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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