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Dreaded Disease Benefit

   
         
 

This benefit is offered in terms of Rule 15 (1) of the BOMaid rules, and in accordance with the levels defined below:

This is a Once Off in a Lifetime Cover

Below is a list of Dreaded Diseases Covered under this benefit:

1) Coronary Artery Disease/Ischaemic Heart Diseases

Dreaded diseases benefit will ONLY be considered in a situation, where the coronary arteries are severely narrowed resulting in a need for coronary arterial by-pass surgery or open-heart surgery.

2) Valvular Heart Disease

Dreaded diseases benefit will ONLY be considered where there is a medical proof of severe Cardiac Valvular Dysfunction, needing a surgical intervention, that is valve removal and/ or replacement.

3) Heart Failure

Dreaded diseases benefit will ONLY be considered where there is medical proof that the patient requires major cardiac surgical intervention.

4) Cerebrovascular Accident/Stroke/Hemiplegia

Dreaded diseases benefit will ONLY be considered where there is medical proof that the patient requires major surgical intervention, that is craniotomy. This cover will also include rehabilitation therapy on an agreed to daily global fee/tariff for a period not exceeding 36 days.

5) End Stage Renal Failure

Dreaded diseases benefit will ONLY be considered where there is medical proof that the patient requires a kidney transplant. The assistance will only cover the recipient member of BOMaid.

6) Leukemia

Dreaded diseases benefit will ONLY be considered where there is medical proof that the patient requires bone marrow transplant. Any other treatments of leukemia will fall within benefit 1.2.

7) Cancer (Malignant Neoplastic Diseases)

Dreaded diseases benefit will ONLY be considered where, there is medical proof that the member has a malignant type of cancer and requires major surgical intervention.

8) Cerebral Aneurysm Grade III to V

Dreaded diseases benefit will ONLY be considered where there is medical proof that the aneurysm in question is grade III and above, and that the member needs surgical intervention – Craniotomy and blood vessel ligation. This cover will also include rehabilitation therapy on an agreed daily global fee/tariff for a period not exceeding 36 days.

9) Organ Transplants

The assistance will be limited to transplants of the following organs: Heart, Bone Marrow, and Kidneys cover available only for the recipient beneficiary.

Note: In all the above, cover is for surgical intervention and operation related procedures. Maintenance thereafter and/or treatment before, falls within the benefit 1.2 sub limit.

 


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