Comprehensive Option

Comprehensive Option Preventative Testing

Preventative Testing

  • TEST - PAID FROM MAJOR MEDICAL EXPENSES BENEFIT
    CONSULTATION - PAID FROM DAY-TO-DAY BENEFIT

Benefits Description
Health risk assessment
Body mass index, blood pressure, cholesterol (finger-prick test) and blood sugar (finger-prick test)

Limited to one screening per adult per year

To be performed at a suitable pharmacy

Should your health risk assessment be performed in the doctor's rooms, the consultation fee will be paid from your day-to-day benefit
Mammogram
(Tariff code 34100 & 3605)		 Limited to one per female (over 40 years) every two years or as clinically indicated (family history)
Standard pap smear or liquid-based cytology
(Tariff code 4566 or 4559)		 Limited to one per adult female every year
HIV test
Pathologist and/or finger prick
(Tariff codes 3932 and/or 4614)		 Each test limited to one per beneficiary every year
Glaucoma screening
(Tariff code 3014)		 Limited to one screening per adult (over 40 years) every two years
HPV vaccine
(Nappi code 710020 - Cervarix®)
(Nappi code 710249 - Gardasil®)

All female beneficiaries between the ages of nine and 13

Only Comprehensive Option
Prostate-specific antigen (PSA) testing
(Tariff code 4519 or 4524)

Limited to men aged:

  • 40 to 49 -Once every 5 years
  • 50 to 59 -Once every 3 years
  • 60 to 69 -Once every 2 years
  • 70 and older -Once per annum
Colorectal cancer screening:
Faecal occult blood test/Faecal immune-chemical test
(Tariff code 4351 or 4352)

One per Beneficiary per annum.Subject to the following criteria:

  • Beneficiaries 50 years and older or with family history
Flu vaccine Limited to one per beneficiary per year
Pneumococcal vaccine One per lifetime for beneficiaries over the age of 65 or for high-risk individuals who are registered on one of our chronic or disease management programmes for applicable conditions
Bone density scan (DEXA) One per female beneficiary (over 65 years) every two years