(Chronic Disease List)


A chronic disease/condition is a condition that is a long-developing syndrome, which usually lasts more than 3 months or for which a patient requires ongoing treatment.

As per the Council of Medical Schemes, the CDL (Chronic disease list) specifies
medication and treatment for the 25 chronic conditions that are covered under PMB protocol. These conditions are as follows:

  • Addison’s Disease
  • Asthma
  • Bronchiectasis
  • Cardiac Failure
  • Cardiomyopathy
  • Chronic obstructive pulmonary disorder
  • Chronic renal disease
  • Coronary artery disease
  • Crohn’s disease
  • Diabetes mellitus types 1 & 2
  • Diabetes insipidus
  • Dysrhythmias
  • Epilepsy
  • Glaucoma
  • Haemophilia
  • Hyperlipidemia
  • Hypertension
  • Hypothyroidism
  • Multiple Sclerosis
  • Parkinson’s disease
  • Rheumatoid arthritis
  • Schizophrenia
  • Systemic lupus erythematosus
  • Ulcerative colitis
  • Bipolar mood disorder

Medical Schemes are obliged to provide cover for the diagnosis, treatment and care of these conditions, but remember that Schemes do not have to pay for diagnostic tests done to confirm if you are not suffering from a PMB condition.

Chronic conditions listed are the most common life-threatening conditions, for which cost-effective treatment would sustain and improve a member’s quality of life.

Cover for listed chronic conditions are subject to a Scheme’s rules, which usually include the application for and obtaining pre-authorisation for cover or joining a specific condition’s benefit management programme.

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