Fedhealth - Chronic illness benefit cover
All Plans provide cover for the 27 prescribed Chronic Disease List (CDL) conditions at 100% MSR (Medical Scheme Rate) up to the annual Chronic limit and must thereafter be obtained from the State or attract a 40% co-payment. This cover needs to be applied for through Solutio Chronic Medicine Management (CMM) and is not limited to a Designated Service Provider (DSP).
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| CHRONIC DISEASE LIST |
(All Plans)
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| Addison’s Disease |
Dysrythmias |
| Asthma |
Epilepsy |
| Bipolar Mood Disorder |
Glaucoma |
| Bronchiectasis |
Haemophilia |
| |
HIV and AIDS |
| Cardiac Failure |
Hyperlipidaemia |
| Cardiomyopathy |
Hypertension |
| Chronic Obstructive Pulmonary |
Hypothyroidism |
| Disease (COPD) |
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| Chronic Renal Disease |
Multiple Sclerosis (MS) |
| Coronary Artery Disease |
Parkinson’s Disease |
| Crohn’s Disease |
Rheumatoid Arthritis |
| Diabetes Insipidus |
Schizophrenia |
| Diabetes Mellitus Type 1 |
Systemic Lupus |
| |
Erythematosus |
| Diabetes Mellitus Type 2 |
Ulcerative Colitis |
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| ADDITIONAL DISEASE LIST |
(All Maxima Plans are covered until the
Annual Chronic Limit is reached.) |
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| Angina |
Ischaemic Heart Disease |
| Ankylosing Spondylitis |
Narcolepsy |
| Anorexia Nervosa |
Obsessive Compulsive |
| |
Disorder |
| Attention Deficit Disorder |
Panic Disorder |
| Barrett’s Oesophagus |
Paraplegia / Quadriplegia |
| |
(associated medicine) |
| Bulimia Nervosa |
Polyarteritis Nodosa |
| Conn’s Syndrome |
Post-Traumatic Stress |
| |
Syndrome |
| Emphysema |
Pulmonary Interstitial Fibrosis |
| Chronic Bronchitis |
Scleroderma |
| Cushing’s Syndrome |
Thromboangitis Obliterans |
| Deep Vein Thrombosis |
Thrombocytopaenic Purpura |
| Depression |
Tourette’s Syndrome |
| Dermatomyositis |
Unipolar Mood Disorder |
| Generalised Anxiety Disorder |
Valvular Heart Disease |
| Gastro-Oesophageal |
Zollinger-Ellison Syndrome |
| Reflux Disease |
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ANNUAL CHRONIC COVER LIMITS
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| Core |
Basis |
Standard |
| Member R1,207 |
Member R2,415 |
Member R3,650 |
| Family R2,415 |
Family R4,828 |
Family R7,300 |
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Should you need to contact the Solutio Chronic Medicine Management (CMM) call centre the telephone number is 0860 100 608. For further information or advice on any of the FedHealth medical aids, please don't hesitate to contact us on +27 21 712-6686.
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