Chronic Disease List (CDL)
This Chronic Disease List (CDL) is a prescribed minimum benefits list that ensures all medical aid schemes fund the cost of the diagnosis, medical management (consultations and procedures) and medication of a specified list of 26 chronic conditions.
These conditions are covered in full in terms of the Scheme rules if services are rendered according to the Scheme’s benefits, treatment plans and protocols, CDL medication lists, and claimed with the correct diagnostic (ICD-10) codes.
These conditions are covered on all of Profmed’s options, but benefits will be more or less restrictive depending on the benefit option that you have chosen.
ProActive & ProActive Savvy
ProActive Plus & ProActive Plus Savvy
ProSecure & ProSecure Savvy
ProSecure Plus & ProSecure Plus Savvy
ProPinnacle & ProPinnacle Savvy
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
Crohn'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)
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
Crohn'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)
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
Crohn'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
Attention Deficit Hyperactivity Disorder
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
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
Crohn'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
Attention Deficit Hyperactivity Disorder
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
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
Crohn'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
Attention Deficit Hyperactivity Disorder
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.
