Bestmed Chronic Conditions List



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Table of Contents

All the plans on Bestmed cover the 27 CDL chronic conditions.

In addition, on some plans Bestmed also offers cover for an additional 28 chronic conditions, as listed below. Note that medication for the non-CDL conditions requires a co-payment, and that there is an additional co-payment for non-formulary medicine. See each plan’s medicine benefit for specifics.

Quick links to chronic medicine benefit for each plan:

Beat 1 | Beat 2 | Beat 3 | Beat 4
Pace 1 | Pace 2 | Pace 3 | Pace 4
Pulse 1

What are the 27 CDL chronic conditions?

Addison’s Disease, Asthma, Bipolar Mood Disorder, Bronchiectasis, Cardiac Failure, Cardiomyopathy, Chronic Renal Disease, Chronic Obstructive Pulmonary Disease, Coronary Artery Disease, Crohn’s Disease, Diabetes Insipidus, Diabetes Mellitus Types 1 & 2, Dysrhythmias, Epilepsy, Glaucoma, Haemophilia, Hyperlipidaemia, Hypertension, Hypothyroidism, Multiple Sclerosis, Parkinson’s Disease, Rheumatoid Arthritis, Schizophrenia, Systemic Lupus Erythematosus, Ulcerative Colitis.

Bestmed will cover the diagnosis, treatment and managed care for these conditions. You must use a designated service provider, or you might have a co-payment.

What other chronic conditions are covered by Bestmed?

Acne – severe, ADD/ADHD, Allergic rhinitis, Eczema, Migraine prophylaxis
Beat 3, Beat 4, All Pace plans

Gout prophylaxis, Major Depression
Beat 4, All Pace plans

OCD, GORD
Beat 4, Pace 2, Pace 3, Pace 4

Osteoperosis, Psoriasis, Urinary incontinence, Paget’s disease, Osteoarthritis, Alzheimer’s Disease:
Pace 2, Pace 3, Pace 4

Ankylosing spondylitis, Collagen Disease, Dermatomyositis:
Pace 2, Pace 3, Pace 4

Neuropathy:
Pace 3, Pace 4

Hypopituitarism, Motor Neuron Disease, Polyarteritis nodosa, Scleroderma, Sjorgen’s disease, Trigeminal neuralgia, Psoriatic arthritis, Blepharospam, Dystonia:
Pace 4

To read more about chronic conditions, or PMBs in general, see our full PMB guide.



You’ll get the printable guide as well as a weekly newsletter 🙂
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