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 - 2Vaccines
aChildhood vaccine benefit
not_interested No Benefit
b Flu and pneumococcal vaccines
For patients diagnosed with the following conditions:
. oncology;
. asthma;
. COPD;
. cardiac failure;
. HIV; and
. patients over 65 yearsinfo One of each injection per enrolee per annum
Major Medical Expenses100%
of Medical Scheme Rate - 3Human 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 time100%
of Medical Scheme Rate - 4Pap Smear
1 Per female beneficiary per annum
Paid from Major Medical Expenses100%
Scheme Rate
paid from Major Medical Expenses(MME) - 5Mammograms
1 Every 2 years for females 38 years and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 6Prostate-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 - 7Dexa Scan (Bone density)
Limited to R1800 per scan, and subject to 1 scan every 3 years for beneficiaries 50 years and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate - 8Glaucoma 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 - 9Colorectal Cancer Screening (Faecal Occult Blood Test Only)
1 Every year for beneficiaries 40 and older
Paid from Major Medical Expenses100%
of Medical Scheme Rate