Does Medical Insurance cover chronic medication?

Tuesday, February 7, 2023

Are you wondering if Medical Insurance covers chronic medication? Get Medical Insurance explains.

Medical Insurance provides coverage for various day-to-day medical expenses. Included in your Medical Insurance is the chronic medicine benefit. This benefit gives you access to various chronic medications, depending on your plan.

Medical Insurance gives South Africans access to private healthcare, chronic medication, and more.

You can get a free quote now from Get Medical Insurance.

What is chronic medication?

Chronic medication is any medication prescribed to treat a chronic condition. A chronic condition is a long-term illness or condition that lasts for more than three months. Chronic conditions are usually characterised by recurring symptoms. 

Examples of chronic conditions include:

  • Diabetes.
  • Heart disease.
  • Asthma.

The use of chronic medication is important in managing chronic conditions. Chronic medication helps to control symptoms, prevent complications, and improve quality of life. Chronic medication is also used to treat underlying conditions and to manage symptoms.

Does Get Medical Insurance cover chronic medicine?

Yes, with Get Medical Insurance, you can get cover for chronic medication.

Standard Plan

Our standard Medical Insurance plan provides cover for 7 chronic conditions, including:

  • Asthma.
  • Diabetes insipidus.
  • Diabetes mellitus type 1.
  • Diabetes mellitus type 2.
  • HIV.
  • Hyperlipidaemia (high cholesterol).
  • Hypertension.

Premium Plan

Our premium Medical Insurance plan provides cover for 27 chronic conditions, including:

  • Addison’s disease.
  • Asthma.
  • Bipolar mood disorder.
  • Bronchiectasis.
  • Cardiac failure.
  • Cardiomyopathy.
  • Chronic renal disease.
  • COPD (chronic obstructive pulmonary disease).
  • Coronary artery disease.
  • Crohn’s disease.
  • Diabetes insipidus.
  • Diabetes mellitus type 1.
  • Diabetes mellitus type 2.
  • Dysrhythmias.
  • Epilepsy.
  • Glaucoma.
  • Haemophilia.
  • HIV.
  • Hyperlipidaemia (high cholesterol).
  • Hypertension.
  • Hypothyroidism.
  • Multiple sclerosis.
  • Parkinson’s disease.
  • Rheumatoid arthritis.
  • Schizophrenia.
  • Systemic lupus erythematosus.
  • Ulcerative coliti.

How does the ​​chronic medicine benefit work?

Chronic Medication is only covered if: 

  • The prescribed medication forms part of the chronic medication formulary.
  • You have registered for the chronic medication with the contracted services provider.

After approval of the chronic medication, you can get your chronic medication from:

  • A network provider.
  • A contracted pharmacy.
  • A contracted courier pharmacy: Your medication is delivered to you at no extra cost.

Get Medical Insurance gives you cover for chronic medication. Get your family a Medical Insurance policy from Get Medical Insurance.

 Contact us today for a quote.