Home > Medical schemes > General info Updated 09 February 2016 25 chronic conditions your scheme must cover All medical schemes have to cover their members for the diagnosis, treatment and care of these 25 chronic illnesses. 2 Related Honesty and your medical history Hospital plan vs. medical scheme 20 quick facts on medical schemes in SA Like us on Facebook » Subscribe to the newsletter » Ask CyberDoc » Quiz How long will you live? » Medical history Bacteria gallery All medical schemes have to cover their members for the diagnosis, treatment and care of these 25 chronic illnesses below.However, you should remember that a scheme does not have to pay for diagnostic tests that establish that you are suffering from a disorder that is NOT one of the 25 chronic ailments. But they will pay if the test comes back positive.Which 25 illnesses are covered?Addison's diseaseAddison’s disease is a slowly progressive disease which occurs when the cortex (outside) of the adrenal glands are not functioning correctly. AsthmaThis condition where you struggle to breathe occurs when you can’t breathe out because your airways are constricted. Read more about asthma. Bipolar mood disorder*Bipolar disorder is a mood disorder characterised by extreme shifts in mood, energy and functioning. BronchiectatisBronchiectasis is a condition of permanent, abnormal dilatation of the major airways, with associated tissue destruction. Cardiac failureHeart failure means that your heart is unable to pump enough blood to your body’s tissues and organs to meet their needs. CardiomyopathyThe cardiomyopathies are a group of heart diseases that are defined by myocardial (heart muscle) dysfunction as the initial event Chronic obstructive pulmonary disorderChronic obstructive pulmonary disease (COPD) is a chronic lung disease characterised by obstruction of airflow that cannot be fully reversed with inhaler medications, called bronchodilators. Chronic renal diseaseIn chronic renal failure (CRF) the kidney function decreases gradually but progressively. It is a lifelong condition that can lead to end-stage renal disease in some patients. Coronary artery diseaseCoronary artery disease (CAD), also known as coronary heart disease (CHD), occurs when the coronary arteries (the blood vessels that supply oxygen-rich blood to the heart muscle) gradually become narrowed or blocked by plaque (a combination of fatty material, calcium, scar tissue, and proteins) deposits. Crohn's diseaseCrohn's disease is a chronic inflammation of the bowel. Crohn's disease affects both sexes equally and has a seasonal variation. The most common symptom is abdominal pain. Diabetes insipidusNephrogenic diabetes insipidus (NDI) is a rare disorder that is caused by large amounts of dilute urine produced by the nephrons, which are found in the kidneys. Diabetes mellitus types 1 & 2Type 1 diabetes is a disorder of sugar metabolism in which the pancreas is no longer able to produce insulin.Type 2 diabetes is the most common variety of diabetes. It is a disorder of carbohydrate metabolism in which the body effectively becomes resistant to the hormone insulin. DysrhythmiasArrhythmia, also called dysrhythmia, is a disturbance of the heart's normal rhythm. When the heart beats, the electrical impulses that cause it to contract must follow a precise pathway through the heart. Any interruption in these impulses can cause an arrhythmia. Arrhythmias cause the heart to pump blood less effectively. EpilepsyEpileptic seizures are sudden, often dramatic, "electrical storms" in the brain that range from very brief periods of "blanking out" to full-blown convulsions. GlaucomaGlaucoma is the name given to a group of conditions caused by increased intraocular (inside the eye) pressure, or IOP, resulting either from a malformation or malfunction of the eye's drainage system. HaemophiliaHaemophiliacs have abnormal haemostasis, the ability to ‘stop bleeding’. Patients have a tendency to bleed easily after minor trauma or may even bleed spontaneously. HyperlipidaemiaHigh cholesterol, or hypercholesterolaemia, is a condition in which the amount of cholesterol in the blood exceeds normal values. This may be due to genetic or lifestyle factors.HypertensionYour blood pressure is the pressure within your blood vessels. Hypertension is a condition where the pressure within your arteries is consistently too high. HypothyroidismHypothyroidism is a condition in which the thyroid gland does not produce enough of the thyroid hormone, thyroxine. Multiple sclerosisMultiple sclerosis (MS) is a life-long chronic disease diagnosed primarily in young adults. During an MS attack, inflammation occurs in areas of the white matter of the central nervous system (nerve fibres that are the site of MS lesions) in random patches called plaques. Parkinson's diseaseParkinson's disease belongs to a group of conditions called motor system disorders. It is the result of the loss of dopamine-producing brain cells. Rheumatoid arthritisRheumatoid arthritis is a chronic condition characterised by persistent inflammation of the joints. SchizophreniaSchizophrenia is a serious disorder of the brain that affects how people think, feel and act. Systemic lupus erythematosusSystemic lupus erythematosus (SLE) is an inflammatory auto-immune disorder that can attack a single part of the body, or the whole body (systemic). Ulcerative colitisUlcerative colitis is an inflammatory bowel disease. It causes inflammation and ulders in the lining of the large intestine. * Will only be covered when an algorithm has been developed.(Information from the Council for Medical Schemes) Susan Erasmus NEXT ON HEALTH24X The value of digital technology in addressing quality care 2017-05-17 04:48 More: Medical schemesGeneral info advertisement Read Health24’s Comments Policy Comment on this story 2 comments Comments have been closed for this article. Logout Comment 0 characters remaining Share on Facebook Loading comments... 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