Medical Aid Schemes that Cover Coronary Artery Disease
Because of its frequency and impact on health, Coronary Artery Disease (CAD) is a major concern in South Africa.
This article delves into the nature of Coronary Artery Disease, its symptoms, and treatment options, focusing on South Africa. It also sheds light on Medical Aid Schemes that cover CAD specifically, answering a vital need for financial assistance in managing this dangerous ailment. In this article you will learn:
- TheΒ Best Medical Aid Schemes that Cover Coronary Artery Disease in South AfricaΒ (2024) β a List
- DoesΒ Discovery Health coverΒ Coronary Artery Disease treatment?
- Is Coronary Artery Disease a Prescribed Minimum Benefit (PMB)?
- Is Coronary Artery DiseaseΒ covered underΒ critical illness insurance?
- The Top Medical aids coveringΒ Pre-Existing conditionsΒ in Coronary Artery DiseaseΒ Conditions
- TheΒ Best Medical Aid SchemesΒ forΒ PensionersΒ covering Coronary Artery Disease
- What is a treatment plan for Coronary Artery Disease
- What are 5 symptoms of coronary artery disease and treatment?
and Much, Much more !
Medical Aid Schemes that Cover Coronary Artery Disease –Β A Comparison
π Provider | βͺοΈ Cover Coronary Artery Disease | β‘οΈ Top Plan for Coronary Artery Disease |
π₯ Bestmed | β Yes | Pace 3 |
π₯ Bonitas | β Yes | BonEssential Select |
π Cape Medical Plan | β Yes | HealthPact Premium |
ποΈ CompCare | β Yes | NETWORX |
π Discovery Health | β Yes | Discovery Health Essential Priority |
π₯ Genesis | β Yes | MED-100 |
π₯ Sizwe Hosmed | β Yes | Access Saver-25 |
π₯ Fedhealth | β Yes | FlexiFED Savvy |
π₯ KeyHealth | β Yes | Equilibrium |
π Makoti Medical | β Yes | Comprehensive Option |
ποΈ MediHelp | β Yes | MedElite |
π MediMed | β Yes | MedAdd |
π₯ MedShield | β Yes | MediSwift |
π₯ Momentum Health | β Yes | Evolve |
π₯ Suremed | β Yes | Shuttle |
π Thebemed | β Yes | Universal |
Medical Aid Schemes that Cover Coronary Artery Disease
- βοΈΒ BestmedΒ β patients can access a Chronic Disease Management Programme
- βοΈΒ BonitasΒ β OffersΒ proactive strategy towards Coronary Artery Disease
- βοΈΒ Cape Medical PlanΒ β Customized Medical Aid Plans
- βοΈΒ CompCare β concentrating on holistic care for people with Coronary Artery Disease
- βοΈΒ Discovery HealthΒ β Overall, theΒ Best Medical Aid Scheme covering Coronary Artery Disease
in South Africa (2024) - βοΈΒ FedHealth β supply medication and treatment coverage for Coronary Artery Disease
- βοΈΒ GenesisΒ β Non-Network Restricted Medical Aid
- βοΈΒ Sizwe HosmedΒ β Trusted South African-Based Medical Aid
- βοΈΒ KeyHealthΒ β Affordable and Comprehensive Medical Aid
- βοΈΒ Makoti MedicalΒ β Individualised treatment plans forΒ patients with Coronary Artery Disease
- βοΈΒ MediHelpΒ βΒ Flexible Healthcare Solutions
- βοΈΒ MediMed β Places accessibility as a top priority in its CAD treatment
- βοΈΒ MedShield β Allowing members to build treatment programmes to their unique needs
- βοΈΒ Momentum HealthΒ βΒ ChronicΒ coverΒ is available for an additional 36 conditions at any provider
- βοΈΒ SuremedΒ βΒ Individuals with Coronary Artery DiseaseΒ receive a thorough treatment approach consisting of medication
- βοΈΒ ThebemedΒ β Unlimited Private HospitalΒ coverΒ at network hospitals
What is Coronary Artery Disease?
Coronary Artery Disease (CAD), or Ischemic heart disease, is a medical disorder characterised by the narrowing or blockage of coronary arteries. These arteries are responsible for transporting oxygen and nutrients to the cardiac muscles.
The primary cause of this ailment is Atherosclerosis, in which plaque, such as cholesterol and fat, accumulates on arterial walls. As a result, blood flow becomes restricted within the vessels, leading to severe constriction.
This eventually culminates in chest pain (angina), dyspnoea (shortness of breath under physical strain), and myocardial infarction, commonly referred to as a heart attack.
These issues arise due to inadequate real-time essential blood supply with nutrient content necessary for healthy metabolism rates and overall process accomplishments, among other factors.
Overview of Coronary Artery Disease
Coronary Artery Disease is a substantial health concern in South Africa, reflecting global trends and exhibiting specific regional characteristics. Genetic, environmental, and lifestyle variables influence the occurrence of CAD in South Africa.
Urbanisation and lifestyle changes have increased the prevalence of risk factors such as hypertension, diabetes, obesity, and smoking, all of which contribute significantly to the development of CAD.
Furthermore, there is growing worry in South Africa regarding the rising incidence of CAD among younger populations, which is ascribed to lifestyle decisions and probably genetic predispositions.
Coronary Artery Disease Stats in South Africa
Various studies have been conducted in South Africa on Coronary Artery Disease (CAD), revealing a complicated and multidimensional health issue.
The overall national prevalence of Coronary Heart Disease (CHD) in South Africa was around 1.29%, according to one of the primary findings of a systematic review and meta-analysis conducted between 1990 and 2017.
However, because this statistic is based on self-reported disease status, it highlights the need for more structured registries and extensive data-gathering methods to precisely quantify the nationwide prevalence and incidence of CAD.
A study on the prevalence of atherosclerosis, a condition closely connected with CAD, in South Africa’s Free State Province gave additional insights.
According to this study, the cumulative prevalence of atherosclerosis in the studied population was 9.25%, which examined post-mortem autopsy data from January 2010 to December 2019.
The prevalence was higher among males of European heritage, especially in older age groups, demonstrating significant demographic differences in the disease’s incidence. For example, European ancestry males over 70 had a 56.98% prevalence of CA atherosclerosis and a 62.79% prevalence of large vessel (LV) atherosclerosis.
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Can Coronary Artery Disease be cured, and how?
Coronary Artery Disease is an enduring ailment that presently lacks a cure. Nevertheless, it can be efficiently managed by combining medicine and treatment with lifestyle modifications.
Medical interventions such as statins for cholesterol reduction, beta-blockers to regulate blood pressure and antiplatelet drugs that prevent blood clotting are viable options.
In severe cases where there’s urgency in restoring heart blood flow, surgical treatments like angioplasty or coronary artery bypass grafting (CABG) may become imperative.
Coronary Artery Disease Curability and Management
In South Africa and globally, managing Coronary Artery Disease involves a combination of medical treatment and lifestyle adjustments.
Lifestyle changes such as eating a nutritious diet, engaging in frequent physical activity, quitting smoking and reducing stress levels are vital for minimising the possibility of complications while enhancing one’s quality of life.
Additionally, it is essential to regularly monitor and control risk factors like high blood pressure, diabetes or excessive cholesterol intake.
Furthermore, public health initiatives and educational campaigns play an integral role in creating awareness about CAD management amongst people by advocating heart-healthy behaviours throughout the population within South Africa.
Coronary Artery Disease Symptoms
Coronary Artery Disease (CAD) causes a variety of symptoms, which are especially alarming for the South African population due to prevalent lifestyle and hereditary factors.
Recognising these symptoms is critical for early intervention and disease management. The following are some of the most prevalent CAD symptoms:
- β Chest pain or discomfort (angina)
- β Heart palpitations
- β Dizziness or lightheadedness
- β Sweating
- β Fatigue
- β Nausea
- β Shortness of breath
Chest pain or discomfort (angina)
Angina, characterised by chest pain or discomfort, is a common sign of Coronary Artery Disease in South Africa.
Typically described as pressure, tightness, or squeezing sensations within the chest region, it can be relieved through rest following physical exertion and emotional distress triggers.
Considering that high blood pressure and other cardiovascular risk factors are prevalent amongst this population group β anginal symptoms warrant much attention in South Africa.
Prompt medical assistance must be sought after experiencing these signs due to their association with reduced heart-blood flow – posing significant health risks if left untreated.
Heart palpitations
A less common but probable sign of CAD is heart palpitations, characterised by irregular heartbeats or a sensation that the heart is racing or beating.
Individuals who experience palpitations should be aware of this symptom, especially if it occurs in conjunction with other symptoms of CAD.
Dizziness or lightheadedness
Dizziness or lightheadedness in CAD can be caused by decreased blood supply to the brain due to poor cardiac function.
This symptom is especially concerning in South Africa, where it may go unnoticed or be attributed to other reasons such as dehydration or heat exposure. Understanding that these symptoms may be of cardiac origin is critical for prompt diagnosis and treatment.
Sweating
Excessive sweating, particularly when not caused by heat or physical activity, can be a sign of CAD. In South Africa’s variable environment, it’s critical to recognise that inexplicable sweating, especially if accompanied by chest pain or other symptoms, may suggest a heart condition and should be treated right once.
Fatigue
Fatigue is a common occurrence in CAD patients. Still, it is often downplayed despite being a significant concern in South Africa, where daily routines and occupational tasks can be physically demanding.
This symptom presents an overwhelming sense of weariness or diminished vitality that does not necessarily result from physical exertion.
Therefore, individuals must comprehend that persistent fatigue without explanation, especially when accompanied by other symptoms, might indicate underlying heart issues necessitating medical attention.
Nausea
Nausea, which is occasionally accompanied by indigestion or stomach pain, is an unusual symptom of Coronary Artery Disease. In South Africa, where diets may include high-fat and processed meals, these symptoms may be misdiagnosed as digestive problems.
However, they must be seen in the context of overall heart health, particularly if they occur in conjunction with other CAD symptoms.
Shortness of breath
Shortness of breath, another symptom of Coronary Artery Disease , can be especially concerning in South Africa, where respiratory difficulties may be exacerbated by environmental factors such as urban pollution. This symptom arises when the heart cannot pump enough blood to meet the body’s needs.
It might appear during everyday tasks or, in severe situations, even at rest. Awareness and comprehension of this symptom are critical for early detection and management of CAD, particularly in urban South African populations where sedentary behaviour and smoking are prominent.
Coronary Artery Disease Treatment
Treatment of Coronary Artery Disease (CAD) is critical, especially in South Africa, where lifestyle and hereditary factors contribute to the disease’s prevalence.
A thorough treatment strategy targets not only the acute symptoms but also improves risk factors and prevents disease development. The following are the main Coronary Artery Disease treatments:
- β Lifestyle modifications
- β Cardiac Rehabilitation
- β Percutaneous Coronary Intervention (PCI)
- β Medications
- β Coronary Artery Bypass Grafting (CABG)
Lifestyle modifications
Lifestyle changes are a cornerstone of treatment in South Africa, as lifestyle variables play a key influence in the development of Coronary Artery Disease. This includes eating a heart-healthy diet high in whole grains, fruits, and vegetables and low in saturated fats, trans fats, and cholesterol.
Regular physical activity is also important; the South African Heart Association recommends at least 150 minutes per week of moderate-intensity exercise. Furthermore, smoking cessation is critical because smoking considerably raises the risk of CAD.
These modifications can help you lose weight, lower your blood pressure and cholesterol levels, and enhance your overall heart health.
Cardiac Rehabilitation
In South Africa, the recovery process for patients with Coronary Artery Disease (CAD) is significantly aided by Cardiac Rehabilitation. This program comprises crucial components: exercise training, mental health counselling, and stress management techniques.
By combining these elements, individuals can establish healthy practices conducive to heart wellness while mitigating long-term cardiac risks, thus enhancing their quality of life.
By embracing this holistic approach to healthy living, individuals with cardiovascular conditions can effectively manage their health. This involves regaining physical strength and gaining valuable knowledge about lifestyle choices that can lead to optimal well-being.
Moreover, it empowers patients to take control of their health and reduce the potential complications stemming from Coronary Artery Disease.
Importantly, they can continue practising these healthier ways of living independently once they are officially released from medical settings such as hospitals, where these practices are initially implemented under strict supervision until patients are deemed ready to reintegrate into society.
Percutaneous Coronary Intervention (PCI)
Angioplasty, also called Percutaneous Coronary Intervention, is a less invasive therapy employed to heal CAD in South Africa. It involves inserting a catheter with an inflated balloon at the end into the narrowed artery.
Then, inflating the balloon stretches out the area while sometimes putting in stents that keep it open for better blood flow to hearts experiencing heart attacks or severe angina symptoms leading benefits.
Medications
Medications are an important part of Coronary Artery Disease management in South Africa. Statins are often recommended medications to decrease cholesterol, beta-blockers to lower blood pressure and heart rate, ACE inhibitors to relax blood vessels, and antiplatelet drugs to prevent blood clots.
Medication adherence is especially critical in South Africa, where healthcare access and education may be limited. Patients should be encouraged to learn about their drugs and the necessity of taking them exactly as directed.
Coronary Artery Bypass Grafting (CABG)
In South Africa, patients with severe CAD or multiple obstructed arteries are often recommended Coronary Artery Bypass Grafting as a surgical solution.
The procedure involves transplanting veins from different body areas onto the coronary arteries to establish an alternative pathway for blood flow towards the heart. This major surgery is typically performed when previous interventions have been ineffective or if PCI is not feasible due to extreme blockage.
Medical Aid Schemes that Include Benefits for Coronary Artery Disease
Bestmed
Bestmed has a unique strategy for managing Coronary Artery Disease (CAD), which entails tailoring medication plans to individuals and frequently monitoring heart health.
Additionally, they offer exclusive wellness initiatives like nutritional counselling and health evaluations designed specifically to aid those experiencing CAD.
Does Bestmed cover Coronary Artery Disease?
Yes, Bestmed covers Coronary Artery Disease.
Bestmed Plans that Cover Coronary Artery Disease
The following Bestmed Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Beat 1
- β Beat 2
- β Beat 3
- β Beat 4
- β Pace 1
- β Pace 2
- β Pace 3
- β Pace 4
- β Rhythm 1
- β Rhythm 2
Bonitas
The distinguishing feature of Bonitas is its CAD integrated care model, which gives members access to a devoted team of healthcare professionals that coordinate all aspects of treatment – from dispensing medicines to providing lifestyle advice.
Additionally, they provide customised educational resources aimed at helping individuals grasp and manage their cardiac health efficiently.
Does Bonitas cover Coronary Artery Disease?
Yes, Bonitas covers Coronary Artery Disease.
Bonitas Plans that Cover Coronary Artery Disease
The following Bonitas Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β BonStart
- β BonStart Plus
- β Standard
- β Standard Select
- β Primary
- β Primary Select
- β BonFit Select
- β BonSave
- β BonComplete
- β BonClassic
- β BonComprehensive
- β Hospital Standard
- β BonEssential
- β BonEssential Select
- β BonCap
Cape Medical Plan
Cape Medical Plan prioritises early detection and intervention in CAD by covering routine diagnostic tests and screenings. They also have the unique advantage of providing telemedicine consultations, allowing members to manage their condition from the comfort of their own homes.
Does Cape Medical Plan cover Coronary Artery Disease?
Yes, Cape Medical Plan covers Coronary Artery Disease.
Cape Medical Plan Plans that Cover Coronary Artery Disease
The following Cape Medical Plan Plans provide benefits and cover for Coronary Artery Disease:
- β HealthPact Silver
- β HealthPact Premium
- β HealthPact Select
CompCare
CompCare excels in CAD treatment by offering a thorough medication coverage encompassing an extensive array of medicines, including state-of-the-art therapies.
Additionally, patients can avail themselves of essential cardiac rehabilitation programs for recovery and sustained cardiovascular wellness.
Does CompCare cover Coronary Artery Disease?
Yes, CompCare covers Coronary Artery Disease.
CompCare Plans that Cover Coronary Artery Disease
The following CompCare Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β NETWORX
- β SELFNET
- β MEDX
- β UNISAVE
- β MUMED
- β SELFSURE
- β SYMMETRY
- β DYNAMIX
- β PINNACLE
Discovery Health
Discovery Health’s CAD management incorporates a multidimensional Vitality programme that encourages and rewards healthy lifestyle choices that directly influence heart health.
They also provide the distinct advantage of personalised digital health systems that track and manage patient health data, assisting in proactive health management.
Does Discovery Health cover Coronary Artery Disease?
Yes, Discovery Health covers Coronary Artery Disease.
Discovery Health Plans that Cover Coronary Artery Disease
The following Discovery Health Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Discovery Health Executive Plan
- β Discovery Health Classic Comprehensive
- β Discovery Health Classic Core
- β Discovery Health Classic Delta Comprehensive
- β Discovery Health Classic Delta Core
- β Discovery Health Classic Delta Saver
- β Discovery Health Classic Priority
- β Discovery Health Classic Saver
- β Discovery Health Classic Smart Comprehensive
- β Discovery Health Classic Smart
- β Discovery Health Coastal Core
- β Discovery Health Coastal Saver
- β Discovery Health Essential Delta Comprehensive
- β Discovery Health Essential Delta Core
- β Discovery Health Essential Delta Saver
- β Discovery Health Essential Dynamic Smart
- β Discovery Health Essential Priority
- β Discovery Health Essential Saver
- β Discovery Health Essential Smart
- β Discovery Health KeyCare Core
- β Discovery Health KeyCare Plus
- β Discovery Health KeyCare Start
- β Discovery Health KeyCare Start Regional
Fedhealth
Fedhealth’s approach to CAD includes a focus on mental health care, as the emotional impact of chronic cardiac problems is recognised. They offer counselling and stress management programmes in addition to standard medical treatments, recognising the holistic aspect of health.
Does Fedhealth cover Coronary Artery Disease?
Yes, Fedhealth covers Coronary Artery Disease.
Fedhealth Plans that Cover Coronary Artery Disease
The following Fedhealth Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β FlexiFED Savvy
- β MyFED
- β FlexiFED 1
- β FlexiFED 2
- β FlexiFED 3
- β FlexiFED 4
- β Maxima EXEC
- β Maxima PLUS
Genesis Medical Scheme
Genesis Medical Scheme takes a simplified approach to CAD, focusing on providing essential coverage for primary treatments and procedures while not overcomplicating the benefit structure. Their uncomplicated coverage plan is intended to be simple to comprehend and use.
Does Genesis Medical Scheme cover Coronary Artery Disease?
Yes, Genesis Medical Scheme covers Coronary Artery Disease.
Genesis Medical Scheme Plans that Cover Coronary Artery Disease
The following Genesis Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β MED-100
- β MED-200
- β MED-200 Plus
Sizwe Hosmed
Sizwe Hosmed distinguishes itself in coronary artery disease (CAD) care by providing substantial support for secondary disorders that frequently accompany heart disease, such as diabetes and hypertension.
This all-encompassing strategy ensures that all areas of a member’s health are addressed alongside CAD treatment.
Does Sizwe Hosmed cover Coronary Artery Disease?
Yes, Sizwe Hosmed covers Coronary Artery Disease.
Sizwe Hosmed Plans that Cover Coronary Artery Disease
The following Sizwe Hosmed Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Essential Copper
- β Silver Hospital
- β Access Saver-25
- β Access Saver-15
- β Gold Ascend
- β Gold Ascend EDO
- β Value
- β Value Core EDO
- β Platinum Enhanced
- β Platinum Enhanced EDO
- β Plus
- β Titanium Executive
Keyhealth
Keyhealth’s CAD coverage prioritises prevention by providing benefits for lifestyle modification programs and routine health check-ups to minimise the risk of heart disease progression.
Does Keyhealth cover Coronary Artery Disease?
Yes, Keyhealth covers Coronary Artery Disease.
Keyhealth Plans that Cover Coronary Artery Disease
The following Keyhealth Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Essence
- β Origin
- β Equilibrium
- β Silver
- β Gold
- β Platinum
Makoti Medical Scheme
Makoti Medical Scheme approaches CAD from a community perspective, giving localised health workshops and seminars to educate and support members in managing their illnesses. This community-centred strategy creates a welcoming atmosphere for long-term health maintenance.
Does Makoti Medical Scheme cover Coronary Artery Disease?
Yes, Makoti Medical Scheme covers Coronary Artery Disease.
Makoti Medical Scheme Plans that Cover Coronary Artery Disease
The following Makoti Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Primary Option
- β Comprehensive Option
Medihelp
Medihelp provides a tiered approach to CAD treatment, allowing members to select the coverage that best meets their needs, from simple prescription and consultation coverage to complete care plans, including advanced diagnostic testing and treatments.
Does Medihelp cover Coronary Artery Disease?
Yes, Medihelp covers Coronary Artery Disease.
Medihelp Plans that Cover Coronary Artery Disease
The following Medihelp Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β MedElect Student
- β MedVital Elect
- β MedVital
- β MedMove!
- β MedAdd Elect
- β MedAdd
- β MedSave
- β MedElect
- β MedPrime Elect
- β MedPrime
- β MedElite
- β MedPlus
Medimed Medical Scheme
Medimed Medical Scheme places accessibility as a top priority in its CAD treatment by granting members access to an extensive healthcare provider network.
Additionally, they offer a unique case management system that delivers personalised support and guidance throughout their medical journey.
Does Medimed cover Coronary Artery Disease?
Yes, Medimed Medical Scheme covers Coronary Artery Disease.
Medimed Plans that Cover Coronary Artery Disease
The following Medimed Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Medisave Essential
- β Alpha
- β Medisave Standard
- β Medisave Max
Medshield
Medshield’s CAD coverage is renowned for its adaptability, allowing members to build treatment programmes to their unique needs, including possibilities for alternative therapies and holistic treatments in addition to standard medical care.
Does Medshield cover Coronary Artery Disease?
Yes, Medshield covers Coronary Artery Disease.
Medshield Plans that Cover Coronary Artery Disease
The following Medshield Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β MediCurve
- β MediPhila
- β MediSwift
- β MediValue
- β MediValue Compact
- β MediCore
- β MediPlus Prime
- β MediPlus Compact
- β MediSaver
- β MediBonus
- β PremiumPlus
Momentum Health
Momentum Health incorporates technology into its CAD care, offering members cutting-edge resources such as health-tracking applications and online health management systems.
These digital solutions supplement traditional treatments and enable members to participate actively in their disease management.
Does Momentum Health cover Coronary Artery Disease?
Yes, Momentum Health covers Coronary Artery Disease.
Momentum Health Plans that Cover Coronary Artery Disease
The following Momentum Health Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Ingwe
- β Evolve
- β Custom
- β Incentive
- β Extender
- β Summit
Suremed
Suremed prioritises continuity of care in its CAD therapy, ensuring that members receive consistent and uninterrupted care even when switching healthcare providers or treatment phases. This strategy intends to offer members with chronic disease stability and reassurance.
Does Suremed cover Coronary Artery Disease?
Yes, Suremed covers Coronary Artery Disease.
Suremed Plans that Cover Coronary Artery Disease
The following Suremed Health Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Shuttle
- β Explorer
- β Navigator
- β Challenger
Thebemed
With Thebemed, an emphasis is placed on involving the community and families in their CAD care strategy. This approach provides resources and support to patients and their loved ones, acknowledging that a supportive environment is crucial in managing chronic conditions like CAD.
Does Thebemed cover Coronary Artery Disease?
Yes, Thebemed covers Coronary Artery Disease.
Thebemed Plans that Cover Coronary Artery Disease
The following Thebemed Health Medical Aid Plans provide benefits and cover for Coronary Artery Disease:
- β Universal EDO
- β Universal
- β Energy
- β Fantasy
In Conclusion
Because of its frequency and impact on health, Coronary Artery Disease (CAD) is a major concern in South Africa. This article delves into the nature of Coronary Artery Disease, its symptoms, and treatment options, focusing on South Africa. It also sheds light on Medical Aid Schemes that cover CAD specifically, answering a vital need for financial assistance in managing this dangerous ailment
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Frequently Asked Questions
What are Prescribed Minimum Benefits (PMBs)?
PMBs are defined benefits that ensure that all medical aid members, regardless of benefits option, have access to certain minimum health services.
What is Coronary Artery Disease?
Coronary Artery Disease (CAD) is a disorder that causes the coronary arteries to constrict due to plaque formation, resulting in decreased blood flow to the heart.
Does medical aid in South Africa cover Coronary Artery Disease?
Yes, as part of the Prescribed Minimum Benefits, medical aids in South Africa cover Coronary Artery Disease.
Does medical aid cover heart surgeries related to CAD?
Yes, if deemed medically essential, heart operations for CAD are often covered by PMBs.
Can I choose any hospital for CAD treatment under PMBs?
Your specific medical aid plan may influence your hospital decision. Some plans may have service providers assigned to them.
Are there specific treatments for CAD covered under PMBs?
Yes, PMBs cover specific CAD treatments such as hospitalisation, consultations, and medication.
What if I have a pre-existing condition of CAD?
Due to PMBs, medical aid schemes cannot refuse coverage for pre-existing diseases such as CAD. However, waiting periods and limits may apply.
Do medical aids cover diagnostic tests for CAD?
Yes, PMBs cover the diagnostic testing required for CAD diagnosis.