Medical Aid & Fees
Our admissions team works directly with your medical aid to make treatment as accessible as possible, so you can focus on recovery, not paperwork.
Medical Aid Coverage
Your Legal Right to Cover: Prescribed Minimum Benefits (PMBs)
Under South Africa’s Medical Schemes Act 131 of 1998, substance use disorder is classified as a Prescribed Minimum Benefit (PMB) condition. This means every registered medical aid scheme, including hospital-only and entry-level plans, is legally required to cover a portion of your addiction treatment. In practice, this typically covers up to 21 days of inpatient rehabilitation per year, which aligns with the minimum length of our Inpatient Programme.
PMB cover for addiction treatment generally includes inpatient detoxification and rehabilitation, medical assessments and psychiatric care during admission. Outpatient counselling and aftercare are usually not covered under the legal minimum alone, though some medical aid plans offer additional benefits. Pre-authorisation is required before admission, your medical aid will need clinical motivation from our medical team before treatment begins. To confirm your specific benefits, contact the number on the back of your medical aid card, or reach out to our admissions team on 011 568 5197 or enquiry@tranquilityclinic.co.za, we’re happy to help guide you through the process every step of the way.
We work with all medical aid providers
Fees and payment options
Every programme is quoted individually after an assessment, so you only pay for the level of care you need. The cost of rehab depends on the type of programme (inpatient or outpatient), the length of stay, whether medical detox is needed and your medical aid plan. Our admissions team will explain the full cost upfront, including what your medical aid covers and any co-payment, before admission.
Medical aid patients
PMB cover for inpatient treatment, subject to pre-authorisation and your scheme’s rules
Private paying patients
A full written quote for your programme after your assessment
Outpatient and aftercare
Quoted separately, based on the sessions you need
Request a quote
Verify your coverage
Know Your Benefits Before You Begin
You can check your specific benefits directly by calling the number on the back of your medical aid card. A consultant can confirm your PMB-related cover for substance use disorder treatment. Having this information ready before admission makes the pre-authorisation process faster and less stressful. When you call, consider asking:
- Do I have Prescribed Minimum Benefit (PMB) cover for substance use disorder treatment?
- How many days of inpatient rehabilitation does my plan cover per year?
- Will I need to pay a co-payment, and if so, how much?
- What is the pre-authorisation process, and what information will Tranquility need to provide?
If you’d like help reviewing your answers or have questions about coverage, our team is happy to assist.