The list of covered medical conditions under the PMCM service is as follows:
- Medical conditions without a diagnosis. The customer must have had previous medical inquiries and consultations with at least one specialist in a field related to the medical problem;
- Cancer;
- Neurological diseases;
- Ear, nose and throat (ENT) diseases;
- Ocular diseases / ophthalmology conditions;
- Cardiovascular diseases;
- Respiratory diseases;
- Gastroenterological diseases;
- Liver diseases;
- Kidney diseases;
- Urological conditions;
- Endocrine diseases;
- Orthopaedic conditions;
- Haematological diseases;
- Metabolic diseases;
- Rheumatology / Immunological diseases;
- Infectious diseases, including HIV (Human Immunodeficiency Virus) / AIDS (Acquired Immune Deficiency Syndrome);
- Snoring surgery and sleep apnoea;
- Cosmetic / Aesthetic surgery which are medically necessary;
- Fertility-related conditions or procedures;
- Obstetric conditions;
- Sexual diseases / sexually transmitted diseases;
- Paediatrics conditions;
- Obesity;
- Recovery / rehabilitation phase for stroke;
- Recovery / rehabilitation phase for severe burns;
- Medical conditions in the fields of dentistry;
- Combined pathologies; and
- All medical conditions other than those listed in exclusion.
The following conditions are excluded for coverage under the PMCM service:
- Medical emergencies;
- Accidents;
- Urgent or life-threatening situations, such as ICU (Intensive Care Unit) admission;
- Daily or common issues, such as colds, flu, fever, occasional rash etc.;
- Long term chronic diseases management such as chronic hepatitis, diabetes, high blood pressure, high cholesterol etc. (however, any complications of chronic diseases shall be covered); or
Mental health conditions such as anorexia/bulimia, mental health-related sleeping disorder, anxiety, depression etc.