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Common use of Wellness Benefit Clause in Contracts

Wellness Benefit. 3.13.1 Wellness Benefit shall mean one full medical examination every two years. 3.13.2 A full medical examination would include pre- approved costs associated with preventative health checks, which may or may not include: cervical smear test, mammogram, random blood sugar, total cholesterol and lipid profile and chest x-ray for women, or prostate Specific Antigen test, random blood sugar, total cholesterol and lipid profile and chest x-ray for men. 3.13.3 Specific tests will be carried out at a facility of Specialty Emergency Services’ choice. 3.13.4 Additional tests not listed above are subject to pre-approval and may be charged to the Member. 3.13.5 On request of a medical practitioner and with pre-approval by Specialty Emergency Services, bone density tests may be included in the Wellness Benefit for members over 40 (forty) years of age. 3.13.6 The Wellness Benefit is available to adult members over the age of 18 (eighteen) only. 3.13.7 The limit for Wellness tests and profiles is US$200 under Chrome within Zambia only at SES Clinics only . 3.13.8 The limit for Wellness tests and profiles is US$1,000 or equivalent for Gold+. 3.13.9 The limit for Wellness tests and profiles is US$2,000 or equivalent for Platinum+. 3.13.10 The Wellness Benefit does not include preventative investigations specifically related to hereditary conditions, unless recommended by our SES physician and only after genetic counselling.

Appears in 2 contracts

Samples: Health Insurance Agreement, Health Insurance Agreement

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Wellness Benefit. 3.13.1 Wellness Benefit shall mean one full medical examination every two years. 3.13.2 A full medical examination would include pre- approved costs associated with preventative health checks, which may or may not include: cervical smear test, mammogram, random blood sugar, total cholesterol and lipid profile and chest xX-ray for women, or prostate Specific Antigen test, random blood sugar, total cholesterol and lipid profile and chest xX-ray for men. 3.13.3 Specific tests will be carried out at a facility of Specialty Emergency Services’ choice. 3.13.4 Additional tests not listed above are subject to pre-approval and may be charged to the Member. 3.13.5 On request of a medical practitioner and with pre-approval by Specialty Emergency Services, bone density tests may be included in the Wellness Benefit for members over 40 (forty) years of age. 3.13.6 The Wellness Benefit is available to adult members over the age of 18 (eighteen) only. 3.13.7 The limit for Wellness tests and profiles is US$200 under Chrome within Zambia only at SES Clinics only only. 3.13.8 The limit for Wellness tests and profiles is US$1,000 or equivalent for Gold+. 3.13.9 The limit for Wellness tests and profiles is US$2,000 or equivalent for Platinum+. 3.13.10 The Wellness Benefit does not include preventative investigations specifically related to hereditary conditions, unless recommended by our SES physician and only after genetic counselling.

Appears in 2 contracts

Samples: Health Insurance Agreement, Health Insurance Agreement

Wellness Benefit. 3.13.1 Wellness Benefit shall mean one full medical examination every two years. 3.13.2 A full medical examination would include pre- approved costs associated with preventative health checks, which may or may not include: cervical smear test, mammogram, random blood sugar, total cholesterol and lipid profile and chest x-ray for women, or prostate Prostate Specific Antigen test, random blood sugar, total cholesterol and lipid profile and chest x-ray for men. 3.13.3 Specific tests will be carried out at a facility of Specialty Emergency Services’ choice. 3.13.4 Additional tests not listed above are subject to pre-approval and may be charged to the Member. 3.13.5 On request of a medical practitioner and with pre-approval by Specialty Emergency Services, bone density tests may be included in the Wellness Benefit for members over 40 (forty) years of age. 3.13.6 The Wellness Benefit is available to adult members over the age of 18 (eighteen) only. 3.13.7 The limit for Wellness tests and profiles is US$200 under Chrome within Zambia only at SES Clinics only . 3.13.8 The limit for Wellness tests and profiles is US$1,000 or equivalent for Gold+Gold. 3.13.9 The limit for Wellness tests and profiles is US$2,000 or equivalent for Platinum+. 3.13.10 3.13.8 The Wellness Benefit does not include preventative investigations specifically related to hereditary conditions, unless recommended by our SES physician and only after genetic counselling.

Appears in 2 contracts

Samples: Health Insurance Agreement, Health Insurance Agreement

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Wellness Benefit. 3.13.1 Wellness Benefit shall mean one full medical examination every two years. 3.13.2 A full medical examination would include pre- approved costs associated with preventative health checks, which may or may not include: cervical smear test, mammogram, random blood sugar, total cholesterol and lipid profile and chest xX-ray for women, or prostate Specific Antigen test, random blood sugar, total cholesterol and lipid profile and chest xX-ray for men. 3.13.3 Specific tests will be carried out at a facility of Specialty Emergency Services’ choice. 3.13.4 Additional tests not listed above are subject to pre-approval and may be charged to the Member. 3.13.5 On request of a medical practitioner and with pre-approval by Specialty Emergency Services, bone density tests may be included in the Wellness Benefit for members over 40 (forty) years of age. 3.13.6 The Wellness Benefit is available to adult members over the age of 18 (eighteen) only. 3.13.7 The limit for Wellness tests and profiles is US$200 under Chrome within Zambia only at SES Clinics only only. 3.13.8 The limit for Wellness tests and profiles is US$1,000 or equivalent for Gold+. 3.13.9 The limit for Wellness tests and profiles is US$2,000 or equivalent for Platinum+. 3.13.10 The Wellness Benefit does not include preventative investigations specifically related to hereditary conditions, unless recommended by our SES physician and only after genetic counselling. 3.13.11 All Wellness tests to be completed within a seven (7) day period if the same provider is not able to complete the necessary tests on the same day.

Appears in 2 contracts

Samples: Health Insurance Agreement, Health Insurance Agreement

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