Select your medical scheme and plan to see what your benefits look like — and what to watch out for.
Select your scheme above to see your prosthetic benefits and PMB entitlements.
Standard benefit limits for external prosthetic limbs (pre-PMB). Figures shown are per the plan indicated. PMB coverage is legally unlimited across all schemes — this chart shows the standard benefit only. Discovery and Medihelp do not publish a hard external limb rand limit, so no comparable figure is shown for them below.
⚠️ A basic below-knee prosthetic system (socket + liner + foot) costs approximately R80,000–R150,000. A microprocessor knee runs R200,000–R400,000+. Standard benefits cover a fraction of actual costs. The PMB pathway and alternative funding are therefore not optional extras — for most amputees, they are the primary route.
Ask me anything about Prescribed Minimum Benefits — coverage, claims, prosthetics, appeals, or your rights as a medical aid member.