Healthcare services related to mental health

The exclusion for healthcare services related to mental health does not apply to the following benefits:

• general practitioner services
• nurse services
• prescriptions.

Diagnostic imaging benefit

The exclusion for health screening and maintenance services does not apply to the ‘Diagnostic imaging’ benefit for breast screening ultrasounds when a mammogram alone is unsuitable due to confirmed dense breast tissue. Dense breast tissue must be confirmed by a mammogram or MRI.

Robot-assisted surgery

Robot-assisted ventral hernia repair is removed from the list of exceptions to the robot-assisted surgery exclusion on the following policies:

• Wellbeing One and Two
• KiwiCare and RegularCare
• Wellbeing Starter
• First Cover Plans
• Westpac First Cover plan
• SureCare concessionary.

In-hospital ultrasounds 

This variation provides cover for in-hospital ultrasounds as hospital fees under the surgical procedures benefit, despite these not being included in the definition of hospital fees.