Chronic Conditions
Being told you have a chronic condition or disease can be difficult and even scary. The good news is that KeyHealth is committed to helping members with chronic conditions and diseases to receive the best quality healthcare treatment and medication.
A chronic condition is a health condition or disease that is persistent or otherwise long-lasting in its effects or a disease that comes with time. The term chronic is often applied when the course of the disease lasts for more than 3 months, for example, diabetes, HIV /AIDS and heart conditions.
Our Chronic Condition Benefits
ESSENCE
Essence is the ideal ‘just-in-case’ medical cover for individuals starting out and for those who only need that crucial cover for emergencies and unexpected medical expenses.
Members on Essence are covered for:
- 26 PMB CDL conditions
ORIGIN
Origin is the comprehensive medical cover for anyone who has basic in and out of hospital needs for themselves or the people they care for.
Members on Origin are covered for:
- 26 PMB CDL conditions
EQUILIBRIUM
Equilibrium is the peace-of-mind-and-body medical cover for those looking for stability with extra security.
Members on Equilibrium are covered for:
- 26 PMB CDL conditions
- 4 additional chronic conditions
SILVER
Silver is the step-up medical cover for individuals and families who expect more than the usual.
Members on Silver are covered for:
- 26 PMB CDL conditions
- 4 additional chronic conditions
GOLD
Gold is the superior medical cover for individuals and families who demand both substantial cover and security from their plans.
Members on Gold are covered for:
- 26 PMB CDL conditions
- 18 additional chronic conditions
PLATINUM
Platinum is the top tier of medical cover for people who want it all taken care of, now and in the future.
Members on Platinum are covered for:
- 26 PMB CDL conditions
- 27 additional chronic conditions
ESSENCE
Essence is the ideal ‘just-in-case’ medical cover for individuals starting out and for those who only need that crucial cover for emergencies and unexpected medical expenses.
Members on Essence are covered for:
- 26 PMB CDL conditions
ORIGIN
Origin is the comprehensive medical cover for anyone who has basic in and out of hospital needs for themselves or the people they care for.
Members on Origin are covered for:
- 26 PMB CDL conditions
EQUILIBRIUM
Equilibrium is the peace-of-mind-and-body medical cover for those looking for stability with extra security.
Members on Equilibrium are covered for:
- 26 PMB CDL conditions
- 4 additional chronic conditions
SILVER
Silver is the step-up medical cover for individuals and families who expect more than the usual.
Members on Silver are covered for:
- 26 PMB CDL conditions
- 4 additional chronic conditions
GOLD
Gold is the superior medical cover for individuals and families who demand both substantial cover and security from their plans.
Members on Gold are covered for:
- 26 PMB CDL conditions
- 18 additional chronic conditions
PLATINUM
Platinum is the top tier of medical cover for people who want it all taken care of, now and in the future.
Members on Platinum are covered for:
- 26 PMB CDL conditions
- 27 additional chronic conditions
PMB chronic benefits
Members across all benefits options are covered for the 26 PMB CDL conditions (below).
- Addison’s Disease
- Asthma
- Bipolar Mood Disorder
- Bronchiectasis
- Cardiac Failure
- Cardiomyopathy Disease
- Chronic Renal Disease
- Coronary Artery Disease
- Crohn’s Disease
- Chronic Obstructive Pulmonary Disorder
- Diabetes Insipidus
- Diabetes Mellitus Type 1 & 2
- Dysrhythmias
- Epilepsy
- Glaucoma
- Haemophilia
- Hyperlipidaemia
- Hypertension
- Hypothyroidism
- Hormone Replacement Therapy (HRT)*
- Multiple Sclerosis
- Parkinson’s Disease
- Rheumatoid Arthritis
- Schizophrenia
- Systemic Lupus Erythematosus
- Ulcerative Colitis
*An additional chronic condition approved by the Scheme
Additional chronic conditions
These are additional chronic conditions that the Scheme has added to help its members.
- Acne
- Hyperkinesis / Attention Deficit Disorder (ADD)
- Rhinitis
- Major Depression
- Acne and Hyperkinesis and/or ADD (Attention Deficit Disorder) are only covered for children up to the age of 21 years
- Allergic Rhinitis and Major Depression are covered for all ages
- Allergic Rhinitis
- Benign Prostatic Hypertrophy
- Diverticulitis and Irritable Bowel Syndrome
- Gastroesophageal Reflux Disease
- Hypoparathyroidism#
- Hyperkinesis / Attention Deficit Disorder (ADD)
- Hyperthyroidism
- Iron deficiency anaemia
- Major Depression#
- Meniere’s Disease
- Migraine
- Osteoarthritis
- Paraplegia, Quadriplegia#
- Peripheral Vascular Disease#
- Rheumatic fever
- Testosterone deficiency
- Urinary incontinence
#Chronic medication for these PMB conditions (only for severe, life-threatening cases and motivated by the appropriate specialist), above the PMB level of care, will be paid at 100% of the cost
- Acne
- Allergic Rhinitis
- Alzheimer’s Disease
- Ankylosing Spondylitis
- Benign Prostatic Hypertrophy
- Clotting Disorders (additional)
- Cystic Fibrosis
- Deep Vein Thrombosis#
- Stroke#
- Gastro-Oesophageal Reflux Disease
- Hypoparathyroidism#
- Hyperkinesis / Attention Deficit Disorder (ADD)
- Hyperthyroidism
- Interstitial Fibrosis
- Iron Deficiency Anaemia
- Major Depression#
- Meniere’s Disease
- Testosterone Deficiency
- Menopausal Disorder (Calcium only)#
- Migraine
- Myasthenia Gravis
- Osteoarthritis
- Osteoporosis
- Paraplegia, Quadriplegia#
- Peripheral Vascular Disease#
- Psoriasis
- Urinary Incontinence
#Chronic medication for PMB conditions (only for severe, life-threatening cases and motivated by the appropriate specialist), above the PMB level of care, will be paid at 100% of the cost.
