Sign In
Sapphire Beryl Ruby Emerald Emerald Onyx

Preventative care benefits


The preventive care benefit allows for screening tests and can help you and your family stay healthy. These tests may also help reduce your future healthcare costs with early identification of serious illness or disease. It will be paid at the scheme rate per beneficiary, subject to managed care protocols and may be accessed as follows:

 Procedure

 Frequency, age and gender rules

 Cholesterol screening Once a year for all aged 20 years and older
 Bone densitometry
scan
 
Once a year for females aged 65 years and older
 Pap smearsOnce a year for females aged 12 - 65 years
 Mammogram Once a year for females aged 40 years and older
 Prostate screening Once a year for males aged 45 - 69 years
 Faecal occult blood test Once a year for all aged 50 - 75 years
 Glucose screening
(Glucose tolerance test)

 Once a year for all aged 45 years and older

 Neonatal hypothyroidism Once per neonatal beneficiary up to 28 days of age
 Glaucoma screening Once a year for all aged 40 years and older
 Influenza vaccination Once a year for beneficiaries who are 6 months to 5 years old or 65 years and older
Pneumococcal
vaccination
 Once every 5 years for all with a chronic authorisation for Asthma or Chronic Obstructive Pulmonary Disease (COPD)
 HPV vaccinationOne course (3 doses) per lifetime for female beneficiaries who are 9 to 14 years of age

If you have any further queries, kindly call the GEMS Call Centre on 0860 00 4367 or send an email to enquiries@gems.gov.za.

Forms >

Download various forms relating to your membership in easy-to-use PDF format. Click Here >

Member Enquiries >

0860 00 4367 (Call Centre) enquiries@gems.gov.za More Contacts >