Primary Option
Preventative Procedures
-
Paid from Insured benefits at 100% of Scheme rate.
| Benefits | Description | |
|---|---|---|
| Flu vaccine injection | 1 per beneficiary per year | |
Preventative Health Screenings, limited to:
|
These screening tests are to be undertaken at any Pharmacy Network Providers, are subject to Scheme Protocols and limited to R380 per beneficiary per year. |
Limited to R362 per beneficiary per year |
| Cholesterol tests | One of the following tariff codes will be allowed:
|
1 per beneficiary per year |
| Pap smears | The following tariff codes will be allowed: 4566 and 4599 | 1 per beneficiary per year |
| Prostate-specific antigen (PSA) testing | The following tariff code will be allowed: 4519 | 1 per beneficiary per year |
| Colorectal cancer screening: Fecal occult blood test/Faecal immunochemical test |
50 years and older or family history Faecal Occult blood annually
|
1 per beneficiary per year |
| HIV Finger-prick Screening Test | Tariff code
|
1 per beneficiary per year (if this test shows a positive reading, then all subsequent tests will be paid for from the PMB HIV benefit) |
| Mammogram | Beneficiary 40 years and older or clinically indicated (high risk members). Once every 2 years.
|
1 per beneficiary per year |