The Chronic Illness Benefit
Medicine cover for Chronic Disease List conditions
The Chronic Illness Benefit covers approved medicine for the 27 Prescribed Minimum Benefit (PMB) Chronic Disease List (CDL) conditions. Approved medicine on the Chronic Illness Benefit medicine list (formulary) will be funded in full up to the Society Rate. Medicines not on the medicine list will be funded up to the monthly Chronic Drug Amount (CDA).
Medicine cover for Additional Disease List conditions
You have further cover for Additional Disease List (ADL) conditions. There is no medicine list (formulary) for the ADL conditions. Approved medicine for these conditions will be funded up to the monthly CDA.
Treatment baskets for your approved Chronic Disease List conditions
The Chronic Illness Benefit will also cover a limited number of selected tests, procedures and specialist consultations each year for the ongoing management of your condition(s). You also have cover for four (4) GP consultations related to your approved PMB CDL condition(s) per year.
Documents for your Chronic Illness Benefit (CIB) cover: