Health Booster
An additional benefit for preventive care and early detection tests available to beneficiaries of the Scheme at no extra cost. Except for the Essence option.
Health Booster comprises of:
Preventive Care Benefits
These benefits aim to help beneficiaries stay healthy and avoid diseases and hospitalisation. They include vaccinations and medication.
- Beneficiaries: All beneficiaries.
- Frequency: February to June.
- Beneficiaries: All beneficiaries.
- Beneficiaries: All beneficiaries.
- Frequency: As and when required.
- Beneficiaries: All beneficiaries.
- Beneficiaries: All beneficiaries.
- Frequency: 1 per year.
- Beneficiaries: Female beneficiaries older than 16 years
- Frequency: Every 20 days.
*Silver, Equilibrium and Origin options only.
- Beneficiaries: Female beneficiaries older than 16 years
- Frequency: Every 72 days.
*Silver, Equilibrium and Origin options only.
Early Detection Tests
These benefits aim to identify diseases before they become serious; thereby allowing for early treatment. These include cancer, HIV / AIDS, and other tests.
- Beneficiaries: Female older than 15 years.
- Frequency: 1 per year.
- Beneficiaries: Female older than 15 years.
- Frequency: 1 per year.
- Beneficiaries: Female beneficiaries older than 40 years.
- Frequency: 1 per year.
- Beneficiaries: Male beneficiaries older than 40 years
- Frequency: 1 per year.
- Beneficiaries: Beneficiaries aged 50-75 years.
- Frequency: 1 per year.
*Excluding Origin and Essence.
- Beneficiaries: All beneficiaries.
- Frequency: 1 per year.
Body mass index, blood pressure measurement, cholesterol test (finger prick), blood sugar test (finger prick), PSA (finger prick).
- Beneficiaries: All beneficiaries.
- Frequency: 1 per year.
Weight Loss Programme
These benefits aim to assist those beneficiaries whose weight is above the recommended body mass.
This benefit is not available on Essence and Origin options.
Beneficiaries: Beneficiaries with a body mass index (BMI) higher than 30.
Frequency:
- 3 dietician consultations (1 per month)*.
- 1 biokineticist consultation (to create a home exercise programme for the member).
- 3 additional dietician consultations (1 per month, provided that the Scheme received a weight loss chart from the dietician that proves weight loss after the first 3 months)*.
- 1 follow-up consultation with biokineticist.
*Pre-authorisation required and subject to the use of DSPs.
Maternity Programme
These benefits aim to ensure that the mother-to-be has access to the best healthcare, including information and treatments, during her pregnancy.
- Beneficiaries: Female beneficiaries.
- Frequency: 12 visits.
- Beneficiaries: Female beneficiaries.
- Frequency: 2 pregnancy ultrasounds (scans) (one before the 24th week and one thereafter)#.
*Pre-notification of and pre-authorisation by the Scheme are compulsory.
Covered to the value of R1 440 per pregnancy.
Covered to the value of R2 440 per pregnancy.
Covered to the value of R2 440 for the first pregnancy.
Child Booster Benefits
An additional benefit for preventive care and early detection tests available for infants from birth until seven years at no extra cost. This enhanced Child Booster benefit is available for the Silver, Equilibrium and Origin options.
Child Dependants aged ≤6 – as required by the Department of Health.
- Beneficiaries: Female beneficiaries aged 9-14.
- Frequency: 2 doses per lifetime.
*Excluding Essence.
- 3 baby growth assessments per year at a pharmacy/baby clinic for beneficiaries aged 0-7 years.
(Silver, Equilibrium and Origin options only). - 3 baby growth assessments per year at a pharmacy/baby clinic for beneficiaries aged 0-35 months.
(Platinum and Gold options only).
- Beneficiaries: Baby registered on the Scheme.
- Frequency: 2 visits in baby’s 1st year, 1 visit in baby’s 2nd year.
- Beneficiaries: Newborns aged 0-8 weeks.
- Frequency: Once.
(Silver, Equilibrium, and Origin options only).
- Beneficiaries: Child Dependants aged 0-7 years.
- Frequency: Once.
(Silver, Equilibrium and Origin options only).
Important information
- No pre-authorisation is required for screening tests and other preventative care benefits.
- Pre-authorisation is required to access the maternity and weight loss benefits on Health Booster.
- Contact Hospital Pre-authorisation on 0860 671 060.
