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Chronic conditions covered

Prescribed Minimum Benefit conditions

The following 26 Chronic Disease List conditions are covered on the Ingwe, Impact, Custom, Incentive, Extender and Summit Options.

A

- Addison’s disease
- Asthma

B

- Bipolar mood disorder
- Bronchiectasis

C

- Cardiac dysrhythmias
- Cardiac failure
- Cardiomyopathy
- Chronic obstructive pulmonary disease
- Chronic renal disease
- Coronary artery disease
- Crohn’s disease (excl. biologicals such as Revellex)

D

- Diabetes insipidus
- Diabetes mellitus Type 1
- Diabetes mellitus Type 2

E

- Epilepsy

G

- Glaucoma

H

- Haemophilia
- Hyperlipidaemia
- Hypertension
- Hypothyroidism

M

- Multiple sclerosis (excl. biologicals such as Avonex, subject to protocols)

P

- Parkinson’s disease

R

- Rheumatoid arthritis (excl. biologicals such as Revellex and Enbrel)

S

- Schizophrenia
- Systemic lupus erythematosus

U

- Ulcerative colitis

6 Additional conditions

On the Incentive Option, an additional 6 conditions are covered, subject to a limit of R9 800 per family per year.

A

- Acne
- Attention Deficit Hyperactivity Disorder
- Allergic rhinitis

E

- Eczema

P

- Pemphigus
- Psoriasis

36 Additional conditions

On the Extender Option, an additional 36 conditions are covered, subject to a limit of R9 800 per family per year. On the Summit Option, the additional 36 conditions covered accumulate to the overall day-to-day limit of R24 700 per beneficiary per year.

A

- Acne
- Attention Deficit Hyperactivity Disorder
- Allergic rhinitis
- Ankylosing spondylitis
- Aplastic anaemia

B

- Benign prostatic hypertrophy

C

- Cushing’s disease
- Cystic fibrosis

D

- Dermatomyositis

E

- Eczema

G

- Gout

H

- Hypoparathyroidism

I

- Immunosuppression therapy for transplants

M

- Major depression
- Menopause
- Motor neuron disease
- Muscular dystrophy and other inherited myopathies
- Myasthenia gravis

N

- Narcolepsy

O

- Obsessive compulsive disorder
- Oncology - ancillary treatment
- Osteopenia
- Osteoporosis
- Other seizure disorders

P

- Paraplegia/Quadriplegia
- Pemphigus
- Pituitary micro-adenomas
- Post-traumatic stress syndrome
- Psoriasis

S

- Scleroderma
- Stroke
- Systemic sclerosis

T

- Thromboangiitis obliterans
- Thrombocytopenic purpura

U

- Unipolar disorder

V

- Valvular heart disease

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