Severity Level
Conditions
– is confirmed by a registered medical specialist who is a consultant neurologist.
‘Admitted patient’ is a patient who undergoes a hospital’s admission process to receive treatment and/or care. This treatment and/or care is provided over a period of time and can occur in hospital and/or in the person’s home. Multiple sclerosis with severity means the unequivocal diagnosis of multiple sclerosis, a disease characterised by demyelination in the brain and/or spinal cord. There must be more than one episode of well-defined neurological deficit with persisting neurological abnormalities. Neurological investigations such as lumbar puncture, MRI (Magnetic Resonance Imaging) evidence of lesions in the central nervous system, evoked visual responses, and evoked auditory responses are required to confirm diagnosis Parkinson’s disease with severity means the unequivocal diagnosis of Idiopathic Parkinson’s disease where the condition cannot be controlled by medication and shows signs of progressive impairment. Muscular dystrophy with severity means the unequivocal diagnosis of muscular dystrophy diagnosed by an appropriate specialist approved by AIA and resulting in permanent and irreversible inability to perform two activities of daily living .
Major head trauma means accidental cerebral injury resulting in permanent neurological deficit with persisting clinical symptoms .
Motor neurone disease means unequivocal diagnosis of motor neurone disease diagnosed by an appropriate specialist approved by AIA .
Dementia and Alzheimer’s Disease with severity means the diagnosis of advanced Dementia or Alzheimer's disease and resulting in significant cognitive impairment or permanent irreversible inability to perform two activities of daily living .
Peripheral neuropathy means the irreversible inflammation or degradation of a peripheral nerve, diagnosed by an appropriate specialist approved by AIA .
2
Stroke resulting in at least three months after the life assured suffered the stroke a persisting neurological deficit which is confirmed by a registered medical specialist who is a consultant neurologist or neurological occupational therapist and by a clinical neurological examination.
Multiple sclerosis diagnosis means the unequivocal diagnosis of multiple sclerosis confirmed by CT or MRI scans and diagnosed by an appropriate specialist approved by AIA .
Muscular dystrophy diagnosis means the unequivocal diagnosis of muscular dystrophy diagnosed by an appropriate specialist approved by AIA .
Parkinson’s Disease diagnosis means the unequivocal diagnosis of Idiopathic Parkinson’s disease by an appropriate specialist approved by AIA .
Meningitis diagnosis means the diagnosis of meningitis by an appropriate specialist approved by AIA .
Encephalitis diagnosis means the unequivocal diagnosis of severe inflammatory disease of the brain diagnosed by an appropriate specialist approved by AIA .
Dementia and Alzheimer’s Disease means the diagnosis of either Advanced Dementia or Alzheimer’s disease by a consultant neurologist, psychiatrist or geriatrician which meets the following criteria:
3
– there must be permanent clinical loss of the cognitive ability to do one or more of the following for which no other physical cause has been identified:
• remember;
• reason;
• perceive, understand, express and give effect to ideas.
and;
– neurological and physical investigations are required to confirm the diagnosis such as blood and urine tests, brain scans, mental status assessment to determine the level of mental deterioration.
1156 ALB-PC version 7 Effective 12 May 2026
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