What are the diseases covered by GES and how is it availed?

Explicit Health Guarantee (GES) they tend Ensure coverage of various diseases Through National Health Fund (Fonasa) and Institute of Social Security (Isapre),

What diseases does GES cover?

Are 87 Pathologies that are included in GES coverage, These include chronic diseases, mental health disorders, oral health, certain types of cancer and serious accidents, lung diseases, brain diseases and preventive treatments, among other categories.

All diseases covered by GES are:

  • 1. Stage 4 and 5 Chronic Kidney Disease
  • 2. Operable congenital heart disease in persons under 15 years of age
  • 3. Cervical cancer in people 15 years and older
  • 4. Cancer Pain Relief and Palliative Care
  • 5. acute myocardial infarction
  • 6. Diabetes mellitus type 1
  • 7. Diabetes Mellitus Type 2
  • 8. Breast cancer in people 15 years and older
  • 9. Spinal dysraphias
  • 10. Surgical treatment of scoliosis in people under the age of 25
  • 11. Surgical treatment of Cataract
  • 12. Total hip endoprosthesis in people 65 years of age and older with hip osteoarthritis with severe functional limitation
  • 13. Cleft lip and palate
  • 14. Cancer in people under the age of 15
  • 15. Schizophrenia
  • 16. Testicular cancer in people aged 15 and over
  • 17. Lymphoma in people 15 years and older
  • 18. HIV/AIDS Acquired Immunodeficiency Syndrome
  • 19. Acute respiratory infection (RAGE) for outpatient management in people less than 5 years of age.
  • 20. Community-acquired pneumonia in outpatient management in people 65 years of age and older
  • 21. Primary or essential arterial hypertension in people aged 15 years and over
  • 22. Non-refractory epilepsy in people from 1 year to less than 15 years of age
  • 23. Comprehensive Oral Health for 6 Year Old Boys and Girls
  • 24. Prevention of premature labor
  • 25. Impulse formation and conduction disorders in people 15 years of age and older who require a pacemaker
  • 26. Preventive cholecystectomy for gall bladder cancer in people aged 35 to 49
  • 27. Gastric cancer
  • 28. Prostate cancer in people 15 years and older
  • 29. Refractive errors in people 65 years and older
  • 30. Strabismus in people under 9 years of age
  • 31. Diabetic Retinopathy
  • 32. Nontraumatic rhegmatogenous retinal detachment
  • 33. Hemophilia
  • 34. Depression in people aged 15 and over
  • 35. Treatment of benign prostatic hyperplasia in symptomatic individuals
  • 36. Technical assistance for people aged 65 years and above
  • 37. Ischemic stroke in persons 15 years and older
  • 38. Outpatient Chronic Obstructive Pulmonary Disease
  • 39. Moderate and severe bronchial asthma in people under 15 years of age
  • 40. Respiratory distress syndrome in the newborn
  • 41. Medical treatment in people 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. Primary tumors of the central nervous system in people 15 years of age and older
  • 44. Surgical treatment of lumbar nucleus pulposus herniation
  • 45. Leukemia in people 15 years and older
  • 46. ‚Äč‚ÄčOutpatient Dental Emergency
  • 47. Comprehensive oral health of 60 year olds
  • 48. Severe Multiple Trauma
  • 49. Moderate or severe traumatic brain injury
  • 50. Severe eye trauma
  • 51. Cystic Fibrosis
  • 52. Rheumatoid Arthritis
  • 53. Low to moderate risk of harmful use or dependence on alcohol and drugs in persons under 20 years of age
  • 54. labor pain
  • 55. Big Jealousy
  • 56. Bilateral hearing loss in people 65 years of age and older who require the use of a hearing aid
  • 57. Retinopathy of prematurity
  • 58. Bronchopulmonary dysplasia of prematurity
  • 59. Bilateral sensorineural hearing loss of prematurity
  • 60. Non-refractory epilepsy in people aged 15 years and over
  • 61. Bronchial asthma in people aged 15 years and above
  • 62. Parkinson’s disease
  • 63. Juvenile Idiopathic Arthritis
  • 64. Secondary prevention of end stage chronic kidney disease
  • 65. Dislocating dysplasia of the hips
  • 66. Comprehensive Oral Health of the Pregnant Person
  • 67. Relapsing-remitting multiple sclerosis
  • 68. Chronic hepatitis due to hepatitis B virus
  • 69. Chronic hepatitis due to hepatitis C virus
  • 70. Colorectal cancer in people 15 years and older
  • 71. Epithelial ovarian cancer
  • 72. Bladder cancer in people 15 years and older
  • 73. Osteosarcoma in people 15 years of age and older
  • 74. Surgical treatment of chronic aortic valve lesions in people 15 years of age and older
  • 75. Bipolar disorder in people 15 years and older
  • 76. Hypothyroidism in people aged 15 years and above
  • 77. Moderate, severe and profound hearing loss in people under 4 years of age
  • 78. Systemic lupus erythematosus
  • 79. Surgical treatment of chronic mitral and tricuspid valve lesions in people 15 years of age and older
  • 80. Helicobacter pylori eradication therapy
  • 81. Lung cancer in people 15 years and older
  • 82. Thyroid cancer in people 15 years and older
  • 83. Kidney cancer in people 15 years and older
  • 84. Multiple myeloma in people 15 years of age and older
  • 85. Alzheimer’s disease and other dementias
  • 86. Comprehensive health care in acute sexual assault
  • 87. SARS CoV-2 Rehabilitation

To review information on each disease, you can enter here.

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