Pathology Benefits
for Health4Me

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    Basic Pathology

    Unlimited cover for pathology, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me pathology list

    Pathology Applicable Codes

    Haematology

    Tariff Code Description
    3709 Antiglobin Test – Direct or Indirect Coombs
    3709 Erythrocyte Count
    3743 Erythrocyte Sedimentation Rate (ESR)
    3755 Full Blood Count (incl 3739/3762/3783/3785/3791)
    3762 Haemoglobin Estimation (Hb)
    3783 Leucocyte Differential Count
    3785 Leucocytes: Total Count
    3791 Packed Cell Volume
    3792 Plasmodium Flaciparum (Malaria: Antigen)
    3797 Platelet Count
    3805 Prothrombin Index
    3806 PI/INR Dosage Information
    4528 Ferritin

    Biochemical Tests

    Tariff Code Description
    3999 Albumin
    4001 Phosphatase
    4006 Amylase
    4009 Bilirubin: Total
    4010 Bilirubin: Conjugated
    4023 Chloride
    4026 LDL Cholesterol (Chemical Determination)
    4027 Total Cholesterol (Fasting)
    4028 HDL Cholesterol (Fasting)
    4032 Creatinine
    4057 Glucose: Quantitative
    4113 Potassium
    4114 Sodium
    4117 Protein (Total)
    4130 Asparate Aminotransferase (AST)
    4131 Alanine Aminotransferase (ALT)
    4134 Gamma Glutamyl Transferase (GGT)
    4147 Triglyceride
    4155 Uric Acid
    4171 Urea and Electrolytes
    4188 Urine Dipstick – Per Stick
    4352 Occult Blood (Monoclonal Antibodies)
    4017 Calcium Spectrophotometric
    4049 Glucose Tolerance Test
    4151 Urea
    4161 Troponin Isoforms

    Serology

    Tariff Code Description
    3932 HIV: Elisa
    3947 C-Reactive Proteins
    3948 IgG: Varicella, Herpes, Rubella, etc
    3949 Syphillis Serology
    3951 Quantitative Khan, VDRL or other Flocculation
    3980 Bilharzia Ag Serum / Urine

    History and Cytology

    Tariff Code Description
    4559 Liquid Pap Smear
    4566 Vaginal or Cervical Smear (1 slide)
    4567 Histology per sample
    4571 Histology (more than 2 units) per additional block (max 1)

    Immunology

    Tariff Code Description
    4450 HcG: Qualitative
    4507 Thyrotropin (TSH)
    4519 PSA
    4531 Hepatitis: A IGM Antibody

    Bacteriology

    Tariff Code Description
    3839 Bacteriological Culture (Sensitivity)

    Microscopy

    Tariff Code Description
    3865 Parasites in blood: Malaria, Trypanosomes
    3837 Body fluids, Urine, Exudate
    3869 Faeces Microscopy (including Parasites)
    3881 Tubercle Bacillus
    3883 Conc-Urine Parasites
    3885 Cytochemical Stain (AO AFB)

    To download a copy of the Pathology benefit information click on the download button below.

    Day to Day Benefits

    GP Visits

    Unlimited GP visits at a Network GP per member per year

    GP in Room Procedures

    Minor medical procedures performed as part of a Network GP consult in rooms, such as stitching of wounds and nebulisation

    Hello Doctor

    Unlimited GP consultations with a Hello Doctor GP
    Hello Doctor consultations can either be via chat, phone call or video (virtual) call
    Hello Doctor consultations include referral for pathology, according to the applicable Health4Me pathology list Hello Doctor consultations include referral for radiology, according to the applicable Health4Me radiology list

    Hello Doctor Scripting

    Hello Doctor consultations include unlimited scripting of Schedule 1 to Schedule 4, formulary-based medication, in accordance with the Network prescribed acute medication formulary. Rules and protocols are applied

    Acute Medication

    Provided in accordance with the Network prescribed acute medication formulary.

    Rules and protocols are applied

    Basic Pathology

    Unlimited cover for pathology, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me pathology list

    Basic Radiology

    Unlimited cover for black and white x-rays, when linked to a Hello Doctor or Network GP visit and referred by a Hello Doctor or Network GP, according to the applicable Health4Me radiology list

    Basic and Emergency Dentistry

    Covered at any dentist on the Dental Network
    Basic dentistry such as fillings, extractions, infection control, cleaning and polishing of teeth
    Specialised dentistry such as bridges, crowns, surgical extractions, implants, root canals, gold fillings, dentures and braces are not covered
    Provided in accordance with the Dental Network protocols and approved Health4Me dentistry list Waiting periods apply

    Basic Optometry

    Covered at any optometrist on the Optical Network
    Benefit available every 2 years
    1 Eye test and 1 pair of clear standard single vision lenses, or 1 pair of bi-focal lenses, with a standard frame Sunglasses, tinted lenses, hard coating and contact lenses are not covered
    Provided in accordance with the Optical Network protocols and approved Health4Me optometry list Waiting periods apply

    Maternity Benefit

    1 Foetal growth 2D scan per member per pregnancy
    Antenatal pathology tests linked to a Network GP visit and referred by a Network GP, according to the applicable Health4Me pathology list
    Antenatal vitamins in accordance with the Network prescribed acute medication formulary. Rules and protocols are applied
    Pre-authorisation is required

    Flu Vaccination

    1 Flu vaccination per member per year at any pharmacy clinic, preferably at a Dis-Chem, Clicks or MediRite pharmacy clinic

    COVID-19 screening test

    1 COVID-19 screening test is covered per member per year, subject to a Hello Doctor, Network GP or specialist referral
    The COVID-19 screening test can also be performed as part of a Network GP consultation or as part of a specialist consultation in rooms

    Health Assessment

    1 Health assessment (blood pressure test, cholesterol and blood sugar finger-prick tests, height, weight and waist circumference screening) is provided per member per year on site at a Wellness day or at a pharmacy clinic, preferably at a Dis-Chem, Clicks or MediRite pharmacy clinic

    Employee Assistance Programme

    Counselling and support services for adults, teenagers and children Trauma and critical incidence counselling services
    Legal assist, credit health and debt management services
    Advice for road accident claims and injury on duty claims Managerial support services
    Telephonic counselling services and on-site trauma and critical incidence support services

    Road Accident Claims

    Advice for road accident claims (via EAP services).

    Workman’s Compensation Claims

    Advice for injury on duty claims (via EAP services).

    Multiply Engage

    Members have access to Multiply Engage for free. By doing the digital health and fitness assessment on the Momentum App, members can know their health immediately and get rewarded from day one. Multiply offers members rewards from a wide range of partners and they get great discounts and HealthReturns on big brands like Makro, Checkers, Dis-Chem, Nu Metro, Garmin and many more

    Additional Value Added Services included in Policy

    More4Me Incentive

    More4Me

    More4Me incentivises members through three rewards: R50 per year for digital engagement and completing a digital health assessment, a scratch card after completing their annual health assessment in person at a Momentum Wellness Day, and up to R80 per month based on their Healthy Heart Score, which they receive when doing an in-person health assessment at either a Momentum wellness day or a Dis-Chem, Clicks or MediRite pharmacy clinic. Members can choose to redeem their rewards as airtime, data, Shoprite and Checkers vouchers or Takealot vouchers

    Digital Engagement Reward

    Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R50

    Monthly Reward

    Based on their Healthy Heart Score, members will receive monthly rewards

    Green: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R80

    Amber: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R50

    Red: Data, airtime, Shoprite and Checkers voucher or Takealot voucher to the value of R25

    Members can save up their rewards and redeem even larger vouchers.

    Bloom MediTax

    MediTax

    Members can qualify for tax rebates for qualifying medical expenses and claim these expenses on their annual tax returns.

    Bloom’s Meditax product includes completing a full breakdown of the taxpayer’s qualifying additional medical expenses to assist customers with claiming these amounts back from SARS in your annual income tax return.

    Also included is the cost of submitting your tax return.

    For this benefit to be available, you will need to be up to date on your monthly fees for the year of assessment.

    A nominal amount will be debited to cover the cost of submitting your return if your paid fees do not cover the full assessment period.

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    Momentum Health4Me is not a medical scheme product, and is not a substitute for medical scheme membership. The information provided on this website does not constitute advice in terms of the Financial Advisory and Intermediary Services Act. Momentum is a division of Momentum Metropolitan Life Limited, an authorised financial services provider (FSP 6406) and a wholly owned subsidiary of Momentum Metropolitan Holdings Limited.

    Bloom Gap Cover is not a medical Scheme. Products that are offered are not the same as that of a medical scheme.

    © Bloom Financial Services 2025. Bloom Financial Services (Pty) Ltd is an authorised financial services provider (FSP 50140). Bloom Gap is underwritten by Infiniti Insurance Limited a licensed non-life insurer and an authorised financial services provider (FSP No.35914)

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