The Pathology Benefit Explained
Unlimited basic blood tests covered
Get Unlimited Basic Blood Tests
Your network doctor might need to take a look at your blood. The pathology benefit gives you unlimited basic blood tests for out-of-hospital events on a nationwide network.
Pathology is a standard benefit on the Day-to-Day Plan.
How Does It Work?
Find answers to the most common questions about this benefit. Browse our Help pages and Blog posts for more information.
What is covered?
The Pathology Benefit is designed to cover the most common blood tests required by your network doctor or specialist.
The benefit is unlimited which means that it can be used as many times during the year as is medically needed.
Note that your doctor may require more advanced tests that are not on the formulary and which will not be covered. We do not interfere with the treatment plans of the medical providers.
What is on the Formulary?
The blood tests covered is a wide range and is actively maintained annually by the product administrators. For this reason it is not practical to publish the list online.
Your network doctor can advise you on what is covered under your benefits but if you are unsure you can always ask us to assist.
What does "unlimited" benefit mean?
An "unlimited" benefit means that it can be used as many times as you need without any specific annual limits on usage. The only conditions are that the claim is medically necessary.
Unlimited does not mean "uncapped". Some benefits still have limits on how much is covered.
What is the waiting period?
There is a 1 month waiting period before any new member on a policy can claim under this benefit.
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