PMB CDL Conditions 2013

In terms of the Medical Schemes Act Regulations that came into effect on 1 January 2004, Medical Schemes are required to fund the cost of the diagnosis, medical management (consultations and procedures) and medication of the specified list of chronic conditions. All of these conditions are covered by CAMAF.

In terms of the legislation a medical scheme may apply managed care interventions to improve the efficiency and effectiveness of health care provision.
 
Condition Consultations

Level of Consultation Cover

 
Addison’s disease General Practitioner (GP), Physician, Paediatrician, Endocrinologist 100% COST
Asthma* GP, Physician, Pulmonologist, Paediatrician, Physiotherapist 100% COST
Bipolar mood disorder* Psychiatrist, Clinical Psychologist,  Social Worker 100% COST
Bronchiectasis* GP, Physician, Pulmonologist, Physiotherapist 100% COST
Cardiac Failure GP, Physician, Cardiologist, Dietician 100% COST
Cardiomyopathy GP, Physician, Cardiologist, Dietician 100% COST
Chronic Obstructive Pulmonary Disorder (COPD)* GP, Physician, Pulmonologist, Physiotherapist 100% COST
Chronic Renal Disease GP, Physician, Urologist, Dietician 100% COST
Coronary Artery Disease GP, Physician, Cardiologist, Dietician 100% COST
Crohn’s Disease GP, Gastroenterologist, Dietician, Physician 100% COST
Diabetes Insipidus GP, Physician, Urologist, Paediatrician, Endocrinologist 100% COST
Diabetes Mellitus
(type 1 and type 2)*		 GP, Physician, Paediatrician, Ophthalmologist, Dietician, Podiatrist, Endocrinologist 100% COST
Dysrhythmia GP, Physician, Cardiologist, Paediatrician 100% COST
Epilepsy GP, Physician, Neurologist, Occupational Therapist, Speech Therapist, Physiotherapist, Paediatrician 100% COST
Glaucoma GP, Physician, Ophthalmologist 100% COST
Haemophilia A & B GP, Physician, Paediatrician, Haematologist 100% COST
HIV/AIDS* GP, Physician, Paediatrician 100% COST
Hyperlipidaemia GP, Physician, Cardiologist, Paediatrician, Dietician 100% COST
Hypertension GP, Physician, Cardiologist, Dietician 100% COST
Hypothyroidism GP, Physician, Paediatrician 100% COST
Multiple Sclerosis GP, Physician, Neurologist, Ophthalmologist, Urologist, Occupational Therapist, Physiotherapist 100% COST
Parkinson’s Disease GP, Physician, Neurologist 100% COST
Schizophrenia* Psychiatrist, Clinical Psychologist,  Social Worker, Occupational Therapist 100% COST
Systemic Lupus Erythematosis GP, Physician, Dermatologist, Paediatrician, Rheumotologist 100% COST
Ulcerative Colitis Gastroenterologist,
Dietician, GP, Physician, Rheumotologist		 100% COST
* SUBJECT TO REGISTRATION ON THE WELLNESS PROGRAMMES

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Contact Details:

  • Telephone 0861 700 600
    Fax 0861 113 676
    custserv@camaf.co.za

    Wedgefield Office Park
    17 Muswell Road South
    Bryanston

    PO Box 2964
    Randburg
    2125

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