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Stage CI Conditions
Definition
• At least one (1) bowel segment resection.
The diagnosis must be based on histopathological features and confirmed by
a specialist in the relevant field.
17. Severe
Eisenmenger’s
Syndrome
Severe Eisenmenger’s Syndrome
The occurrence of a reversed or bidirectional shunt as a result of pulmonary
hypertension, caused by a heart disorder.
All of the following criteria must be met:
- Presence of permanent physical impairment classified as NYHA class IV*;
and
- The diagnosis of Eisenmenger Syndrome and the level of physical
impairment must be confirmed by a registered medical practitioner who is a
cardiologist.
*NYHA Class IV cardiac impairment means that the patient is symptomatic
during ordinary daily activities despite the use of medication and dietary
adjustment, and there is evidence of abnormal ventricular function on physical
examination and laboratory studies.
18. Surgery for
Idiopathic Scoliosis
Surgery for Idiopathic Scoliosis
The undergoing of spinal surgery to correct an abnormal curvature of the
spine from its normal straight line viewed from the back. The condition must
be present without an identifiable underlying cause and the curve of the spine
must be more than cobb angle 40 degree. Spinal deformity associated with
congenital defects and neuromuscular diseases are excluded.
19. Severe Myasthenia
Gravis
Severe Myasthenia Gravis
An acquired autoimmune disorder of neuromuscular transmission leading to
fluctuating muscle weakness and fatiguability, where all of the following
criteria are met:
- Presence of permanent muscle weakness categorized as Class III, IV or V
according to the Myasthenia Gravis Foundation of America Clinical
Classification below; and
- The diagnosis of Myasthenia Gravis and categorization are confirmed by a
physician who is a neurologist.
Myasthenia Gravis Foundation of America Clinical Classification:
Class I - Any eye muscle weakness, possible ptosis, no other evidence of
muscle weakness elsewhere
Class II - Eye muscle weakness of any severity, mild weakness of other
muscles
Class III - Eye muscle weakness of any severity, moderate weakness of other
muscles
Class IV - Eye muscle weakness of any severity, severe weakness of other
muscles
Class V - Intubation needed to maintain airway
20. Severe Ulcerative
Colitis
Severe Ulcerative Colitis
Means acute fulminant ulcerative colitis with life threatening electrolyte
disturbances, which all of the following criteria must be met:
(i) The entire colon is affected with severe bloody diarrhoea;
(ii) The necessary treatment is total colectomy and ileostomy; and
(iii) The unequivocal diagnosis must be based on histopathological features
and confirmed by a medical examiner who is a gastroenterologist.
Manulife CI FlexiCare (Deluxe) v0123
Page 36 of 42
Manulife (Singapore) Pte. Ltd.
A Manulife Company
Appendix B
Special CI Conditions Definitions
No
Covered Special CI
Conditions
Definition
NON-JUVENILE SPECIFIC CONDITIONS
1
Angioplasty & Other Invasive
Treatment for Coronary Artery
The actual undergoing of balloon angioplasty or similar
intraarterial catheter procedure to correct a narrowing of
minimum 60% stenosis, of one or more major coronary arteries
as shown by angiographic evidence. The revascularisation must
be considered Medically Necessary by a Specialist. Coronary
arteries herein refer to left main stem, left anterior descending,
circumflex and right coronary artery.
Diagnostic angiography is excluded.
2