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Are treatments for addiction considered Prescribed Minimum Benefits (PMBs)?

Date: 13 February 2024


Yes, treatments for addiction are considered Prescribed Minimum Benefits (PMBs) under the regulations of the Medical Schemes Act 131 of 1998. This designation means that medical aid schemes are required to provide coverage for specific treatments for addiction, acknowledging the necessity of these treatments as part of essential health services for their members. The inclusion of addiction treatment services in the category of PMBs underscores the acknowledgment of addiction as a significant health concern that requires adequate and accessible medical intervention.

At MyRehab Dual Diagnosis Addiction Centres, this understanding is at the core of our commitment to providing comprehensive and holistic care for individuals struggling with addiction, often coupled with mental health conditions—a condition known as dual diagnosis. Recognising that addiction treatments are considered PMBs reinforces our mission to ensure that individuals seeking help for addiction can access high-quality care that addresses both their psychological and physical health needs.

Given the classification of addiction treatments as PMBs, individuals covered by medical aid schemes in South Africa can expect some level of support in accessing necessary treatments for addiction. However, it’s important to note that the extent and specifics of this coverage can vary between different medical aid plans. It is, therefore, crucial for patients or their loved ones to engage directly with their medical aid providers to understand the specifics of their benefits, including what treatments are covered, the extent of coverage, and any requirements for pre-authorisation.

At MyRehab, our dedicated team is equipped to assist patients and their families not only in understanding the implications of PMBs for addiction treatment but also in navigating the complexities of medical aid coverage. We work collaboratively with patients, families, and medical aid providers to facilitate the necessary approvals for treatment, aiming to reduce barriers to accessing care. If you or a loved one is struggling with addiction and considering treatment options, we encourage you to reach out to MyRehab Dual Diagnosis Addiction Centres. Our team can provide you with more information about our treatment programs, the support available through PMBs, and guidance on starting your journey to recovery. Remember, seeking help is the first step towards healing, and we’re here to support you every step of the way.

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