List of Qualifying Conditions
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1 List of Qualifying Conditions Cancer Conditions 1) Adrenal cancer 2) Bladder cancer 3) Bone cancer all forms 4) Brain cancer 5) Breast cancer 6) Cervical cancer 7) Colon cancer 8) Colorectal cancer 9) Duodenal cancer 10) Endometrial cancer 11) Eye cancer 12) Follicular cancer 13) Gallbladder cancer 14) Gastric cancer 15) Kidney cancer 16) Intestinal cancer 17) Laryngeal cancer 18) Liver cancer 19) Lung cancer 20) Malignant Soft Tissue 21) Medullary cancer 22) Melanoma 23) Metastatic Spine Tumour 24) Multiple Myeloma 25) Myelodysplastic Syndrome (Myelodysplasia) 26) Nasopharyngeal cancer 27) Neuroblastoma 28) Oesophageal cancer 29) Oral Cavity cancer 30) Ovarian cancer 31) Pancreatic cancer 32) Papillary cancer 33) Parotid cancer 34) Prostate cancer 35) Rectal cancer 36) Sarcomas 37) Skin cancer (non-melanoma) 38) Stomach cancer 39) Testicular cancer 40) Thyroid cancer 41) Uterine cancer 42) Vaginal cancer 43) Vocal cord cancer 44) All malignant conditions WECR Wellcare Critical Illness Insurance SMO (List of Qualifying Conditions) (06/2015) 1
2 Cardiovascular Disorders 45) Abdominal Aortic Aneurysm 46) Angina 47) Angioplasty 48) Aortic Aneurysm 49) Cardiac Arrhythmia 50) Cardiac Pacemaker 51) Cardiomyopathy 52) Congenital Heart Defect 53) Congestive Heart Failure 54) Coronary Artery Disease 55) Coronary Artery Bypass Surgery 56) Dilated Cardiomyopathy 57) Eisenmenger's Syndrome 58) Heart Disease 59) Heart Transplantation 60) Heart Valve surgery 61) Hypertensive Heart Disease 62) Myocardial Infarction (MI) 63) Pulmonary Arterial Hypertension 64) Surgery to Aorta 65) Valvular Heart Disease Dermatological Disorders 66) Skin Ulcer Endocrine Disorders 67) Adrenalectomy for Adrenal Adenoma 68) Aldocortisol Secreting Tumour 69) Chronic Adrenal Insufficiency (Addison's Disease) 70) Graves Disease 71) M.E.N. (Multiple Endocrine Neoplasia Syndrome) 72) Pheochromocytoma 73) Thyroiditis Infectious Diseases 74) AIDS/HIV 75) Bacterial Meningitis 76) Dengue Haemorrhagic Fever 77) Ebola 78) Encephalitis 79) HIV Infection 80) Infective Endocarditis 81) Moderately Severe Infective Endocarditis 82) Poliomyelitis 83) Tuberculosis Meningitis 84) Tuberculous Myelitis Sensory Disorders 85) Age Related Macular Degeneration 86) Blindness 87) Diabetic Retinopathy 88) Loss of Hearing 89) Loss of Speech WECR Wellcare Critical Illness Insurance SMO (List of Qualifying Conditions) (06/2015) 2
3 90) Macular Detachment 91) Proliferative Vitreo Retinopathy 92) Retinal Detachment Gastrointestinal Disorders 93) Chronic Relapsing Pancreatitis 94) Cirrhosis 95) Colitis 96) Crohn s Disease 97) End Stage Liver Disease 98) Fulminant Viral Hepatitis 99) Hepatitis 100) Inflammatory Bowel Disease 101) Irritable Bowel Syndrome 102) Liver failure 103) Liver Surgery 104) Large Bowel Disease 105) Small Bowel Disease 106) Ulcerative Colitis Gynecological Disorders 107) Infertility (female) Haematological Disorders 108) Aplastic Anaemia 109) Coagulopathies 110) Hodgkin s disease (Paediatric) 111) Leukaemia (Adult & Paediatric) 112) Lymphoma (Adult & Paediatric) 113) Myelofibrosis 114) Non-Hodgkin s Lymphoma (Adult & Paediatric) Neurological Disorders 115) Amyotrophic Lateral Sclerosis 116) Apallic Syndrome (Vegetative State) 117) Coma 118) Creutzfeld-Jacob Disease 119) Medullary Cystic Disease 120) Moderately Severe Brain Damage 121) Motor Neuron Disease 122) Multiple Sclerosis 123) Muscular Dystrophy 124) Myasthenia Gravis 125) Paralysis 126) Parkinson s Disease 127) Primary Lateral Sclerosis (PLS) 128) Progressive Muscular Atrophy 129) Progressive Supranuclear Palsy (Steele disease) 130) Type 1 Juvenile Spinal Amyotrophy WECR Wellcare Critical Illness Insurance SMO (List of Qualifying Conditions) (06/2015) 3
4 Neurosurgical 131) Benign Brain Tumour 132) Cerebral Aneurysm 133) Severe Brain Damage 134) Cerebral AV Malformation 135) Major Head Trauma 136) Severe Brain Damage Orthopaedic Disorders 137) Arthritis (Hip) 138) Arthritis (Knee) 139) Avascular Necrosis of Hip 140) Avascular Necrosis of Knee 141) Hip Injury/Disorders 142) Loss of Limbs 143) Osteogenesis Imperfecta 144) Osteoporosis with Fractures 145) Post-Traumatic Arthritis (knee) 146) Severe Juvenile Rheumatoid Arthritis 147) Severe Rheumatoid Arthritis 148) Shoulder Fractures/Injuries 149) Still's Disease 150) Unstable Shoulder Orthopaedic Disorders (Tumours) 151) Benign/Malignant Bone Tumour 152) Benign/Malignant Soft Tissue Pulmonary Disorders 153) Asthma 154) Bronchitis 155) Chronic Obstructive Pulmonary Disease (COPD) 156) Cystic Fibrosis 157) Emphysema 158) End Stage Lung Disease 159) Eosiniphilic Granuloma 160) Histiocytosis X (lung) 161) Chronic Pneumonia 162) Pulmonary Fibrosis 163) Primary Pulmonary Arterial Hypertension 164) Wegener s Granulomatosis Spine Disorders (multiple) 165) Ankylosing Spondylitis 166) Herniated disc(s) 167) Spinal Abscess 168) Spinal Stenosis 169) Spinal Tumour 170) Vertebral Fracture WECR Wellcare Critical Illness Insurance SMO (List of Qualifying Conditions) (06/2015) 4
5 Urological Disorders 171) Kidney failure 172) Renal Artery Disease Vascular Disorders 173) Arteriosclerosis Obliterans 174) Cerebral Shunt Insertion 175) Cerebrovascular Diseases 176) Elephantiasis 177) Embolism 178) Endovascular Treatment for Cerebral Aneurysm 179) Endovascular Treatment of Peripheral Arterial Disease 180) Lower Extremity (Leg) Problems Arterial 181) Lower Extremity (Leg) Problems Venous 182) Peripheral Vascular Disease 183) Stroke 184) Vena Cava Syndrome 185) Venous Insufficiency 186) Venous Thromboembolism Systemic 187) Facial Burns due to Accident 188) Major Burns 189) Necrotizing Fascitis (Flesh Eating Disease) 190) Progressive Scleraderma 191) Poliomyelitis 192) Systemic Lupus Erythematosus 193) Third Degree Burns 194) Wilson's Disease Major Organ Transplantation 195) Bone Marrow 196) Cornea 197) Heart 198) Lung 199) Kidney 200) Liver 201) Pancreas 202) Skin Graft WECR Wellcare Critical Illness Insurance SMO (List of Qualifying Conditions) (06/2015) 5
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