What is Preventive Screening?

Preventive screening is important to make sure that medical conditions are detected early. As a Remedi Medical Aid Scheme (Remedi) member, you have access to essential screening and prevention benefits.

What we cover

Your Prevention and Screening Benefit covers vital tests to detect early warning signs of serious illness no matter which benefit option you are registered on. We cover various screening tests at the Scheme's Wellness network providers, Clicks and Dis-Chem.

Such screening tests include checks for blood glucose, cholesterol, HIV, as well as Provide cover for a Pap smear or HPV test for cervical screening, mammograms and prostate screenings.

We make health checks available according to your age group and needs. These include:

SCREENING

For adults, this benefit covers certain tests such as blood glucose, blood pressure, cholesterol, body mass index and HIV screening at our wellness providers. We also cover a mammogram or ultrasound of the breast every year, a Pap smear once every year as an alternative to an HPV test once every 3 or 5 years depending on your HIV status. We provide cover for a PSA test (prostate screening) each year and bowel cancer screening tests every two years for members between the ages of 45 and 75 years. Colonoscopy screening is funded up to one test every ten years for members 55 and over if performed in doctors' rooms. The Scheme also makes one preventative dental examination per person per year available, including the oral examination, infection control, prophylaxis polishing and fluoride treatment.

SCREENING FOR SENIORS

In addition to the screening for adults, members aged 65 years and older have cover for a group of age-appropriate screening tests in our defined pharmacy network. Cover includes hearing and visual screening and falls risk assessment. You may have cover for an additional GP consultation at a Premier Plus GP, depending on your screening test results and if you meet the Scheme's clinical entry criteria. In addition, we provide a holistic view of a member's health alongside electronic messaging on interventions. Such an email would include enrolment into disease management programmes where needed.

VACCINES FUNDED FROM YOUR SCREENING BENEFITS

You are covered for the following vaccine benefits in addition to the above screening tests: Pneumococcal vaccine - this is funded up to two vaccines per person per lifetime. Seasonal influenza vaccine - funded up to one per person per year from your hospital benefit if you are considered a high-risk member or over the age of 65. For other members, this vaccine will pay from their available day-to-day benefits. COVID-19 vaccine and administration costs are regarded as clinically appropriate in terms of PMB treatment or prevention. This vaccine is not funded from the screening and prevention benefits, but instead pays from your overall annual limit. Human Papillomavirus (HPV) vaccines - funded (if regarded as clinically appropriate) once every 3 or 5 years depending on your status.

How we pay

These tests are paid from the Screening and Prevention Benefit. Consultations that do not form part of PMBs will be paid from your available day-to-day benefits depending on your Benefit option.

Additional tests

Clinical entry criteria may apply to these tests:

• Defined diabetes and cholesterol screening tests
• Pap smear for cervical screening
• Breast MRI or mammogram and once-off BRCA testing for breast screening
• Seasonal flu vaccine for members who are, pregnant, 65 years or older, or are registered for certain chronic conditions
• Colonoscopy for bowel cancer screening