List of Diseases Covered Starting on the First Year and on the Second Year Onwards

Post date: 2020 May 20 02:11 AM by admin (Public)

DISEASES COVERED FROM THE FIRST YEAR OF MEMBERSHIP

- Acute Pancreatitis

- Acute Bronchitis

- Acute Appendicitis

- Allergies (except Asthma)

- Amoebiasis & other forms of Gastroenteritis

- Bacillary Dysentery

- Brucellosis

- Chickenpox

- Constipation

- Conjunctivitis (Sore eyes)

- Dengue Fever

- Heart burn

- Hepatitis A (Viral)

- Impetigo

- Intestinal Parasitism

- Influenza

- Iron Deficiency Anemia

- Laryngitis

- Malaria

- Measles

- Migraine (common & classical)

- Otitis Media (acute)

- Pharyngitis

- Roseola Infantum

- Scarlet Fever

- Sinusitis (not requiring surgery)

- Tonsillitis (not requiring surgery)

- Typhoid Fever & other enteric infections

- Urinary Tract Infection

- Whooping cough

- Upper and Lower Respiratory Tract infections

 

ACCIDENTS 

- Accidental Poisoning

- Minor burns

- Lacerations

  

PRE-EXISTING CONDITIONS: COVERED AFTER 12 MONTHS OF ACTIVE CONTINUOUS MEMBERSHIP

1)  Incisional hernias (All hernias resulting from previous surgeries and Acquired Inguinal Hernias, Scrotal, Hydrocoele, Varicocoele, etc.

2)  Tumors of different organs (benign and malignant)

3)  Endometriosis and other Chronic Gynecologic diseases (e.g. Chronic Cervicitis)

4)  Endocrine diseases such as:

      a) Diseases of the anterior pituitary and posterior pituitary (SIADH, Diabetes Insipidus)

      b) Hyperthyroidism (e.g. Grave’s Dse, Thyroid Storm), Thyroiditis, Thyroid nodule

      c) Primary and Secondary Hypothyroidism

      d) Diabetes Mellitus (except complications of such belonging to the list of Exclusions e.g. chronic renal failure)

5)  Chronic Obstructive Pulmonary Disease (Chronic Bronchitis, Emphysema & Bronchiectasis), Bronchial Asthma and its complications (e.g. Atelectasis, Pneumothorax), Bronchogenic Cancer.

6)  Tuberculosis (Pulmonary and Extrapulmonary) and its complications (e.g. Atelectasis, Pneumothorax, Pleural Effusion).

7)  Acute and Chronic Cholecystitis, Stones of the Hepato-Biliary System (Choledocholithiasis, Cholelithiasis, etc.) Ascending Cholangitis

8)  Stones of the Urinary System (Nephrolithiasis Cystolithiasis, etc.)

9)  Gastric and Duodenal Ulcers; Chronis Gastritis

10) Cardiovascular Diseases; Hypertension, Uncomplicated/Transient Ischemic Heart Diseases, First Degree AV Block, Reversible Atrial Fibrillation and other Arrhythmias not listed under Exclusions, Myocardial Infarction; Dyslipidemia.

11) Chronic Liver Diseases (Chronic Active Hepatitis, Liver Cirrhosis; Fatty Liver, Hepatoma) 

12) Cerebrovascular Accident or Stroke (Infarction & Hemorrhage not due to a cause under Exclusions.

13) Collagen Disease (Arthritides) like Osteoarthritis, Gouty Arthritis, Rheumatoid Arthritis, Spondyloarthropathies, Scleroderma, Sjogren’s Syndrome, Vasculitis, etc. except those Under Exclusions.

14) Prostate Disorders (e.g. Benign Prostatic Hypertrophy (BPH)) 

15) Glaucoma (open & closed angle) requiring surgery or laser treatment; other Visual defects e.g. Error of Refraction

16) Hemorrhoids and Anal fistulae requiring surgery

17) ENT conditions requiring surgery (Tonsillitis, abnormalities of nasal septum, turbinates that are not congenital in nature), Chronic Otitis Externa/Media and Chronic Sinusitis, Chronic Mastoiditis.

18) Cataract requiring surgery (e.g. cataract extraction w/ IOL & Laser Treatment)

19) Seizure disorders except Benign Febrile Seizures

20) Chronic dermatological conditions

21) Varicose Veins; Buerger’s Disease



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