Centre forActuarial Research
Prescribed Minimum Benefits Package
Centre forActuarial Research
Incidence All Ages
Incidence of PMB Admissions by Age
97.6850
0
50
100
150
200
250
300
350
400
450
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
All
ages
Inci
denc
e
0
50
100
150
200
250
300
350
400
450
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
All
ages
Inci
denc
e
Centre forActuarial Research
Incidence of PMB Admissions by Age
0
50
100
150
200
250
300
350
400
450
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
Inci
denc
e
TotalHighMedium-olderMedium-youngerLow
Centre forActuarial Research
Average Cost of PMBs by Age
Centre forActuarial Research
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
All
ages
Ave
rage
Cos
t
R9 127
Average Cost for All
Ages
Centre forActuarial Research
Raw PMB Price by Age (pbpa)
Centre forActuarial Research
R 891.56 pbpa
Average Price for All
Ages
R 0
R 500
R 1,000
R 1,500
R 2,000
R 2,500
R 3,000
R 3,500
R 4,000
R 4,500
R 5,0000-
1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
All
ages
Centre forActuarial Research
Age Profile of Study
0.00%
5.00%
10.00%
15.00%
0-1
1-5
5-10
10-1
5
15-2
0
20-2
5
25-3
0
30-3
5
35-4
0
40-4
5
45-5
0
50-5
5
55-6
0
60-6
5
65-7
0
70-7
5
75+
TotalHighMedium-olderMedium-youngerLow
Centre forActuarial Research
Age Profile Beneficiaries Admitted for PMBs
0.00%
5.00%
10.00%
15.00%
20.00%0-
1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
TotalHighMedium-olderMedium-youngerLow
Centre forActuarial Research
Incidence of PMB Admissions by Age
0
50
100
150
200
250
300
350
400
450
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
Inci
denc
e
TotalHighMedium-olderMedium-youngerLow
Centre forActuarial Research
R 0
R 2,000
R 4,000
R 6,000
R 8,000
R 10,000
R 12,000
R 14,000
R 16,000
R 18,000
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
Aer
age
Cos
t in
Ran
dsTotalHighMedium-olderMedium-youngerLow
Average Cost of PMBs by Age
Centre forActuarial Research
Centre forActuarial Research
R 0
R 1,000
R 2,000
R 3,000
R 4,000
R 5,000
R 6,000
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75+
TotalHighMedium-olderMedium-youngerLow
Raw PMB Price by Age and Cluster (pbpa)
Centre forActuarial Research
Centre forActuarial Research
Chronic Disease List Package
Centre forActuarial Research
Age of Exposed Beneficiaries
0%
2%
4%
6%
8%
10%
12%
14%
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Prop
ortio
n of
ben
efic
iarie
s
Centre forActuarial Research
Centre forActuarial Research
Age of Claiming Beneficiaries
0%
2%
4%
6%
8%
10%
12%
14%
0-1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Prop
ortio
n of
Cla
imin
g B
enef
icia
ries
Centre forActuarial Research
CDL Prevalence by Age
0
100
200
300
400
500
6000-
1
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
All
ages
Prev
alen
ce p
er 1
000
bene
ficia
ries
Centre forActuarial Research
Average Cost of CDL by Age
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
4,500
5,0000
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
All
Age
s
Ave
rage
Cos
t per
cas
e pa
Centre forActuarial Research
Raw Price of CDL by Age
0
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
2,500
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
All
Age
s
Pric
e pe
r ben
efic
iary
pa
Centre forActuarial Research
Age Profile by Cluster
0%
2%
4%
6%
8%
10%
12%
14%
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Prop
ortio
n of
ben
efic
iarie
s
Total High Additional
Low Medium-older Medium-younger
Centre forActuarial Research
Centre forActuarial Research
Prevalence by Cluster
0
100
200
300
400
500
600
700
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Prev
alen
ce p
er 1
000
bene
ficia
ries
High and Medium High Medium-older Medium-younger
Centre forActuarial Research
Prevalence by Cluster
Centre forActuarial Research
0
100
200
300
400
500
600
7000
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Prev
alen
ce p
er 1
000
bene
ficia
ries
Total High and Medium Additional Low
Centre forActuarial Research
Average Cost by Cluster
Centre forActuarial Research
0
1,000
2,000
3,000
4,000
5,000
6,000
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Aver
age
Cos
t per
cas
e pa
Total High Medium-older
Medium-younger Additional Low
Centre forActuarial Research
Raw Price by Age and Cluster
0
500
1,000
1,500
2,000
2,500
3,000
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Pric
e pe
r ben
efic
iary
pa
Total High Medium-older
Medium-younger Additional Low
Centre forActuarial Research
Raw Price High vs. Low Cluster
Centre forActuarial Research
0
500
1,000
1,500
2,000
2,500
3,000
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Pric
e pe
r ben
efic
iary
pa
Total High Low
Centre forActuarial Research
Complete PMB Package
Centre forActuarial Research
Price of PMB Package by Age
0
2,000
4,000
6,000
8,000
10,000
12,000
0
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65-6
9
70-7
4
75-7
9
80-8
4
85+
Mis
sing
All
ages
Pric
e pb
pa
Total CDL package
Total Outpatient package
Total Inpatient package
Complete PMB packagePublic sector