What is preventive screening?
Preventive screening is important to make sure that medical conditions are detected early. Early detection is essential to ensure you get the best treatment outcomes. The Fund provides you with excellent screening and prevention benefits.
Screening for kids
Kids screening tests at the Fund's designated providers includes measurements of height, weight, and head circumference, as well as basic dental and hearing screenings. We also track their health and developmental milestones to ensure their health.
Screening for adults
This benefit covers certain tests such as blood glucose, blood pressure, cholesterol, body mass index and HIV screenings at one of the Fund's designated providers.
We also cover:
A mammogram every two years
A Pap smear once every three years or a HPV test once every five years
A PSA test (prostate screening) each year
A bowel cancer screening tests every two years (for members between 45 and 75 years old)
Screening for seniors
In addition to the screening tests for adults, you also have cover for a group of age appropriate screening tests at a general practitioner (GP) in the Premier Plus Network, or in our defined Pharmacy Network when you are 65 years or older.
Cover includes hearing and visual screenings and a falls-risk assessment. You may have cover for an extra falls-risk assessment, when referred by a Premier Plus GP, depending on your screening test results and if you meet the Fund's clinical entry criteria.
How we pay
These tests are paid for from the Screening and Prevention Benefit. Consultations that do not form part of Prescribed Minimum Benefits (PMBs) will be paid from your available day to day benefits, where applicable.
Additional tests
Vaccines:
- We pay for one seasonal flu vaccine at a registered healthcare professional if you are pregnant, aged 65 years or older or registered for certain chronic conditions.
- COVID 19 vaccines are covered from the WHO Global Outbreak Benefit.