Prescribed Minimum Benefit (PMB) Cover

Modified on Thu, 12 May, 2022 at 5:28 AM

This benefit covers the shortfall resulting from the voluntary use of a non-designated service provider for planned procedures except in the event of an emergency.


Ultimate Gap | Plus Gap | Gap Assist | Gap Lite | Gap Only | Corporate Comprehensive | Corporate Base

Exact Cover | Exact with Gap and Copay

Benefit description:

This benefit provides cover for non-emergency PMBs and voluntary use of a non-designated service provider for PMB procedures normally covered in full by the scheme.

Important points to consider:

  • Emergency Prescribed Minimum Benefits (PMB) are to be paid in full by your medical aid. 
  • Should your medical aid not cover your emergency PMB and Sirago rejects the claim, kindly refer to our MedCare benefit to assist you in resolving the claim.

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