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The Chronic Illness Benefit covers approved medicine for the 26 Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL) conditions on all plans.
We pay these claims up to a maximum of the Discovery Health Rate (DHR) or agreed rate for your health plan. There is no medicine list (formulary) for the Additional Disease List (ADL) conditions. We pay approved medicine for these conditions up to the monthly Chronic Drug Amount (CDA) for that medicine class.
Go to .discovery.co.za under Medical Aid > Manage your health plan > Find important documents and certificates to download the form 'Request for additional cover for Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL) conditions covered on the Chronic Illness benefit (CIB)' or call us on 0860 99 88 77 to ...
You can apply for the Chronic Disease Benefit in the following ways: Call Chronic Medicine Management (CMM) on 0860 002 153 between 8.30am and 5pm on Monday to Thursday, and between 9am and 5pm on Fridays. Apply here at .fedhealth.co.za. You'll need to register before you can apply.
Q: What is Chronic medication? A: Medication that is taken on a daily basis for a period exceeding 6 months is defined as Chronic medication. Medical aids are obliged to pay for chronic medication when such medication forms part in the treatment of a PMB CONDITION.