Momentum Health > Benefit Structure > Chronic Benefit

List of chronic conditions 2009

  Base Access Custom Incentive Extender Summit
Cardiovascular            
Cardiac dysrhythmias x x x x x x
Cardiac failure x x x x x x
Cardiomyopathy x x x x x x
Coronary artery disease x x x x x x
Hyperlipidaemia x x x x x x
Hypertension x x x x x x
Stroke         x x
Thromboangiitis obliterans         x x
Valvular heart disease         x x
Dermatology            
Systemic lupus erythematosus x x x x x x
Acne (excl. Isotretinion–containing products such as Roaccutane)       x x x
Dermatomyositis         x x
Eczema       x x x
Pemphigus       x x x
Scleroderma         x x
Psoriasis       x x x
Endocrine            
Addison's disease x x x x x x
Diabetes insipidus x x x x x x
Diabetes mellitus Type 1 x x x x x x
Diabetes mellitus Type 2 x x x x x x
Hypothyroidism x x x x x x
Benign prostatic hypertrophy         x x
Cushing's disease         x x
Hypoparathyroidism         x x
Menopause         x x
Pituitary microadenomas         x x
Gastro–intestinal            
Crohn's disease (excl. biologicals such as Revellex) x x x x x x
Ulcerative colitis x x x x x x
Haematology            
Haemophilia x x x x x x
Aplastic anaemia         x x
Thrombocytopenic purpura         x x
Metabolic            
Cystic fibrosis         x x
Musculo–skeletal            
Rheumatoid arthritis (excl. biologicals such as Revellex & Enbrel) x x x x x x
Ankylosing spondylitis         x x
Gout         x x
Osteopenia         x x
Osteoporosis         x x
Paraplegia/Quadriplegia         x x
Neurology            
Multiple sclerosis (excl. biologicals such as Avonex, subject to protocols) x x x x x x
Epilepsy x x x x x x
Other seizure disorders         x x
Parkinson's disease x x x x x x
Attention deficit hyperactivity disorder (ADHD)       x x x
Motor neuron disease         x x
Muscular dystrophy and other inherited myopathies         x x
Myasthenia gravis         x x
Narcolepsy         x x
Systemic sclerosis         x x
Oncology*            
Ancillary treatment         x x
Ophthalmology            
Glaucoma x x x x x x
Psychiatric            
Schizophrenia x x x x x x
Bipolar mood disorder x x x x x x
Unipolar disorder         x x
Major depression         x x
Obsessive compulsive disorder         x x
Post–traumatic stress syndrome         x x
Renal            
Chronic renal disease x x x x x x
Respiratory            
Asthma x x x x x x
Chronic obstructive pulmonary disease x x x x x x
Bronchiectasis x x x x x x
Allergic rhinitis       x x x
Transplant            
Immunosupression therapy for transplants         x x

* The Oncology benefit is covered from the Major Medical Benefit and includes chronic medication required while on active treatment.

Last updated 24 August 2009 17:04