Consequential Illnesses

Consequential Illnesses are any illness, injury, impairment or disease that is a consequence of an accepted condition under EEOICPA.

There are four types of consequential illnesses:

  • Metastasized Cancer(s)
  • Conditions resulting from medical treatment of the accepted condition(s)
  • Independent incidents related to an accepted condition(s)
  • Natural progression and/or development (pathogenesis)

To explain further, if you have a covered condition, and the treatment for that condition causes you to develop another illness, you have a consequential illness. In other words, the new illness is a consequence of the treatment for another condition.  For example, if you take steroids to treat your Chronic Beryllium Disease (CBD), the prolonged use of steroids can cause diabetes.  In this circumstance, if you have no family history of diabetes, the diabetes would be eligible for consideration as a covered consequential condition.  Therefore, if diabetes is added to your DOL medical card, all the medical care expenses for your diabetes would be covered 100%.

Another example of a consequential condition is a metastasized cancer. This means if you are diagnosed with a certain type of cancer and it spreads to other parts of your body, this is a consequence of the primary cancer; therefore is covered under the program.

To have a consequential condition added to your DOL medical card, contact your local DOL Resource Center to begin the claim filing process.