Medical Aid Schemes that Cover Schizophrenia
In South Africa, managing schizophrenia is a complex challenge for individuals and healthcare systems alike. This article delves into the characteristics, prevalence, and treatments available for this psychiatric condition.
It specifically focuses on its symptoms and highlights medical assistance programsβ significant role in providing necessary care. By identifying top-notch medical aids to address schizophrenia effectively, we can ensure that all South Africans receive crucial support for this often misinterpreted illness. In this article you will learn:
- TheΒ Best Medical Aid Schemes that cover schizophrenia in South AfricaΒ (2024) β a List
- DoesΒ Discovery Health, Bestmed and Bonitas cover Mental healthΒ treatment?
- Is schizophrenia aΒ Prescribed Minimum Benefit (PMB)?
- What is the support groups for Schizophrenias (Mental Health) ?
- The Top Medical aids coveringΒ Pre-Existing conditions in schizophrenia Conditions
- TheΒ Best Medical Aid SchemesΒ forΒ Pensioners covering schizophrenia
- Is schizophrenia a disability in South Africa?
- What are the 5 symptoms of schizophrenia?
and Much, Much more !
Medical Aid Schemes that Cover Schizophrenia – A Comparison
π Provider | βͺοΈ Cover Schizophrenia | β‘οΈ Top Plan for Schizophrenia |
π₯ Bestmed | β Yes | Pace 4 |
π₯ Bonitas | β Yes | Primary Select |
π Cape Medical Plan | β Yes | HealthPact Silver |
ποΈ CompCare | β Yes | SELFSURE |
π Discovery Health | β Yes | Discovery Health Classic Delta Saver |
π₯ Genesis | β Yes | MED-200 |
π₯ Sizwe Hosmed | β Yes | Platinum Enhanced |
π₯ Fedhealth | β Yes | FlexiFED 3 |
π₯ KeyHealth | β Yes | Equilibrium |
π Makoti Medical | β Yes | Primary Option |
ποΈ MediHelp | β Yes | MedPrime |
π MediMed | β Yes | Medisave Essential |
π₯ MedShield | β Yes | PremiumPlus |
π₯ Momentum Health | β Yes | Incentive |
π₯ Suremed | β Yes | Navigator |
π Thebemed | β Yes | Energy |
Medical Aid Schemes that Cover Schizophrenia (2024)
- βοΈ Bestmed β Bestmedβs medication benefit guarantees comprehensive management of schizophrenia
- βοΈ BonitasΒ β Provides managed care programs to members who have schizophrenia
- βοΈΒ Cape Medical PlanΒ β Distinctive emphasis on preventive care and therapies
- βοΈ CompCare β Concentrating on holistic care for people with mental health problems
- βοΈ Discovery Health β Extends exceptional support to patients dealing with schizophrenia by offering comprehensive support
- βοΈ FedHealth β All aspects of schizophrenia treatment, including hospitalisation, medication and specialised psychiatric care are covered
- βοΈ Genesis β Covers in-hospital treatment for schizophrenia, guaranteeing that members receive appropriate psychiatric care while hospitalised.
- βοΈΒ Sizwe HosmedΒ β Trusted South African-Based Medical Aid
- βοΈ KeyHealth β Covers schizophrenia and providing extensive medication coverage
- βοΈ Makoti Medical β Innovative strategy in its schizophrenia coverageΒ by integrating contemporary medical treatments with traditional health practices
- βοΈΒ MediHelpΒ βΒ Flexible Healthcare Solutions
- βοΈ MediMed β Places accessibility as a top priority for patients with schizophrenia
- βοΈ MedShield βProvides comprehensive schizophrenia coverage, including mental hospitalisation, medication, and outpatient care
- βοΈ Momentum Health β Offers comprehensive schizophrenia coverageΒ and supplemental services
- βοΈ Suremed β AΒ complete set of medical aid options for schizophrenia is available
- βοΈ Thebemed β Places a high emphasis on providing schizophrenia patientsΒ with accessible and efficacious treatment options
What is Schizophrenia?
Schizophrenia is a mental illness that persists and affects an individualβs ability to think, feel, and behave logically. This disorder entails psychotic episodes categorised by delusions, hallucinations, disordered thinking patterns as well as impaired functionality in various aspects of their lives.
While the exact cause remains unknown, experts believe schizophrenia arises from factors such as brain chemistry imbalance or environmental circumstances coupled with genetic predisposition.
Individuals typically experience symptoms during late adolescence or early adulthood, which can disrupt day-to-day activities and relationships they may have formed.
Overview of Schizophrenia
Schizophrenia is a spectrum disorder, with symptoms differing considerably between people. Auditory hallucinations, paranoid delusions, and disorganised speech or thought are the most typical symptoms.
Negative symptoms, such as decreased emotional expression or motivation, are also common. These symptoms frequently cause problems with social and vocational functioning. The difficulty in diagnosing and treating schizophrenia stems from its variable presentation.
Schizophrenia Stats in South Africa
Around 1% of the worldβs population, including South Africaβs inhabitants, are affected by schizophrenia, a mental condition.
Unfortunately, there is insufficient data on its prevalence in South Africa, although studies suggest that approximately 1% of people suffer from it based on one study in 2006. The occurrence rate varies according to research, with an average estimation around the global percentage mentioned above.
Studies show that most patients who have been diagnosed with schizophrenia living within low to middle-income nations like South Africa do not receive adequate psychiatric healthcare treatment. This is largely due to their hospital-centric approach.
However, integration between general and mental health care remains significantly lacking, as does sufficient provisions for all those needing assistance coping or recovering from this disease. Notably, this renders many public sector hospitals overwhelmed, treating more cases than they can accommodate effectively at once.
Can Schizophrenia be cured, and how?
Although there is no known cure for schizophrenia, it can be managed through a combination of drugs, psychotherapy, and support systems. Antipsychotic medication serves as the cornerstone in treatment by reducing the severity of psychotic symptoms.
Coupled with cognitive-behavioural therapy, psychotherapy aids individuals in handling issues that arise from their illness, thus making early intervention and ongoing treatment essential factors towards managing symptomatology whilst significantly improving the quality of life among those living with schizophrenia.
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Schizophrenia Curability and Management
While schizophrenia cannot be cured, continuing care is critical to allowing people to live productive lives. Treatment strategies are frequently individualised to the individual, considering the degree and kind of symptoms and personal circumstances.
In South Africa, the emphasis is likewise on community-based care and assistance, with an emphasis on social inclusion and stigma reduction.
Many persons with schizophrenia can significantly improve their symptoms and functioning abilities with adequate treatment and support, underlining the need for accessible and comprehensive mental health care in the country.
Schizophrenia Symptoms
In South Africa, as well as in other parts of the world, Schizophrenia is a multifaceted psychiatric condition that manifests itself differently among individuals. Symptoms are broadly categorised into positive, negative and cognitive types.
Knowing these symptoms is crucial for the timely detection and effective management of this illness, especially important given the variations in mental health awareness and resources available within South Africa.
The following are some of the common symptoms of Schizophrenia:
- β Impaired cognitive function
- β Negative symptoms (e.g., apathy, lack of emotion)
- β Auditory hallucinations
- β Delusions
- β Disorganised speech
Impaired cognitive function
With schizophrenia, impaired cognitive function includes issues with attention, memory, and executive functioning.
These cognitive deficits can worsen social and economic issues in South Africa, where educational and employment prospects are already limited for individuals.
Recognising and managing cognitive symptoms through personalised interventions and support networks is critical for improving individuals with schizophreniaβs overall quality of life.
Negative symptoms (e.g., apathy, lack of emotion)
The negative symptoms of schizophrenia, including apathy, lack of emotion and social isolation, can be highly destructive. In South Africa, these manifestations may be mistaken for laziness or impoliteness, causing deep-seated societal disgrace.
It is imperative to comprehend and cope with such symptoms due to their potentially harmful effects on an individualβs capacity to participate in routine tasks and establish relationships or secure employment opportunities.
Auditory hallucinations
Auditory hallucinations, in which people hear voices or noises that are not there, are one of the most common symptoms of schizophrenia. Because of cultural interpretations and stigma surrounding mental health, these hallucinations can be especially unpleasant in South Africa.
These voices may comment on the individualβs activities, speak with one another, or even demand the individual to do particular things.
To lessen the related discomfort and misunderstanding, it is critical in the South African setting to address these hallucinations using culturally relevant techniques and psychoeducation.
Delusions
Delusions are strong beliefs that are not founded on reality and can be highly elaborate in schizophrenia. Feelings of being persecuted, having amazing talents or identities, or being controlled by an external entity are all common delusions.
Understanding and managing these illusions in South Africa, where varied cultural beliefs interact with modern healthcare, necessitates a sophisticated approach that respects cultural backgrounds while offering evidence-based psychiatric therapy.
Disorganised speech
Disorganised speech, characterised by inconsistent and irrational thinking and verbal patterns, is a significant hallmark of schizophrenia. This ailment can make conversation and social contact difficult, leading to isolation.
In South Africa, where several languages are spoken and cultural expressions vary, healthcare providers must distinguish between linguistic variation and the disorganised speech characteristic of schizophrenia to give a proper diagnosis and intervention.
Schizophrenia Treatment
Effective schizophrenia treatment necessitates a diverse strategy, particularly in South Africa, where cultural, economic, and healthcare system variables all play a role.
Treatment usually consists of medication, psychotherapy, and community support tailored to each patientβs needs. Understanding and implementing these treatment options can dramatically enhance the quality of life for South Africans who have schizophrenia.
Schizophrenia can be treated in the following ways:
- β Psychotherapy
- β Antipsychotic Medications
- β Community Support and Rehabilitation
- β Psychoeducation
- β Lifestyle and Dietary Changes
Psychotherapy
The utilisation of psychotherapy is crucial for the treatment of schizophrenia, with cognitive-behavioral therapy (CBT) being particularly helpful. However, in South Africa, where mental health resources may not be readily accessible, providing access to such services could pose a challenge.
Psychotherapy aids patients by supporting them through their disease-related problems and tackling issues, including symptom management, improving social skills as well as managing stigma and discrimination challenges.
Culturally sensitive methodologies that recognise the diverse nature of South African culture are fundamental in ensuring successful psychotherapeutic interventions for individuals diagnosed with schizophrenia within this context.
Antipsychotic Medications
The cornerstone of schizophrenia treatment is antipsychotic medication. Access to these medications can be difficult in South Africa due to economic restrictions and healthcare inequities. These drugs aid in the treatment of symptoms such as hallucinations and delusions.
However, potential adverse effects, including weight gain, sleepiness, and mobility abnormalities, must be monitored and managed. Patients must access inexpensive medication and regular follow-ups with healthcare specialists for effective therapy.
Community Support and Rehabilitation
Community support and rehabilitation are critical, especially in a country like South Africa with strong community ties. These programs seek to assist people with schizophrenia in reintegrating into society, maintaining daily routines, and improving their quality of life.
Vocational training, social skills training, and support groups are examples of community help. In South Africa, using community resources and local non-governmental organisations (NGOs) can be especially helpful in providing this layer of support.
Psychoeducation
Teaching people affected by schizophrenia and their family members about the disorder, commonly known as psychoeducation, is a crucial aspect of treatment.
In South Africa, where mental health can be stigmatised with a lot of misconceptions around it, psychoeducation plays an essential role in enhancing outcomes.
It helps to dispel myths related to the illness while boosting adherence towards proper treatment practices and equipping patients with coping mechanisms for handling the condition better.
Culturally relevant approaches tailored to each local social setting should be utilised during these educational sessions for optimal results.
Lifestyle and Dietary Changes
Lifestyle and food changes can supplement other forms of schizophrenia treatment. Regular exercise, a healthy diet, and enough sleep can help manage symptoms and improve overall health.
Promoting these changes in South Africa can be difficult due to socioeconomic issues and varying degrees of health literacy. Incorporating these guidelines into treatment regimens and offering accessible information about healthy lifestyle choices, on the other hand, can be useful for people with schizophrenia.
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Medical Aid Schemes that Include Benefits for Schizophrenia
Bestmed
Bestmed offers extensive chronic benefits, including covering for diseases such as schizophrenia. They provide a variety of plans to meet various needs, including hospital and emergency services, day-to-day benefits, medications, and preventative care.
Bestmed includes pharmaceutical and chronic care benefits in every plan, ensuring access to vital medications for chronic disorders such as schizophrenia.
Does Bestmed cover Schizophrenia?
Yes, Bestmed covers Schizophrenia.
Bestmed Plans that Cover Schizophrenia
The following Bestmed Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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
Bonitas provides managed care programs to members who have schizophrenia, including consultations, acute medicine, and other out-of-hospital medical expenses.
Does Bonitas cover Schizophrenia?
Yes, Bonitas covers Schizophrenia.
Bonitas Plans that Cover Schizophrenia
The following Bonitas Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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
In South Africa, the Cape Medical Plan (CMP) provides coverage for diseases such as schizophrenia.
While no specifics on their schizophrenia coverage are provided, CMPβs dedication to mental health, as seen by their acknowledgement of the incidence of mental illness, suggests a focus on complete healthcare.
Does Cape Medical Plan cover Schizophrenia?
Yes, Cape Medical Plan covers Schizophrenia.
Cape Medical Plan Plans that Cover Schizophrenia
The following Cape Medical Plan Plans provide benefits and cover for Schizophrenia:
- β HealthPact Silver
- β HealthPact Premium
- β HealthPact Select
CompCare
CompCare provides comprehensive care to individuals with schizophrenia, granting them access to specialised medication and psychotherapeutic services.
CompCare Disease Management program is tailored towards personalised care that includes in-hospital treatment and therapy sessions on an outpatient basis. Members can also access counselling and continual support for managing this long-term mental health ailment effectively.
Does CompCare cover Schizophrenia?
Yes, CompCare covers Schizophrenia.
CompCare Plans that Cover Schizophrenia
The following CompCare Medical Aid Plans provide benefits and cover for Schizophrenia:
- β NETWORX
- β SELFNET
- β MEDX
- β UNISAVE
- β MUMED
- β SELFSURE
- β SYMMETRY
- β DYNAMIX
- β PINNACLE
Discovery Health
Discovery Healthβs Mental Health Care Program addresses schizophrenia particularly, providing tools and benefits such as access to a network of mental health doctors and coverage for antipsychotic drugs.
Discoveryβs program also offers psychoeducational resources to assist patients and families in better understanding and managing the disease.
Does Discovery Health cover Schizophrenia?
Yes, Discovery Health covers Schizophrenia.
Discovery Health Plans that Cover Schizophrenia
The following Discovery Health Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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
All aspects of schizophrenia treatment, including hospitalisation, medication and specialised psychiatric care, are covered by Fedhealth. Flexible plans are designed to ensure individualised therapy and support for members.
The emphasis on mental well-being means that resources and assistance for long-term management are also provided.
Does Fedhealth cover Schizophrenia?
Yes, Fedhealth covers Schizophrenia.
Fedhealth Plans that Cover Schizophrenia
The following Fedhealth Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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 covers in-hospital treatment for schizophrenia, guaranteeing that members receive appropriate psychiatric care while hospitalised.
Their policies also cover psychiatric consultations, medicines, and outpatient support programs to help with long-term disease management.
Does Genesis Medical Scheme cover Schizophrenia?
Yes, Genesis Medical Scheme covers Schizophrenia.
Genesis Medical Scheme Plans that Cover Schizophrenia
The following Genesis Medical Aid Plans provide benefits and cover for Schizophrenia:
- β MED-100
- β MED-200
- β MED-200 Plus
Sizwe Hosmed
Sizwe Hosmedβs plans offer inclusive coverage for schizophrenia. This covers hospitalisation, medication, and sustained psychiatric assistance. Sizwe Hosmedβs prime objective is to provide its members extensive mental health services within or outside the medical facility.
Does Sizwe Hosmed cover Schizophrenia?
Yes, Sizwe Hosmed covers Schizophrenia.
Sizwe Hosmed Plans that Cover Schizophrenia
The following Sizwe Hosmed Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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 provides extensive coverage for schizophrenia in their medical aid plans, which includes psychiatric treatment, medication and hospital care.
Keyhealthβs programs are tailored to cater to a diverse range of healthcare requirements aimed at ensuring that individuals with schizophrenia receive comprehensive and continuous treatment.
Does Keyhealth cover Schizophrenia?
Yes, Keyhealth covers Schizophrenia.
Keyhealth Plans that Cover Schizophrenia
The following Keyhealth Medical Aid Plans provide benefits and cover for Schizophrenia:
- β Essence
- β Origin
- β Equilibrium
- β Silver
- β Gold
- β Platinum
Makoti Medical Scheme
With Makoti Medical Scheme, the health and well-being of its members come first. They provide extensive coverage for schizophrenia, which includes hospitalisation, psychiatric therapy and medication.
Furthermore, the scheme emphasises a comprehensive approach to treatment, ensuring that members obtain medical and mental support.
Does Makoti Medical Scheme cover Schizophrenia?
Yes, Makoti Medical Scheme covers Schizophrenia.
Makoti Medical Scheme Plans that Cover Schizophrenia
The following Makoti Medical Aid Plans provide benefits and cover for Schizophrenia:
- β Primary Option
- β Comprehensive Option
Medihelp
The repertoire of medical aid plans offered by Medihelp encompasses exclusive provisions for schizophrenia, such as medication, hospitalisation and psychiatric consultations.
Additionally, Medihelp offers supportive services and resources to empower members with the ability to improve their psychological well-being.
Does Medihelp cover Schizophrenia?
Yes, Medihelp covers Schizophrenia.
Medihelp Plans that Cover Schizophrenia
The following Medihelp Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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 provides coverage for schizophrenia within their medical aid plans. This guarantees that members receive proper treatment through psychiatric care, medication, and hospitalisation.
Moreover, Medimedβs commitment to comprehensive healthcare extends to providing aid in managing chronic illnesses like schizophrenia over an extended period.
Does Medimed cover Schizophrenia?
Yes, the Medimed Medical Scheme covers Schizophrenia.
Medimed Plans that Cover Schizophrenia
The following Medimed Medical Aid Plans provide benefits and cover for Schizophrenia:
- β Medisave Essential
- β Alpha
- β Medisave Standard
- β Medisave Max
Medshield
Medshield provides comprehensive schizophrenia coverage, including mental hospitalisation, medication, and outpatient care. Their plans are intended to provide members with comprehensive care and support, including access to mental health doctors and counselling services.
Does Medshield cover Schizophrenia?
Yes, Medshield covers Schizophrenia.
Medshield Plans that Cover Schizophrenia
The following Medshield Medical Aid Plans provide benefits and cover for Schizophrenia:
- 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
Medshield provides comprehensive schizophrenia coverage, including mental hospitalisation, medication, and outpatient care. Their plans are intended to provide members with comprehensive care and support, including access to mental health doctors and counselling services.
Does Momentum Health cover Schizophrenia?
Yes, Momentum Health covers Schizophrenia.
Momentum Health Plans that Cover Schizophrenia
The following Momentum Health Medical Aid Plans provide benefits and cover for Schizophrenia:
- β Ingwe
- β Evolve
- β Custom
- β Incentive
- β Extender
- β Summit
Suremed
At Suremed Health, a complete set of medical aid options for schizophrenia is available, including hospitalisation, psychological counselling and appropriate medication.
They are committed to delivering an exhaustive span of services to meet the specific healthcare requirements of patients with this mental condition.
Does Suremed cover Schizophrenia?
Yes, Suremed covers Schizophrenia.
Suremed Plans that Cover Schizophrenia
The following Suremed Health Medical Aid Plans provide benefits and cover for Schizophrenia:
- β Shuttle
- β Explorer
- β Navigator
- β Challenger
Thebemed
The Thebemed Medical Aid Scheme furnishes all-encompassing healthcare amenities for individuals confronting schizophrenia. These facilities comprise hospitalisation, psychiatric intervention, and medical treatment.
In addition to this, the schemeβs commitment towards catering to a wide-ranging member base encompasses tailored assistance for persistent mental health afflictions.
Does Thebemed cover Schizophrenia?
Yes, Thebemed covers Schizophrenia.
Thebemed Plans that Cover Schizophrenia
The following Thebemed Health Medical Aid Plans provide benefits and cover for Schizophrenia:
- β Universal EDO
- β Universal
- β Energy
- β Fantasy
In Conclusion
In South Africa, managing schizophrenia is a complex challenge for individuals and healthcare systems alike. This article delves into the characteristics, prevalence, and treatments available for this psychiatric condition. It specifically focuses on its symptoms and highlights medical assistance programsβ significant role in providing necessary care. By identifying top-notch medical aids to address schizophrenia effectively, we can ensure that all South Africans receive crucial support for this often misinterpreted illness
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Frequently Asked Questions
What are the barriers to effective schizophrenia treatment in South Africa?
Access to specialised care, budgetary restraints, and societal stigma associated with mental health issues are all barriers.
How does the South African healthcare system support schizophrenia care?
The South African healthcare system offers a variety of mental health services. However, there are barriers to receiving comprehensive therapy for schizophrenia.
Can individuals with schizophrenia get admitted to mental health institutions in South Africa?
Yes, individuals suffering from major mental diseases such as schizophrenia might be admitted to South African mental health institutes for treatment.
Is psychotherapy a part of schizophrenia treatment covered by medical aid in South Africa?
Yes, in South Africa, many medical aid plans cover schizophrenia, including psychotherapy and prescription drugs.
What medical aid schemes cover schizophrenia in South Africa?
Yes, psychotherapy is frequently covered as a treatment for schizophrenia under many South African medical aid plans.
What are the common symptoms of schizophrenia covered by medical aids in South Africa?
Treatments for common schizophrenia symptoms such as hallucinations, delusions, and cognitive deficits are frequently covered by medical aids.
Does Discovery Health offer a mental health care program for schizophrenia?
Yes, Discovery Health has a Mental Health Care Programme that encourages the early detection and treatment of significant mental health illnesses such as schizophrenia.