Radiology
MRI and CT scans
MRI and CT scans are covered differently depending on the type of option you choose.
On the Comprehensive and Classic option (in-and out-of-hospital)
We cover in-and out-of-hospital MRI and CT scans on the Comprehensive and Classic option up to 100% of the Scheme Rate. You must be referred by a specialist. This is subject to the overall annual limit.
Please note only MRI and CT scan codes will fund subject to the overall annual limit. Consumables (disposable medical items) will be funded from the Insured Out of Hospital Benefit.
On the Standard option (in-hospital)
We cover in-hospital MRI and CT scans on the Standard option up to 100% of the Scheme Rate. You must be referred by a specialist. This is subject to the overall annual limit.
On the Standard option (out-of-hospital)
You have no benefit for MRI and CT scans.
X-rays
X-rays are photographs or examinations of body parts made by electromagnetic radiation.
X-rays done in-hospital
Remedi pays for the x-ray up to a maximum of the Scheme Rate and subject to the overall annual limit as long as it is related to your confirmed hospital admission.
X-rays done out-of-hospital
Remedi will pay these claims from your Insured Out-of-Hospital benefit for the Comprehensive and Classic options. Payment is subject to the Insured Out-of-Hospital limit and the overall annual limit.
X-rays and other radiology for the Standard option is covered when the Remedi Standard Option radiology formulary is used.
Other scans
Mammogram
A mammogram is an x-ray examination of the female breast. It uses low-energy x-rays to visualise fine details of breast tissue, particularly the presence of calcification or soft tissue masses. This enables the early diagnosis of breast cancer.
Pregnancy scans
Pregnancy scans are done using ultrasound.
Ultrasound imaging allows imaging of the interior of the human body. The advantages of ultrasounds versus x-rays, are that the patient is not submitted to potentially harmful radiation. Images that can't be seen by x-rays are visible through ultrasound imaging.
A maximum of two scans are covered during a pregnancy.