Notes to the table of benefits: 4. Optional Extra Benefits

These benefits only apply if purchased and included with one of our health plans. A separate Membership Certificate will show if you have the following benefits:

4a: Prosthetic and medical appliances

We pay benefits for prosthetic and medical appliances that you need as part of your treatment. We only pay once for each type or similar type of prosthetic or medical appliance you need during your current continuous membership of the plan.

• We pay 70% of the amount that you are charged for prosthetic appliances which are not surgically implanted such as artificial limbs and eyes, spinal brace, callipers and breast forms when recommended by your medical practitioner.
  
  
• We pay 50% of the amount you are charged for medical appliances such as crutches, canes, slings, splints, trusses, hearing aids, nebulisors, braces, capping of teeth and temporary rental of a wheelchair, when needed following treatment by your consultant and on your consultant’s recommendation.

4b: Speech Therapy

We pay for short-term speech therapy treatment recommended by your consultant and provided by a therapist if all the following apply.

• The speech therapy is medically necessary as part of a day-case or in-patient treatment for active treatment for which you are eligible for under your membership
  
  
• The speech therapy takes place during or immediately following your day-case or in-patient treatment
  
  
• Your consultant refers you to the therapist before the treatment takes place and remains in overall charge of your care.

4c: Complementary medical treatment

We may pay for complementary medical treatment such as acupuncture, chiropractic, homoeopathy, osteopathy, podiatry, chiropody, dietetics or naturopathy provided by a complementary medical practitioner.

The treatment must be on the recommendation of your family doctor and we need full clinical details from your family doctor before we can give our decision.

4d: Cervical cancer screening

We pay for routine screening for cervical cancer.

4e: Routine mammography

We pay for routine mammography and this benefit is only available for female members aged 45 years and over.

4f: Prostate Specific Antigen

We pay for routine screening for prostate cancer.

4g: Dental check-up

We pay for dental check ups carried out by a dental practitioner. By a dental check up we mean an assessment of your dental health in order to maintain dental fitness.

We do not pay for any dental treatment that you may need as a result of your dental check up.