Medical aid
Chronic conditions covered
Prescribed Minimum Benefit conditions
The following 26 Chronic Disease List conditions are covered on the Ingwe, Fusion, Evolve, 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
*These are examples of medication not covered.
6 Additional conditions
On the Incentive Option, an additional 6 conditions are covered, subject to a limit of R12 400 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 R12 400 per family per year. On the Summit Option, the additional 36 conditions covered accumulate to the overall day-to-day limit of R31 300 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