The molecular (PCR) test for COVID-19 is considered Prescribed Minimum Benefit (PMB) level of care on referral from a healthcare worker who has screened the patient in terms of the National Institute of Communicable Diseases (NICD) criteria. Profmed’s Designated Service Provider Network (DSPN) for screening consultations is General Practitioners (GPs). The Scheme will not cover consultations or screening done by any other healthcare worker. If the necessary NICD criteria are not met, testing will not be funded as it is considered to be “routine” testing, as defined by the Council for Medical Schemes.
This self-assessment will assist you in determining whether you should consult a GP to establish if you should be tested for COVID-19.
This assessment will be used in conjunction with the General Practitioner COVID-19 PCR Screening form from your GP, which must be submitted to the Scheme, to determine whether you qualify for benefits.
