Benefits: Health Screening

Why should I go for screening tests?

Having screening tests done is one of the most important things you can do for your health. Screenings are medical tests that check for diseases before there are any known symptoms. Screenings can help doctors find diseases early, when the diseases may be easier to treat. Do bear in mind, though, that screening tests are only indicative. For a more accurate diagnosis of a chronic condition, your doctor may refer you for more extensive blood tests to determine whether you require chronic medication. For more information, see Chronic Medicine Benefits.

 

What is available under the Health Screening Benefits?

The following Health Screening Benefits are available to members on ALL Plans:

HEALTH SCREENING

You have access to the Nedgroup Network Pharmacy Screening Programme, allowing you and your dependants to visit a participating Nedgroup Network wellness pharmacy or attend a Scheme health screening event, so that a qualified nurse can give you advice on how to improve your health. Another advantage of these screening tests is that members with potentially high risks in terms of their health may be identified at an early stage.

You will be covered for the following diagnostic tests (two sets, or you will have the flexibility to choose to have all the tests at one encounter, either at a health screening event or at a Nedgroup Network Pharmacy, or to have multiple individual tests over the benefit year, subject to the benefit limit of R355.)

Blood sugar
Blood pressure
Cholesterol
Measurement of height, weight and waist circumference
Body Mass Index calculation

 

TIP

To book a health screening at a pharmacy clinic, or for more information about the process, visit the stay-well-clinic for Dis-Chem or clinicBooking for Clicks Pharmacies.

 

HIV SCREENING

You also have the following HIV tests and services available on all Plans:

  • Pre-testing counselling,
  • Testing and post-test counselling

Your monthly statement will reflect any claims received and paid once this benefit has been accessed. The claims are paid from your HIV Benefit and not from your Everyday Services Benefits.
 

WHERE CAN I ACCESS THE PHARMACY-BASED BENEFITS?

You can obtain your pharmacy-based health screening benefits from any pharmacy, but the cost may be higher than at a Nedgroup Network Pharmacy.
To find out where the nearest participating Nedgroup Network Pharmacy is, you may contact:
ScriptPharm Risk Management
Telephone: 011 100 7557
Email: nedgroup@scriptpharm.co.za
Website: www.scriptpharm.co.za

 

VACCINATIONS

The following vaccinations are covered under the Health Screening Benefits:

  • One flu vaccine per beneficiary per benefit year.
  • One pneumococcal vaccine per beneficiary aged 65 or over every 5 years.
  • One HPV vaccine course per beneficiary aged 9-26.
PLEASE NOTE

ONLY the vaccines are covered under this benefit, whereas any consultation fees will be paid from the Everyday Services Benefits limit (for applicable Plans) or, in the case of Savings Plan members with insufficient savings or Hospital Network Plan members who have already used their benefit of one GP consultation, from the member’s own pocket.

 

CANCER SCREENING TESTS

Pap smear (usually performed by a GP or gynaecologist) – limited to one test per female beneficiary per benefit year.
Prostate Specific Antigen (a blood test to screen for prostate cancer) – limited to one test per male beneficiary over age 45 per benefit year.
Mammogram (performed at a radiology practice) – limited to one test per female beneficiary over age 40 per benefit year.
Colorectal screening (where a sample of your stool is screened by a pathologist) – limited to one test per beneficiary over age 50 per benefit year.
PLEASE NOTE

ONLY the tests are covered under this benefit; whereas any consulting fees will be paid from the Everyday Services Benefits limit (for applicable Plans) or, in the case of Savings Plan members with insufficient savings or Hospital Network Plan members who have already used their benefit of one GP consultation, from the member’s own pocket.

 

OTHER SCREENING TESTS

Glaucoma screening (performed at an optometrist/ ophthalmologist) – limited to one test per beneficiary over age 55.
Bone density screening (performed at a radiology practice) – limited to one test per beneficiary over age 65 every two years.

Your monthly statement will reflect any claims received and paid once this benefit has been accessed.

The claims are paid from your Health Screening Benefit and not from your Everyday Services Benefits. Any medical expenses not covered under the Health Screening Benefit will be paid from your Everyday Services Benefits.
 

TIP

All screening tests will be covered at the Medical Scheme Rate (MSR). If the provider charges more than MSR, the difference will be for your account.

If you would like information on where you can access the screening tests that are not offered at pharmacy clinics, please call 0860 100 080.

 

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