The government-set minimum treatment standard for a CDL condition.
For each Chronic Disease List condition, a Diagnosis Treatment Pair sets out the diagnosis and the minimum standard of treatment a scheme must fund at PMB level — so 'PMB cover for diabetes' has a specific, checkable meaning rather than being left to the scheme's discretion.
More jargon
Open scheme · Restricted scheme · PMB (Prescribed Minimum Benefits) · CDL (Chronic Disease List) · Co-payment · Designated Service Provider (DSP) · Waiting period · Late-joiner penalty · Savings account / above-threshold benefit
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