Scopes (endoscopic procedures)

Each Benefit Option offers a different level of cover for endoscopic procedures performed in- or out-of-hospital.  The endoscopies are:

  • gastroscopies,
  • colonoscopies,
  • sigmoidoscopies, and
  • proctoscopies

 

 In hospitalOut-of-hospital
LA ComprehensiveUnlimited and paid from the Major Medical BenefitUnlimited and paid from the Major Medical Benefit, subject to preauthorisation.
LA CoreUnlimited and paid from MMBUnlimited and paid from MMB, subject to preauthorisation.
LA Active




A co-payment will be applied to the hospital account paid from MSA. Remainder of hospital account paid from the Major Medical Benefit. Related accounts limited to funds in MSA/Extended Day-to-Day Benefit.

Please refer to your benefit brochure for the applicable co-payment
The scope account will be paid from the Major Medical Benefit. Related accounts will be paid from and limited to funds in MSA/Extended Day-to-Day Benefit, subject to preauthorisation.


LA Focus



A co-payment will be applied to the hospital account paid from MSA. Remainder of hospital account paid from the Major Medical Benefit. Related accounts limited to funds in MSA

Please refer to your benefit brochure for the applicable co-payment
The scope account will be paid from the Major Medical Benefit. Related accounts will be paid from and limited to funds in your MSA, subject to preauthorisation.
LA KeyPlusCovered with no overall benefit limit in a KeyCare hospital, if referred by a specialist. Subject to preauthorisation.Covered with no overall benefit limit in a KeyCare hospital, subject to preauthorisation.