MRI and CT Scans
Who may refer you for a MRI or CT scan
Please Note: All MRI and CT scans must be referred by a specialist
We will only approve scans that have been referred by an appropriate specialist. We will fund MRI or CT scans appropriately referred by a GP during an emergency hospital admission from the Hospital Benefit, subject to benefit confirmation.
How we pay MRI and CT scans needed before planned surgery
If an MRI or CT scan is done as part of a pre-operative work-up for a planned surgical procedure, in other words the scan could have been performed before the admission. We will pay the MRI or CT scan as an out-of-hospital scan.
How we pay MRI and CT scans needed for conservative back and neck treatment
If a MRI or CT scan is needed during an approved admission for a chronic back or neck condition, we will pay the MRI or CT scan as an out-of-hospital scan.
In-hospital
We pay approved MRI and CT scans performed during an approved hospital admission from the Hospital Benefit as long as the scan is related to the reason for the admission.
Out-of-hospital
We pay the account from the Insured Procedures Benefit, up to an annual limit per family per year.