The Radiology Benefit Explained

The Radiology Benefit is designed to give you access to black & white, single or double sided X-rays for out-of-hospital events. It also includes ultrasound sonar scans during pregnancy.

The benefit is unlimited which means that it can be used as many times during the year as is medically needed. There is no limit on the number of X-rays you can have.

Prenatal (pregnancy) ultrasound scans are limited to one in the first trimester and one in the second trimester (making a total of two).

Other scans like MRI and CT scans are not covered under Day-to-Day benefits. These might be covered under your Hospital Plan benefits if you have included them in your cover.

All you need is a referral from a network doctor or specialist. You can take this referral to any radiology practice for your x-rays. Then, when the radiology practice sends the invoice, it can be submitted directly for claims handling. See the Claims page for more details.

There is a 1 month waiting period before any new member on a policy can claim under this benefit.

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.

The benefit is unlimited but not uncapped. The limits are stated and the various protocols will apply. Most of the basic radiology procedures are fully covered but if the radiologist needs to perform a procedure that is not fully covered then you may have to pay in.

If you are unsure about what is covered then it is best to consult your network doctor about it or speak to us and we can assist.