Mammograms
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.
We will pay these claims from your Screening Benefit, up to the Discovery Health Rate.
We will not use your day-to-day benefits to pay for this screening test. However, any consultations and related costs are paid from your available day-to-day benefits.
Once you have reached the Screening Benefit limit, we will pay your claim according to your plan type:
Executive Plan, Comprehensive and Priority Series
Mammograms done out of hospital
We will pay these claims from your Medical Savings Account (MSA), as long as you have money available. We may also pay these claims from your Above Threshold Benefit up to a maximum of the Discovery Health Rate if you have reached the Annual Threshold.
Saver Series
Mammograms done out of hospital
We will pay these claims from your Medical Savings Account (MSA), as long as you have money available.
Core Series
Mammograms done out of hospital
Because the Core Series does not have a Medical Savings Account, you need to pay for mammograms done out of hospital.
KeyCare Series
KeyCare Series
Mammograms done out-of-hospital (only covered on the KeyCare Plus Plan)
We pay for mammograms if your chosen general practitioner in the KeyCare GP network requests it.
