Chronic Disease List
- By law, each scheme must cover certain medicine and treatment for 27 Chronic Diseases (CDL). These are listed below. To read more about Prescribed Minimum Benefits, click here.
- The Executive and Comprehensive plans also cover other chronic conditions, also listed below
- For every CDL condition there is a basic treatment plan. This can include consultations, pathology and radiology and medicine. You have full cover for healthcare providers who we have a payment arrangement with
Discovery Health the diagnosis and ongoing management of chronic conditions - Each plan has a list (formulary) of accepted medicines which Discovery will pay for. There are also additional funds for medicines not on the formulary, which are scheme and illness dependent. Speak to Discovery about your specific circumstance. You can also view the Discovery formulary list here.
| All the plans | ||
|---|---|---|
| CDL 1 | Addison’s Disease | Covered |
| CDL 2 | Asthma | Covered |
| CDL 3 | Bipolar Mood Disorder | Covered |
| CDL 4 | Bronchiectasis | Covered |
| CDL 5 | Cardiomyopathy | Covered |
| CDL 6 | Chronic Renal Failure | Covered |
| CDL 7 | COPD | Covered |
| CDL 8 | Congestive Heart Failure | Covered |
| CDL 9 | Coronary Artery Disease | Covered |
| CDL 10 | Crohn’s Disease | Covered |
| CDL 11 | Diabetes Insipidius | Covered |
| CDL 12 | Diabetes Mellitus Type 1 | Covered |
| CDL 13 | Diabetes Mellitus Type 2 | Covered |
| CDL 14 | Dysrhythmia | Covered |
| CDL 15 | Epilepsy | Covered |
| CDL 16 | Glaucoma | Covered |
| CDL 17 | Haemophilia | Covered |
| CDL 18 | HIV/AIDS | Covered |
| CDL 19 | Hyperlipidaemia | Covered |
| CDL 20 | Hypertension | Covered |
| CDL 21 | Hypothyroidism | Covered |
| CDL 22 | Multiple Sclerosis | Covered |
| CDL 23 | Parkinson’s Disease | Covered |
| CDL 24 | Rheumatoid Arthritis | Covered |
| CDL 25 | Schizophrenia | Covered |
| CDL 26 | Systemic Lupus | Covered |
| CDL 27 | Ulcerative Colitis | Covered |
non-CDL conditons: not mandated by law, but still covered by the Scheme
| Executive and Comprehensive | Other Plans | ||
|---|---|---|---|
| non-CDL | Ankylosing Spondylitis | Covered | Not covered |
| non-CDL | Behcet’s isease | Covered | Not covered |
| non-CDL | Cystic Fibrosis | Covered | Not covered |
| non-CDL | Delusional Disorder | Covered | Not covered |
| non-CDL | Dermatopolymyositis | Covered | Not covered |
| non-CDL | Generalised Anxiety Disorder | Covered | Not covered |
| non-CDL | Huntington’s Disease | Covered | Not covered |
| non-CDL | Isolated Growth Hormone Deficiency | Covered | Not covered |
| non-CDL | Major Depression | Covered | Not covered |
| non-CDL | Motor Neuron Disease | Covered | Not covered |
| non-CDL | Muscular Dystrophy | Covered | Not covered |
| non-CDL | Myasenthia Gravis | Covered | Not covered |
| non-CDL | OCD | Covered | Not covered |
| non-CDL | Osteoperosis | Covered | Not covered |
| non-CDL | Paget’s Disease | Covered | Not covered |
| non-CDL | Panic Disorder | Covered | Not covered |
| non-CDL | Polyarteritis Nodosa | Covered | Not covered |
| non-CDL | Psoriatic Arthrisis | Covered | Not covered |
| non-CDL | PTSD | Covered | Not covered |
| non-CDL | Pulmonary Interstitial Fibrosis | Covered | Not covered |
| non-CDL | Sjorgen’s Disease | Covered | Not covered |
| non-CDL | Systemic Sclerosis | Covered | Not covered |
| non-CDL | Wegner’s granulomatosis | Covered | Not covered |
Medical Aid Bible helps South Africans choose the best medical aid plan for their needs. Quickly view the benefits on any open plan, and compare any two plans with a simple click.
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