Additional Information On Benefits Descriptions

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The sections below provide access to valuable and important information about Profmed, our processes, benefits and other pertinent information.

Please select your respective option below:

PRESCRIBED MINUMUM BENEFIT CDL CONDITIONS
Addison’s Disease Asthma
Bipolar Mood Disorder Bronchiectasis
Cardiac Failure Cardiomyopathy Disease
Chronic Obstructive Pulmonary Disorder Chronic Renal Disease
Coronary Artery Disease Chron’s Disease
Diabetes Insipidus Diabetes Mellitus Types 1 & 2
Dysrhythmias Epilepsy
Glaucoma Haemophilia
HIV / Aids Hyperlipidaemia
Hypertension Hypothyroidism
Multiple Sclerosis Parkinson’s Disease
Rheumatoid Arthritis Schizophrenia
Systemic Lupus Erythematosis Ulcerative Colitis
OTHER NON-CDL CONDITIONS
Allergic Rhinitis – in patients with asthma Alzheimer’s Disease
Ankylosing Spondylitis Benign Prostatic Hypertrophy
Cushing’s Syndrome Cystic Fibrosis
Deep Vein Thrombosis Gastro-oesophageal Reflux Disorder
Gout Hypoparathyroidism
Major Depressive Disorder Malabsorption Syndrome
Menopause (Calcium) Meniere’s Disease
Motor Neuron Disease Myasthenia Gravis
Obsessive Compulsive Disorders Osteoarthritis
Paget’s Disease Osteoporosis
Peripheral Vascular Disease Post-Organ Transplant (non-DTPs)
Paraplegia and Quadriplegia Psoriatic Arthritis
Pituitary Adenomas / Hyperfunction of Pituitary Gland Pulmonary Interstitial Fibrosis
Relevant Diagnostic &Treatment Pairs (DTPs) Systemic Connective Tissue Disorders
Stroke / Cerebrovascular Accident Tuberculosis
Valvular Heart Disease

Note: MMAP® and reference pricing apply on all options.
Oncology Adjunctive Treatment is now paid from Scheme risk.

PRESCRIBED MINIMUM BENEFIT CDL CONDITIONS
Addison’s Disease Asthma
Bipolar Mood Disorder Bronchiectasis
Cardiac Failure Cardiomyopathy Disease
Chronic Obstructive Pulmonary Disorder Chronic Renal Disease
Coronary Artery Disease Chron’s Disease
Diabetes Insipidus Diabetes Mellitus Types 1 & 2
Dysrhythmias Epilepsy
Glaucoma Haemophilia
HIV / Aids Hyperlipidaemia
Hypertension Hypothyroidism
Multiple Sclerosis Parkinson’s Disease
Rheumatoid Arthritis Schizophrenia
Systemic Lupus Erythematosis Ulcerative Colitis
OTHER NON-CDL CONDITIONS
Allergic Rhinitus (in patients with asthma) Alzheimer’s Disease
Ankylosing Spondylitis Benign Prostatic Hypertrophy
Major Depressive Disorder Obsessive Compulsive Disorders
Osteoporosis Paraplegia and Quadriplegia
Pituitary Adenomas / Hyperfunction of Pituitary Gland Pulmonary Interstitial Fibrosis
Psoriatic Arthritis Relevant Diagnostic & Treatment Pairs (DTPs)
Valvular Heart Disease

Note: MMAP® and reference pricing apply on all options.

Oncology Adjunctive Treatment is now paid from Scheme risk.

PRESCRIBED MINUMUM BENEFIT CDL CONDITIONS
Addison’s Disease Asthma
Bipolar Mood Disorder Bronchiectasis
Cardiac Failure Cardiomyopathy Disease
Chronic Obstructive Pulmonary Disorder Chronic Renal Disease
Coronary Artery Disease Chron’s Disease
Diabetes Insipidus Diabetes Mellitus Types 1 & 2
Dysrhythmias Epilepsy
Glaucoma Haemophilia
HIV / Aids Hyperlipidaemia
Hypertension Hypothyroidism
Multiple Sclerosis Parkinson’s Disease
Rheumatoid Arthritis Schizophrenia
Systemic Lupus Erythematosis Ulcerative Colitis
OTHER NON-CDL CONDITIONS
Allergic Rhinitus (in patients with asthma) Alzheimer’s Disease
Ankylosing Spondylitis Benign Prostatic Hypertrophy
Major Depressive Disorder Obsessive Compulsive Disorders
Osteoporosis Paraplegia and Quadriplegia
Pituitary Adenomas / Hyperfunction of Pituitary Gland Psoriatic Arthritis
Pulmonary Interstitial Fibrosis Relevant Diagnostic & Treatment Pairs (DTPs)
Valvular Heart Disease

Note: MMAP® and reference pricing apply on all options.
Oncology Adjunctive Treatment is now paid from Scheme risk.

PRESCRIBED MINUMUM BENEFIT CDL CONDITIONS
Addison’s Disease Asthma
Bipolar Mood Disorder Bronchiectasis
Cardiac Failure Cardiomyopathy Disease
Chronic Obstructive Pulmonary Disorder Chronic Renal Disease
Coronary Artery Disease Chron’s Disease
Diabetes Insipidus Diabetes Mellitus Types 1 & 2
Dysrhythmias Epilepsy
Glaucoma Haemophilia
HIV / Aids Hyperlipidaemia
Hypertension Hypothyroidism
Multiple Sclerosis Parkinson’s Disease
Rheumatoid Arthritis Schizophrenia
Systemic Lupus Erythematosis Ulcerative Colitis
OTHER NON-CDL CONDITIONS
Relevant Diagnostic & Treatment Pairs (DTPs)

Note: MMAP® and reference pricing apply on all options.
Oncology Adjunctive Treatment is now paid from Scheme risk.

PRESCRIBED MINUMUM BENEFIT CDL CONDITIONS
Addison’s Disease Asthma
Bipolar Mood Disorder Bronchiectasis
Cardiac Failure Cardiomyopathy Disease
Chronic Obstructive Pulmonary Disorder Chronic Renal Disease
Coronary Artery Disease Chron’s Disease
Diabetes Insipidus Diabetes Mellitus Types 1 & 2
Dysrhythmias Epilepsy
Glaucoma Haemophilia
HIV / Aids Hyperlipidaemia
Hypertension Hypothyroidism
Multiple Sclerosis Parkinson’s Disease
Rheumatoid Arthritis Schizophrenia
Systemic Lupus Erythematosis Ulcerative Colitis
OTHER NON-CDL CONDITIONS
Relevant Diagnostic & Treatment Pairs (DTPs)

Note: MMAP® and reference pricing apply on all options.
Oncology Adjunctive Treatment is now paid from Scheme risk.