Wellness and Preventative - Budget Plan
- 1Screening tests
a Health Assessment
Weight, Height and Waist Circumference
Finger-prick glucose test
Finger-prick cholesterol test
Blood pressure testinfo One visit per beneficiary per annum
Major Medical Expenses100%
of Medical Scheme Rate
b HIV test
Finger-prick test
info One visit per beneficiary per annum
Major Medical Expenses100%
of Medical Scheme Rate - 2Flu vaccine
For all beneficiaries over the age of 18 years and beneficiaries under the age of 18 years diagnosed with cancer, asthma, COPD, cardiac failure and HIV
info One injection per enrolee per annum
Major Medical Expenses100%
of Medical Scheme Rate - 3Childhood vaccines
According to the Scheme’s childhood vaccine benefit formulary from birth to 12 years of age
Vaccines outside the formulary will be paid from the Acute Medicine limit
- 4Human papillomavirus (HPV) vaccine
1 Treatment in a lifetime
Paid from Major Medical Expenses
Two-dose for females between 9 and 26 years once in a life time
Two-dose for males between 9 and 18 years once in a life time
Subject to the Scheme’s human papillomavirus (HPV) vaccine formulary.100%
of Medical Scheme Rate - 5Pap Smear
1 Per female beneficiary per annum
Paid from Major Medical Expenses100%
Scheme Rate
paid from Major Medical Expenses(MME) - 6Mammograms
1 Every 2 years for females 38 years and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 7Prostate-specific Antigen (PSA) Test
1 Every 3 years for males between 30 - 59 years
1 Every 2 years for males between 60 - 69 years
1 Every year for males 70 years and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 8Dexa Scan (Bone density)
Subject to 1 scan every 3 years for beneficiaries 50 years and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 9Glaucoma Screening
1 Every 2 years for beneficiaries between 40 and 49 years
1 Every year for beneficiaries 50 years and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 10Colorectal Cancer Screening (Faecal Occult Blood Test Only)
1 Every year for beneficiaries 40 and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 11 Pneumococcal vaccine
For patients over 65 years and/or diagnosed with cancer, asthma, COPD, cardiac failure and HIV
Subject to the Scheme’s pneumococcal vaccine formulary
100%
of Medical Scheme Rate