Powered by RiskAtlas intelligence
The library explains. ClaimBuddy and ClaimHub apply it to a live claim.
Browse all resources →
Medical schemes & PMBs
CMS-registered schemes, Prescribed Minimum Benefits (PMBs), Chronic Disease List, and Diagnosis Treatment Pairs — for income-protection context alongside Clinical Atlas.
Authority data from the Council for Medical Schemes (CMS). Private medical schemes are insurance, not state social security. The Compass navigator is government support. Not scheme-selection advice.
71
Registered schemes
16 open · 55 restricted
PMB
Prescribed Minimum Benefits
Emergency · DTP · CDL explainer
26
CDL chronic conditions
Algorithm minimum standards
266
DTP conditions
Diagnosis–treatment pairs
Browse
PMB explainer
Emergency, DTP, CDL, DSP rules — CMS-aligned summary.
All 71 schemes
CMS-registered open and restricted medical schemes (2023 report).
Chronic Disease List
26 PMB chronic conditions with Clinical Atlas cross-links.
DTP directory
266 diagnosis–treatment pairs by body system.
Clinical Atlas
ICD-10 conditions and SA medications — pairs with PMB chronic cover context.
Data sources
- Council for Medical Schemes — PMB — Primary PMB definitions and consumer guidance.
- CMS — choosing a medical scheme — Primary consumer guidance for scheme and option choices.
- CMS — medical scheme vs medical insurance — Primary distinction used by the SchemeBook glossary.
- CMS — complaints procedure — Primary complaint and escalation guidance.
- CMS Industry Report 2023 — Registered scheme list (71 schemes).
- PMB conditions spreadsheet (CMS) — Source for DTP coded list.
- CDL treatment algorithms — Government Gazette minimum treatment standards.