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These include spinal
muscular atrophy,
progressive bulbar palsy,
amyotrophic lateral
sclerosis and primary
lateral sclerosis. A
neurologist must make the
definite diagnosis of a
motor neurone disease
and this diagnosis must
be supported by
appropriate investigations.
Mild Multiple Sclerosis
There must be a definite
diagnosis of Multiple
Sclerosis confirmed by a
neurologist. The
diagnosis must be
supported by all of the
following:
• Investigations that
unequivocally confirm
the diagnosis to be
Multiple Sclerosis;
• Any permanent residual
neurological deficit
confirmed by a
neurologist at 3 months;
and
Advanced Stage1
• Human bone marrow
using haematopoietic
stem cells preceded by
total bone marrow
ablation; or
• One (1) of the following
human organs: heart,
lung, liver, kidney or
pancreas that resulted
from irreversible end
stage failure of the
relevant organ.
Other stem cell transplants
are excluded.
Motor Neurone Disease
Motor neurone disease
characterised by
progressive degeneration
of corticospinal tracts and
anterior horn cells or
bulbar efferent neurones
which include spinal
muscular atrophy,
progressive bulbar palsy,
amyotrophic lateral
sclerosis and primary
lateral sclerosis. This
diagnosis must be
confirmed by a neurologist
as progressive and
resulting in permanent
neurological deficit.
Multiple Sclerosis
The definite diagnosis of
Multiple Sclerosis, and
must be supported by all
of the following:
• Investigations which
unequivocally confirm
the diagnosis to be
Multiple Sclerosis; and
• Multiple neurological
deficits which occurred
over a continuous period
of at least 6 months.
Other causes of
neurological damage such
as SLE and HIV are
excluded.
Manulife CI FlexiCare (Deluxe) v0123
Page 26 of 42
Manulife (Singapore) Pte. Ltd.
A Manulife Company
Conditions
25. Muscular
Dystrophy
26. Other
Serious
Coronary
Artery Disease
Early Stage