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Monitoring & maintenance of chronic conditions

TOB-Glossary-Medical-Insurance-Monitoring-&-maintenance-of-chronic-conditions
Monitoring and maintenance of chronic conditions refers to the ongoing care and management of illnesses, diseases, or injuries that last for an extended period of time or require regular medical attention. This type of care is typically defined by insurance policies as a condition that lasts longer than a specific period (as defined by the insurer) or requires medical attention (such as check-ups or treatment) on a regular basis, such as once a year or more often.

Chronic conditions are typically characterized by one or more of the following:

» Recurrent in nature: This means that the condition tends to come back or recur over time, even with treatment. For example, someone with asthma may have episodes of wheezing and difficulty breathing even when they are taking medication to control their symptoms.

» Without a known, generally recognized cure: This means that the condition does not have a known cure and is managed through ongoing treatment and management of symptoms. For example, diabetes is a chronic condition that can be managed through diet, exercise, and medication, but it cannot be cured.

» Not generally deemed to respond well to treatment: This means that the condition may not respond well to traditional forms of treatment, and may require alternative or experimental treatments. For example, some types of cancer may not respond well to chemotherapy and may require targeted therapy or immunotherapy.

» Requires palliative treatment: This means that the condition requires treatment that is aimed at relieving symptoms rather than curing the condition. For example, someone with advanced stage cancer may receive palliative care to manage pain and other symptoms rather than trying to cure the cancer.

» Leads to permanent disability: This means that the condition can lead to permanent changes in the individual’s physical or mental abilities. For example, a stroke can lead to permanent paralysis or difficulty with speech.

Examples of chronic conditions include diabetes, heart disease, and asthma. These conditions require ongoing monitoring and treatment to manage symptoms, prevent complications, and improve quality of life.

It’s worth noting that Monitoring & maintenance of Chronic condition coverage is not provided by all insurance policies and it is important to check the specific table of benefits to see if it is included.