What to do if your PMB claim is refused, and how to escalate it.
The Council for Medical Schemes (CMS) requires you to exhaust your scheme's internal dispute process before they'll accept a complaint. Submit your appeal in writing, citing the PMB regulations, with a signed, completed appeal form (from your scheme's PMB/appeals department), supporting clinical documentation and motivation from your doctor/prosthetist, and detailed invoices and referral letters. Most schemes resolve internal appeals within ~30 days. Most denials are procedural (missing documentation, wrong codes) rather than valid refusals — a properly-motivated appeal usually succeeds at this stage.
If your scheme's internal appeal doesn't resolve it, or you disagree with the outcome, escalate to CMS — the independent statutory regulator. Submit via email (complaints@medicalschemes.co.za), post (The Council for Medical Schemes: Complaints Adjudication Unit, Private Bag X34, Hatfield, 0028), or in person at CMS offices. You'll need: the completed CMS complaint form, a detailed account of the facts and what you want resolved, proof you already escalated internally, and any clinical reports/statements.
Within 6 working days: written acknowledgement, reference number, and assigned contact person. Within 4 working days of that: your complaint is analysed and referred to your scheme. Within 30 days: your scheme must respond in writing. Within 120 calendar days total: CMS aims to resolve the matter.
| CMS Phone | 0861 123 267 |
| CMS Phone (alt) | +27 12 431 0500 |
| CMS Email | complaints@medicalschemes.co.za |
| Hours | Mon–Fri, 8:00–16:30 |
Ask me anything about Prescribed Minimum Benefits — coverage, claims, prosthetics, appeals, or your rights as a medical aid member.