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-

14

15-

19

20-

24

25-

29

30-

34

35-

39

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75

+

All

ag

es

Inc

ide

nc

e

0

50

100

150

200

250

300

350

400

450

0-1

1-4

5 -9

10-

14

15-

19

20-

24

25-

29

30-

34

35-

39

40-

44

45-

49

50-

54

55-

59

60-

64

65-

69

70-

74

75

+

All

ag

es

Inc

ide

nc

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+

Inci

den

ce

TotalHighMedium-olderMedium-youngerLow

Average Cost of PMBs by Age

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

-14

15

-19

20

-24

25

-29

30

-34

35

-39

40

-44

45

-49

50

-54

55

-59

60

-64

65

-69

70

-74

75

+

All

ag

es

Av

era

ge

Co

st

R9 127

Average Cost for All

Ages

Raw PMB Price by Age (pbpa)

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

-14

15

-19

20

-24

25

-29

30

-34

35

-39

40

-44

45

-49

50

-54

55

-59

60

-64

65

-69

70

-74

75

+

All

ag

es

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+

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+

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

den

ce

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+

Aera

ge C

ost

in R

an

ds

Average Cost of PMBs by Age

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+

Raw PMB Price by Age and Cluster (pbpa)

Chronic Disease List Package

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+

Pro

po

rtio

n o

f b

en

efi

cia

rie

s

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+

Pro

po

rtio

n o

f C

laim

ing

Ben

efic

iari

es

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

age

s

Pre

vale

nce

pe

r 10

00

ben

efic

iari

es

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

rag

e C

os

t p

er c

ase

pa

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

Pri

ce

pe

r b

en

efi

cia

ry p

a

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+

Pro

po

rtio

n o

f b

enef

icia

ries

Total High Additional

Low Medium-older Medium-younger

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+

Pre

va

len

ce

pe

r 1

00

0 b

en

efi

cia

rie

s

High and Medium High Medium-older Medium-younger

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+

Pre

va

len

ce

pe

r 1

00

0 b

en

efi

cia

rie

s

Total High and Medium Additional Low

Average Cost by Cluster

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+

Av

era

ge

Co

st

pe

r c

as

e p

a

Total High Medium-older

Medium-younger Additional Low

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+

Pri

ce

pe

r b

en

efi

cia

ry p

a

Total High Medium-older

Medium-younger Additional Low

Raw Price High vs. Low 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+

Pri

ce

pe

r b

en

efi

cia

ry p

a

Total High Low

Complete PMB Package

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

Pri

ce p

bp

a

Total CDL package

Total Outpatient package

Total Inpatient package

Complete PMB packagePublic sector

Prescribed Minimum Benefits Package

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