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| What are emergency conditions? |
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An emergency medical condition means the
sudden and, at the time, unexpected onset of a health condition
that requires immediate medical treatment and/or an operation.
If the treatment is not available, the emergency could result
in weakened bodily functions, serious and lasting damage to organs,
limbs or other body parts, or even death.
In an emergency it is not always possible to diagnose the condition
before admitting the patient for treatment. However, if doctors
suspect that the patient suffers from a condition that is covered
by PMBs, the medical scheme has to approve treatment. Schemes
may request that the diagnosis be confirmed with supporting evidence
within a reasonable period of time. |
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