A program available on all options to provide Beneficiaries with certain additional benefits, at no extra cost to Members, for preventative care:
Only the benefits stated in the Benefit Structure under Health Booster, and applicable to that particular benefit option, will be paid by the Scheme; up to a maximum rand value which is determined according to specific tariff codes.
Members qualify automatically for Health Booster benefits according to the set criteria. - However, pre-authorisation is required in order to access the Maternity benefits on Health Booster. Contact the Client Service Centre on 0860 671 050 and obtain pre-authorisation. (Failing to do this will result in the service costs being deducted from day-to-day benefits.); - When maternity related claims are submitted by providers, these claims should specify the relevant ICD10 code as contained in the pre-authorisation letter; - Verify the tariff code or maximum rand value with the Call Centre Consultant; - Inform the relevant service provider accordingly.
One of the benefits available on the Health Booster program is the Health Assessment.
This assessment comprises the following screening tests: - Body Mass Index (BMI); - Blood sugar (finger prick test); - Total Cholesterol (finger prick test); - Blood pressure (systolic and diastolic); - Prostate Phlebotomy for PSA;
Rapid Semi-Quantitive Prostate Specific Antigen (PSA) test (finger prick).
Principal Members and their Adult Dependants are entitled to one Health Assessment per calendar year and must have the screening tests done at a KeyHealth DSP pharmacy.
A Health Assessment (HA) form can be obtained at any KeyHealth DSP pharmacy or downloaded from KeyHealth’s website at www.keyhealthmedical.co.za.
No authorisation is required for these screening tests.
Results of these screening tests can be submitted by either the Member or the service provider and must be faxed to 012 679 4471.