Endoscopies
What are endoscopies?
Endoscopies – also called scopes – are used to investigate certain medical and surgical conditions such as gastric ulcers, reflux and infections. When we refer to endoscopies and how we cover them, we only refer to four diagnostic endoscopies which include gastroscopy, colonoscopy, sigmoidoscopy and proctoscopy. These are all used to investigate the digestive system. Scopes may also be used to investigate other body systems. All such endoscopies fall outside of this benefit.
Cover for gastroscopy, colonoscopy, sigmoidoscopy and proctoscopy.
Please note
- Please call us to confirm your benefits at least 48 hours before having this procedure.
- Where the scope is performed in your doctor’s rooms we refer to this as “out-of-hospital”
- Where the scope is performed in a hospital, payment for this healthcare service is based on your Plan benefits
In-hospital
In-hospital with authorisation
Hospital and related accounts paid from the Hospital Benefit
In-hospital without authorisation
Scope codes and all other related accounts will be paid from your available day-to-day benefits, depending on available funds.
Out-of-hospital
In doctor's rooms with authorisation
Scope codes and all related accounts will be paid from overall annual limit.