advertisement
06 July 2011

List of chronic diseases

All medical schemes are obligated to provide cover for the 'diagnosis and medication' of the following conditions.

2

All medical schemes are required to provide cover for the 'diagnosis, medical management and medication' of the following conditions.

A list of chronic diseases

  • Asthma
  • Bipolar mood disease
  • Brochiectasis
  • Cardiac failure
  • Cardiomyopathy
  • Chronic obstructive pulmonary disease
  • Chronic kidney disease
  • Coronary artery disease
  • Crohn's disease
  • Diabetes insipidus
  • Diabetes mellitus (type 1 and type 2)
  • Dysrhythmia (irregular heartbeat)
  • Epilepsy
  • Glaucoma
  • Haemophilia
  • HIV
  • Hyperlipidaemia (high cholesterol)
  • Hypertension (high blood pressure)
  • Hypothyroidism (inactive thyroid gland)
  • Multiple sclerosis
  • Parkinson's disease
  • Rheumatoid arthritis
  • Schizophrenia
  • Systemic lupus erythematosis
  • Ulcerative colitis

No exclusions
Medical schemes often have a list of conditions – such as cosmetic surgery – for which they will not pay, or circumstances – such as travel costs and examinations for insurance purposes – under which a member has no cover. These are called exclusions. Exclusions, however, do not apply to PMBs. If you contract septicaemia after cosmetic surgery, for example, your scheme has to provide healthcare cover for the septicaemia part because septicaemia is a PMB. (Cosmetic surgery remains exclusion.) PMBs are concerned about the diagnosis; it doesn’t matter how you got the condition.

Information from the Council of Medical Schemes

 
advertisement

Read Health24’s Comments Policy

Comment on this story
2 comments
Add your comment
Comment 0 characters remaining

Live healthier

Up for grabs »

Win with NuSeed Win with MySmartkid Win a Canderel hamper

Win a LED 3D smart TV

Stand a chance of winning a Samsung UA55H8000 Smart 55 inch Curved LED TV valued at R20 000 from Save Hyper!

Medical marijuana »

'I used cannabis oil to cure my cancer' Could your doctor could be high? Dagga in medicine?

Medicinal dagga: the dangers can't be ignored

There is not sufficient evidence to support the potential medicinal benefit from cannabis use cautions an academic from Stellenbosch University.