What illnesses does GES cover and how does the benefit work?

this Explicit Health Assurance (GES) they take care Ensure coverage for multiple diseases pass National Health Fund (Fonasa) and social security institutions (Ishape).

What illnesses does GES cover?

yes 87 Conditions Covered by GES. These include chronic diseases, mental health disorders, oral health, certain types of cancer and serious accidents, lung disease, brain disease and preventive treatments, among others.

All diseases covered by GES include:

  • 1. Chronic Kidney Disease Stages 4 and 5
  • 2. Operable congenital heart disease under the age of 15
  • 3. Cervical cancer in people aged 15 and over
  • 4. Cancer pain relief and palliative care
  • 5. Acute myocardial infarction
  • 6. Type 1 diabetes
  • 7. Type 2 diabetes
  • 8. Breast cancer in people aged 15 and over
  • 9. Spinal Insufficiency
  • 10. Surgical treatment of scoliosis under the age of 25
  • 11. Surgical treatment of cataract
  • 12. Total hip prosthesis in patients 65 years of age and older with severely limited hip osteoarthritis
  • 13. Cleft lip and palate
  • 14. Cancer in people under 15
  • 15. Schizophrenia
  • 16. Testicular cancer in people aged 15 and over
  • 17. Lymphoma in persons aged 15 years and over
  • 18. HIV/AIDS Acquired Immunodeficiency Syndrome
  • Outpatient management of acute respiratory infection (anger) in people under 19.5 years old
  • 20. Outpatient management of community-acquired pneumonia in people aged 65 and over
  • 21. Primary or essential arterial hypertension in persons aged 15 years and over
  • 22. Non-refractory epilepsy in people aged 1 to under 15
  • 23. Comprehensive oral care for 6-year-old boys and girls
  • 24. Prevents premature birth
  • 25. Impulse generation and conduction impairment requiring a pacemaker in persons 15 years and older
  • 26. Prophylactic cholecystectomy for gallbladder cancer in people aged 35 to 49
  • 27. Stomach cancer
  • 28. Prostate cancer in persons aged 15 and over
  • 29. Refractive Errors in People 65 and Over
  • 30. Strabismus under 9 years old
  • 31. Diabetic retinopathy
  • 32. Non-traumatic rhegmatogenous retinal detachment
  • 33. Hemophilia
  • 34. Depression in people aged 15 and over
  • 35. Treatment of benign prostatic hyperplasia in symptomatic patients
  • 36. Technical Assistance to Seniors 65 and Over
  • 37. Ischemic stroke in persons aged 15 years and over
  • 38. Chronic Obstructive Pulmonary Disease Clinic
  • 39. Moderate and severe bronchial asthma in people under the age of 15
  • 40. Neonatal respiratory distress syndrome
  • 41. Medical care for patients 55 years of age and older with mild or moderate osteoarthritis of the hip and/or knee
  • 42. Subarachnoid hemorrhage secondary to ruptured cerebral aneurysm
  • 43. Central nervous system primary tumors in people aged 15 and over
  • 44. Surgical treatment of lumbar nucleus pulposus
  • 45. Leukemia in persons aged 15 and over
  • 46.‚Äč‚ÄčOutpatient Dental Emergency
  • Comprehensive oral health of 47 and 60-year-olds
  • 48. Severe multiple injuries
  • 49. Moderate or severe traumatic brain injury
  • 50. Serious eye trauma
  • 51. Cystic fibrosis
  • 52. Rheumatoid Arthritis
  • 53. Low to Moderate Risk of Harmful Use or Dependence on Alcohol and Drugs in People Under 20
  • 54. Labor analgesia
  • 55. Big burn
  • 56. Bilateral hearing loss requiring hearing aids aged 65 and over
  • 57. Retinopathy of prematurity
  • 58. Bronchopulmonary dysplasia in premature infants
  • 59. Bilateral sensorineural hearing loss in premature infants
  • 60. Non-refractory epilepsy in persons aged 15 years and over
  • 61. Bronchial asthma in persons aged 15 years and over
  • 62. Parkinson’s disease
  • 63. Juvenile idiopathic arthritis
  • 64. Secondary prevention of end-stage chronic kidney disease
  • 65. Hip Dysplasia
  • 66. Comprehensive oral health for pregnant women
  • 67. Relapsing remitting multiple sclerosis
  • 68. Chronic hepatitis caused by hepatitis B virus
  • 69. Chronic hepatitis caused by hepatitis C virus
  • 70. Colorectal cancer in persons aged 15 years and over
  • 71. Epithelial ovarian cancer
  • 72. Bladder cancer in persons aged 15 years and over
  • 73. Osteosarcoma in persons aged 15 years and over
  • 74. Surgical treatment of chronic aortic valve disease in people aged 15 and over
  • 75. Bipolar Disorder in People 15 and Over
  • 76. Hypothyroidism in persons 15 years of age and older
  • 77. Moderate, severe and profound hearing loss in people under 4 years old
  • 78. Systemic lupus erythematosus
  • 79. Surgical treatment of chronic mitral and tricuspid valve lesions in people aged 15 and over
  • 80. Helicobacter pylori eradication therapy
  • 81. Lung cancer in people aged 15 and over
  • 82. Thyroid Cancer in Persons 15 and Over
  • 83. Kidney cancer in persons aged 15 years and over
  • 84. Multiple myeloma in persons 15 years of age and older
  • 85. Alzheimer’s disease and other dementias
  • 86. Comprehensive medical care for acute sexual assault
  • 87. Recovery from SARS coronavirus 2

To see information for each disease, you can enter it here.

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