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Prescribed Minimum Benefits Package. 450. 450. 400. 400. 350. 350. 300. 300. 250. 250. Incidence. Incidence. 200. 200. 150. 150. 100. 100. 50. 50. 0. 0. 1. 1. 4. 4. 9. 9. 14. 14. 24. 24. 29. 29. 34. 34. 39. 39. 44. 44. 49. 49. 54. 54. 59. 59. 64. 64. - PowerPoint PPT Presentation
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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-
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
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
den
ce
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
-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
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
-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
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
den
ce
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+
Aera
ge C
ost
in R
an
ds
TotalHighMedium-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+
Pro
po
rtio
n o
f b
en
efi
cia
rie
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+
Pro
po
rtio
n o
f C
laim
ing
Ben
efic
iari
es
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
age
s
Pre
vale
nce
pe
r 10
00
ben
efic
iari
es
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
rag
e C
os
t p
er c
ase
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
Pri
ce
pe
r b
en
efi
cia
ry p
a
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+
Pro
po
rtio
n o
f b
enef
icia
ries
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+
Pre
va
len
ce
pe
r 1
00
0 b
en
efi
cia
rie
s
High and Medium High Medium-older Medium-younger
Centre forActuarial Research
Prevalence by Cluster
Centre forActuarial Research
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
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+
Av
era
ge
Co
st
pe
r c
as
e p
a
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+
Pri
ce
pe
r b
en
efi
cia
ry p
a
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+
Pri
ce
pe
r b
en
efi
cia
ry p
a
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
Pri
ce p
bp
a
Total CDL package
Total Outpatient package
Total Inpatient package
Complete PMB packagePublic sector
