Chronic Lifestyle Disease Extended Benefit
This benefit is limited to specific ambulatory healthcare services for beneficiaries diagnosed with one or more of the following medical conditions:
- Hypertension
- Hypercholesterolemia
- Diabetes
The intention is to assist high risk chronic members to remain under treatment for the period of cover in terms of each benefit year subject to being on a qualifying benefit option and being registered on the programme. Where a member may be diagnosed with more than one of the above conditions, the allowable services for multiple conditions shall be determined by combining the services for each disease. The quantity limits will however remain as the number approved for each individual disease.
The treatment covered by this benefit includes:
- Additional consultation(s) by healthcare providers restricted to the prescribed frequency of treatment codes.
- Chronic medicines, inclusive diabetic disposables such as syringes, needles, strips and lancets for registered patients.
- Additional pathology and radiology tests. The Chronic Lifestyle Disease Extender benefit will only be activated once all other acute- and chronic medication benefits as well as any available Accumulated Roll-Over benefits have been depleted. The Chronic Lifestyle Disease Extender benefit is only available to members on the Gold, Platinum and Titanium benefit options. High risk members on the Silver and Bronze benefit options, subject to approval and furthermore registration on the Beneficiary Risk Management Programme, may apply for this benefit. Members on the Hospital- Blue Diamond and Litunga benefit options will not have access to this benefit.
Forms
Select and download all application, registration and request forms as well as information on NHP’s designated service providers, tariffs and travel insurance.
Information and Services
BMI Calculator
Chronic Lifestyle Diseases
Babyline
The NHP mobile app
Back and Neck Rehabilitation
Benefit suggestions
These life stages aim to illustrate the thoughtful consideration given to the evolving healthcare needs of individuals at different points in their lives. By aligning medical aid benefits with these life stages, we ensure that our members receive targeted and effective healthcare support throughout their journey.
Young Adults
18-30 years young
- Comprehensive preventive care coverage for routine check-ups and vaccinations.
- Access to virtual health consultations for convenient healthcare support.
- Basic dental and vision coverage for early preventive measures.
- Wellness programmes and resources to promote a healthy lifestyle.
Suggested options:
Establishing Families
31-45 years young
- Enhanced maternity benefits including prenatal and postnatal care.
- Pediatric coverage for vaccinations, well-child visits, and common childhood illnesses.
- Expanded family planning and fertility treatment options.
- Comprehensive coverage for routine and preventive care.
Suggested options:
Mid-Life Professionals
46-60 years young
- Comprehensive coverage for chronic conditions management.
- Specialised screenings for age-related health concerns.
- Access to specialists for managing mid-life health challenges.
- Mental health support and counseling services.
Suggested options:
Seniors
61+ years young
- Back and neck rehabilitation
- Comprehensive coverage for Chronic conditions management
- Specialised screenings for age-related health concerns
- Access to Specialists for managing mid-life health challeneges