CHRONIC CONDITIONS COVERED

CONDITIONS COVERED ON THE DISEASE LIST (CDL)

ESSENTIAL OPTION

Asthma
Diabetes insipidus
Hyperlipidaemia
Hypertension
Hypothyroidism

CUSTOM OPTION

Addison’s disease
Asthma
Bronchiectasis
Cardiac failure
Cardiomyopathy
Chronic obstructive pulmonary disease
Chronic renal disease
Coronary artery disease
Crohn’s disease
Depression
Diabetes insipidus
Diabetes mellitus types 1 & 2
Dysrhythmias
Epilepsy
Glaucoma
Hyperlipidaemia
Hypertension
Hypothyroidism
Menopause
Multiple sclerosis
Parkinson’s disease
Rheumatoid arthritis
Schizophrenia
Systemic lupus erythematosus
Ulcerative colitis

HOSPICARE, HOSPICARE NETWORK, CLASSIC, CLASSIC NETWORK AND OPTIMUM OPTIONS

Addison’s disease
Asthma
Bipolar mood disorder
Bronchiectasis
Cardiac failure
Cardiomyopathy
Chronic obstructive pulmonary disorder
Chronic renal disease
Coronary artery disease
Crohn’s disease
Dysrhythmia
Diabetes insipidus
Diabetes mellitus type 1
Diabetes mellitus type 2
Epilepsy
Glaucoma
Haemophilia
Hyperlipidaemia
Hypertension
Hypothyroidism
Multiple sclerosis
Parkinson's disease
Rheumatoid arthritis
Schizophrenia Systemic
Systemic lupus erythematosus
Ulcerative colitis

ADDITIONAL NON-PMB CHRONIC CONDITIONS COVERED

CLASSIC OPTION
CLASSIC NETWORK OPTION

Acne
Allergic rhinitis
Ankylosing spondylitis
Depression
Eczema
Gastro-oesophageal reflux disease
Gout prophylaxis
Osteoporosis
Osteoarthritis
Psoriasis

OPTIMUM OPTION

Acne
Allergic rhinitis
Ankylosing spondylitis
Attention-deficit/hyperactivity disorder
Cystic fibrosis
Depression
Eczema
Gastro-oesophageal reflux disease (GORD)
Gout prophylaxis
Meniere’s disease
Migraine prophylaxis
Motor neuron disease
Narcolepsy
Neurogenic bladder
Onychomycosis
Osteoporosis
Osteoarthritis
Overactive bladder syndrome
Paget’s disease
Peptic ulcer disease
Peripheral arterial disease
Primary hypogonadism (hormonal levels required)
Psoriasis
Psoriatic arthritis
Renal calculi
Thrombo- embolic disease
Tourette syndrome
Trigeminal neuralgia

Chronic medicines approved from the additional non-PMB chronic condition benefit on the Classic, Classic Network and Optimum options will be paid subject to an annual limit. To ensure that you continue to obtain your chronic medication, a new prescription needs to be submitted every six months.

WHERE TO OBTAIN YOUR MEDICATION

The plans listed below have designated service providers (DSPs) for chronic medication. Avoid a 30% co-payment by using these DSPs.

ESSENTIAL CUSTOM OPTIONS

You must use a network pharmacy or allocated GP

HOSPICARE OPTION

Scheme pharmacy network

HOSPICARE NETWORK OPTION

Medipost

CLASSIC OPTION

Scheme pharmacy network

CLASSIC NETWORK OPTION

Medipost