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 test

    info One visit per beneficiary per annum
          Major Medical Expenses

    100%
    of Medical Scheme Rate

    b HIV test

    Finger-prick test

    info One visit per beneficiary per annum
          Major Medical Expenses

    100%
    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 Expenses

    100%
    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 Expenses
    100%
    Scheme Rate
    paid from Major Medical Expenses(MME)

  • 6Mammograms

    1 Every 2 years for females 38 years and older
    Paid from Major Medical Expenses

    100%
    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 Expenses
    100%
    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 Expenses
    100%
    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 Expenses


    100%
    of Medical Scheme Rate

  • 10Colorectal Cancer Screening (Faecal Occult Blood Test Only)

    1 Every year for beneficiaries 40 and older
    Paid from Major Medical Expenses


    100%
    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