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OUR CHRONIC CARE

HOW WE MAKE SURE OUR MEMBERS WITH CHRONIC CONDITIONS ARE COVERED FROM EVERY ANGLE

As an Optimum member, your chronic medication benefit includes comprehensive cover for the 29 Chronic Disease List conditions with an additional 6 conditions covered from your generous savings account of up to R25 836. In addition, you have an impressive R42 000 benefit for biological entities, ensuring that your health is more than taken care of.

It’s important that you register your chronic condition with the Scheme so ask either your doctor or pharmacy to touch base with our pre-authorisation call centre on 0861 111 778 or email preauth@healthsquared.co.za. Give them a heads’ up that we’ll need the relevant ICD10 codes and test results.

CDL CONDITIONS

ADDISON'S DISEASE

ASTHMA

BIPOLAR MOOD DISORDER

BRONCHIECTASIS

CARDIAC DYSRHYTHMIAS

CARDIAC FAILURE

CARDIOMYOPATHY

COPD

CROHN'S DISEASE

CHRONIC RENAL FAILURE

CORONARY ARTERY DISEASE

DIABETES INSIPIDUS

DIABETES MELLITUS TYPE 1

DIABETES MELLITUS TYPE 2

EPILEPSY

GLAUCOMA

HAEMOPHILIA

HIV

HYPERLIPIDAEMIA

HYPERTENSION

HYPOTHYROIDISM

MULTIPLE SCLEROSIS

PARKINSON'S DISEASE

RHEUMATOID ARTHRITIS

SCHIZOPHRENIA

SLE

ULCERATIVE COLITIS

DTP PMB Chronic Conditions

BENIGN PROSTATIC HYPERTROPHY

HORMONE REPLACEMENT THERAPY

 

Additional Chronic Conditions

CYSTIC FIBROSIS

ENDOMETRIOSIS

GORD/GERD

OSTEOPOROSIS

OSTEOARTHRITIS

PSORIASIS