| Wellpoint Health Services Inc. |
Health Blueprint Gold |
Health Blueprint Platinum |
WellCare |
WellCare Elite |
| Rate |
$ 1,600.00 |
$ 2,050.00 |
$ 2,750.00 |
$ 7,600.00 |
| Additional Charge for Spouse |
$ 1,600.00 |
$ 2,050.00 |
$ 2,750.00 |
$ 7,600.00 |
| Complete history & medical examination |
X |
X |
X |
X |
| Gynecological examination + PAP smear test |
X |
X |
X |
X |
| Evaluation of risk factors associated with breast, colon, gynecological
| X |
X |
X |
X |
| Quality of life counseling: pre-menopausal, menstrual syndrome, fertility, osteoporosis, etc. |
X |
X |
X |
X |
| Hematology |
X |
X |
X |
X |
| PSA |
X |
X |
X |
X |
| Biochemistry profile/Lab Blood Tests |
X |
X |
X |
X |
| TSH – Ultra Sensitive |
X |
X |
X |
X |
| Ferritin (if medically required) |
X |
X |
X |
X |
| Spirometry (pulmonary function test) |
X |
X |
X |
X |
| Screening for fecal occult blood (colon cancer)(>50 yrs) |
X |
X |
X |
X |
| Resting electrocardiogram |
X |
X |
X |
X |
| Stress electrocardiogram |
X |
X |
X |
X |
| Abdominal ultrasound(if medically required - offsite) |
X |
X |
X |
X |
| 2-Dimensional ultrasound of the heart |
X |
X |
X |
X |
| Ultrasound of Neck |
X |
X |
X |
X |
| Carotid Intima Media Thickness (measurement of plaque on inside of arteries of neck) |
X |
X |
X |
X |
| Pelvic & Trans-vaginal ultrasound (if medically required- offsite) |
X |
X |
X |
X |
| Measure of stress level and recommendations for psychological well-being |
X |
X |
X |
X |
| Basic Immunization: (Polio, MMR, Tetanus) *(if medically required) |
X |
X |
X |
X |
| Sleep Apnea Screening |
X |
X |
X |
X |
| Feedback Report |
X |
X |
X |
X |
| Nutritional assessment |
|
X |
X |
X |
| Fitness evaluation |
|
X |
X |
X |
| Colonoscopy (> 50 yrs. or if medically required– offsite) |
|
X |
X |
X |
| Mammography med (if medically required– offsite) |
|
X |
X |
X |
| Bone Densitometry med (if medically required- offsite) |
|
X |
X |
X |
| Chest x-ray (if medically required- offsite) |
|
X |
X |
X |
| Flu Shot (upon request) |
|
X |
X |
X |
| Massage * |
|
X |
X |
X |
| Executive Coaching * |
|
X |
X |
X |
| Personal Training (in-house) * |
|
X |
X |
X |
| Follow-up for blood lipids / Cardiac risk factors *(if medically required) |
|
|
X |
X |
| Co-ordination and Case Management of your family's acute illness |
|
|
X |
X |
| Physician Phone Consultation 24/7 across Canada |
|
|
X |
X |
| Rapid Access Second Opinion - Review of your case by top specialists at leading North American Hospitals including, Duke University, Massachusetts General Hospital, Brigham and Women’s Hospital, UCLA and Harvard Medical Centre |
|
|
X |
X |
| Pharmacology Review |
|
|
|
X |
| Physician-led team provides monitoring of health issues identified in the WellCare Blueprint |
|
|
|
X |
| Annual health strategy, goals, milestones and guidelines |
|
|
|
X |
| Build on your WellCare Blueprint to provide a program of better health and wellness tailored to your own medical situations and family lifestyle |
|
|
|
X |
| Ten 30 minute sessions with your choice of professionals from the Wellpoint Clinical Team |
|
|
|
X |
| *additional fees may apply |