CHRONIC CONDITIONS COVERED
CONDITIONS COVERED ON THE DISEASE LIST (CDL)
ESSENTIAL OPTION
Addison’s Disease
Asthma
Bronchiectasis
Chronic Obstructive
Pulmonary Disease (COPD)
Diabetes Insipidus
Diabetes Mellitus Type 1
Diabetes Mellitus Type 11
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
Epilepsy
Glaucoma
Hyperlipidaemia
Hypertension
Hypothyroidism
Menopause
Multiple sclerosis
Osteo Arthritis
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
Menopause
Multiple sclerosis
Parkinson's disease
Rheumatoid arthritis
Schizophrenia
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