigations, acute management/hospitalisation, transfer to maintenance therapy, and screening/preventive treatment for HIV-positive members.

Who it is for:

medical scheme members who need TB diagnosis, treatment and care

How to act on it:

Use your medical scheme’s PMB coverage for TB diagnosis, treatment and care in line with National Department of Health guidelines, including the listed categories of care.

CMS encourages people who have TB symptoms (such as a persistent cough, night sweats, weight loss and fever) to get tested immediately.

Who it is for:

people who experience TB symptoms

How to act on it:

If you experience symptoms such as a persistent cough, night sweats, weight loss and fever, get tested immediately.

If you have PCOS, the CMScript says your medical scheme is required to cover PCOS at the Prescribed Minimum Benefits (PMB) level of care, including diagnosis, treatment and care when you use a Designated Service Provider.

Who it is for:

medical scheme members who need PCOS diagnosis, treatment and care at PMB level

How to act on it:

Use a Designated Service Provider for PCOS diagnosis, treatment and care so that your medical scheme covers it at the PMB level.