Maxicare

Covered Laboratory and Diagnostic Procedures for Prima cardholders

Ultrasound procedures with preparation:

  1. Whole Abdomen – 8-10hrs fasting, full bladder
  2. Upper Abdomen – 8-10 hrs fasting
  3. Hepatobiliary tree – 6-8 fasting
  4. Hepatobiliary tree, pancreas (HBT-P) – fasting 6-8 hrs
  5. Lower Abdomen – full bladder
  6. Kidneys, Ureters, Bladder (KUB) – full bladder

Ultrasound procedures without preparation:

  1. Thyroid
  2. Liver
  3. Kidneys
  4. Breasts
  5. Appendix
  6. Prostate
  7. Uterus

Special Ultrasound procedures:

  1. Neck
  2. Inguinal/Scrotal
  3. Prostate (Transrectal)
  4. Soft Tissue/Mass
  5. Chest (fluid)
  6. Shoulder (mass)

OB-Sonology Related Ultrasound procedures: 

  1. Transvaginal
  2. Biophysical Scoring
  3. Pelvic
  4. Transrectal
  5. Congenital Anomaly Scan

X-ray procedures available:

  1. Skull
  2. Paranasal sinuses
  3. Mandible
  4. Cervical spine
  5. Thoracic spine
  6. Lumbar spine
  7. Sacrum
  8. Coccyx
  9. Chest
  10. Shoulder
  11. Scapula
  12. Clavicle
  13. Humerus/ upper arm
  14. Elbow
  15. Forearm (Radius & Ulna)
  16. Wrist
  17. Hand
  18. Fingers
  19. Abdomen
  20. Pelvis
  21. Hip joint
  22. Thigh (Femur/upper leg)
  23. Knee joint
  24. Tibia & fibula/lower leg
  25. Ankle
  26. Foot
  27. Skeletal Survey

Others:

  1. 2D Echo
  2. Treadmill Stress Test
  3. ECG
  4. Holter monitoring
  5. Ambulatory BP Monitoring

Laboratory Tests:

  1. ABO and Rh (Blood Typing with RH)
  2. Abscess C/S
  3. ACTH
  4. AFB stain / AFB sputum smear, Direct Sputum Smear Microscopy (DSSM)
  5. AFP / AFP (Liver CA)
  6. Albumin
  7. Alkaline Phosphatase (ALP)
  8. Alpha -1 Antitrypsin (A1AT)
  9. ALT (SGPT)
  10. Amylase
  11. ANA (IF)
  12. ANA (Qualitative)
  13. ANA (Quantitative) / ANA (w/ Dilution)
  14. Anti – TPO
  15. Anti CCP (CYCLIC CITRULLINE PEPTIDE)
  16. Anti streptolyssin O Titer / ASO (w/ Dilution)
  17. Anti-Mullerian Hormone
  18. Anti-Thyroglobulin
  19. Apoliprotein A
  20. Apoliprotein B
  21. AST (SGOT)
  22. B-HCG (H MOLE)
  23. Bicarbonate (CO2) / Carbon Dioxide (CO2)
  24. Bilirubin – Direct
  25. Bilirubin – Group / Bilirubin (B1B2)
  26. Bilirubin – Total
  27. Blood C/S w/ ARD
  28. Blood Culture (C/S Blood)
  29. BNP
  30. Body Fluid Culture (C/S Body Fluids)
  31. CA 125 (Ovarian CA) w/ Dilution
  32. CA 15-3 (Breast CA) w/ Dilution
  33. CA 72-4
  34. CA19-9 (Pancreatic CA) w/ Dilution
  35. Calcium / Total Calcium (TCa)
  36. CD4 Count
  37. CEA (Colorectal CA)
  38. Chloride / Cl
  39. Cholesterol
  40. CK / CPK
  41. CKMB / CPK MB
  42. CMV IgG
  43. CMV IgM
  44. COMPLEMENT 3 (C3)
  45. COMPLEMENT 4 (C4)
  46. Complete Blood Count / CBC
  47. Copper Level
  48. Cortisol
  49. C-Peptide
  50. Creatinine (with EGFR)
  51. CRP (high sensitive)
  52. Cyfra 21-1
  53. Cystatin C
  54. D-Dimer
  55. Dengue Ab (IgG/IgM) / Dengue Test IgM/IgG
  56. Dengue NS1 Ag / Dengue NS1 (Quali)
  57. DHEAS
  58. ESR
  59. Estradiol / Estrogen
  60. Fecalysis / Routine Fecalysis
  61. Ferritin
  62. Fluid Cytology / Histopath / Cytology a. Small (<5cm)
  63. FNAB (pap smear) / FNAB (1-4 Slides)
  64. Folate / Folic Acid
  65. Free Beta HCG
  66. FSH
  67. FT3 / FT3 (ECLA) / FT3 (CMIA)
  68. FT4 / FT4 (ECLA) / FT4 (CMIA)
  69. Fungal Culture
  70. GGT / GGTP
  71. Glucose / FBS
  72. Gram Stain
  73. H. Pylori Ag (stool) / H. Pylori Stool Antigen
  74. H. Pylori Gastric Bx / Gastric Biopsy for H. Pylori
  75. H. PyloriAb (Qualitative) / H. Pylori (Quali)
  76. HbA1c (with eAG) / HBA1-C
  77. HCG (Qualitative) / Pregnancy Test Serum (Blood Test)
  78. HCG (Quantitative) / B-HCG (H Mole)
  79. HDL Cholesterol / Cholesterol HDL 2 and HDL 3
  80. HE4 / HE-4 (Ovarian CA)
  81. Hepatitis A IgG / Anti-HAV IgG
  82. Hepatitis A IgM / Anti-HAV IgM
  83. Hepatitis B Core IgM / Anti-HBC IgG
  84. Hepatitis B Core IgM (Total) / Anti-HBC (Total)
  85. Hepatitis B Envelope Ab / Anti-HBE
  86. Hepatitis B Envelope Ag / HBeAg
  87. Hepatitis B Surface Ab / Anti-HBs
  88. Hepatitis B Surface Ag / HBsAg w/ Titer
  89. Hepatitis C Ab / Anti-HCV
  90. Histology extralarge / Histopath / Cytology d. Extra Large (16.1cm and above)
  91. Histology large / Histopath / Cytology c. Large (7.1cm to 16.0cm)
  92. Histology medium / Histopath / Cytology b. Medium (5cm-7cm)
  93. Histology small / Histopath / Cytology a. Small (<5cm)
  94. HIV Ag/Ab 1&2 / HIV (1 & 2) (Quali)
  95. Homocysteine
  96. hsCRP / High Sensitive CRP
  97. hsTroponin / Troponin I (Quali)
  98. HSV 1 IgG
  99. HSV 2 IgG
  100. IFOBT (FIT) / IFOBT
  101. IgA
  102. IgE / TOTAL IgE
  103. IgM
  104. India Ink (Cryptococcus)
  105. Insulin / Insulin (ECLA)
  106. Intact PTH / Parathyroid Hormone (PTH)
  107. Ionized Calcium
  108. Iron (Fe)
  109. KOH Mount
  110. LDH
  111. LDL Cholesterol / HDL, LDL-VLDL
  112. LH
  113. Lipase
  114. Lipid Studies / Lipid Profile
  115. Lipoprotein a-Lp(a)
  116. Magnesium
  117. Micral Test
  118. Non-Fasting Lipid Profile
  119. Non-HDL Cholesterol
  120. OGCT / OGCT (Flavored) 50 GMS
  121. OGTT (3 point) / OGTT 3 Hrs (Hexokinase)
  122. Pap smear (Collection/Conventional)
  123. Peripheral Blood Smear
  124. Phosphorus / Inorganic Phosphorus
  125. Potassium (K)
  126. Pro BNP
  127. Procalcitonin
  128. Progesterone
  129. Prolactin
  130. PSA – Free / part of PSA Profile
  131. PSA – Total / PSA (w/ Dilution)
  132. PT (INR) / Prothrombin Time
  133. PTT (APTT)
  134. Reticulocyte Count
  135. Rheumatoid Factor / RA/RF (w/ Dilution)
  136. RPR (Qualitative) / VDRL
  137. RPR (Quantitative) / VDRL / RPR (w/ Dilution)
  138. Rubella IgG
  139. Rubella IgM
  140. SCC Ag
  141. Serum Osmolality
  142. SHBG / Sex Hormone Binding Globulin (SHBG)
  143. Sodium (Na)
  144. Sputum Culture / Culture & Sensitivity c. Sputum
  145. Stool Conc. Technique / Amoeba Conc. Technique
  146. Swab Culture (Genital) / Culture & Sensitivity d. Genital
  147. Swab Culture (Tissue) / Culture & Sensitivity e. Tissue
  148. Swab Culture (Vaginal) / Culture & Sensitivity g. Vaginal
  149. Swab Culture ( Eye) / Culture & Sensitivity b. Nasal, Ear, Eye
  150. Swab Culture (Ear) / Culture & Sensitivity b. Nasal, Ear, Eye
  151. Swab Culture (Nasal) / Culture & Sensitivity b. Nasal, Ear, Eye
  152. Syphilis Ab / VDRL (Qualitative)
  153. T3 / T3 (ECLA)/ T3 (CMIA)
  154. T4 / T4 (ECLA)/ T4 (CMIA)
  155. Testosterone (Free & Total)
  156. Testosterone (Total)
  157. Thyroglobulin
  158. TIBC (UIBC + Iron) / TIBC+IRON
  159. Total Protein
  160. Toxoplasma IgG
  161. Toxoplasma IgM
  162. TPA/G / Total Protein A/G Ratio
  163. TPHA (Quantitative) / TP-PA (w/ Dilution)
  164. Transferrin
  165. Triglycerides
  166. TSH / TSH
  167. T-Uptake / T3 Uptake
  168. Typhidot (Salmonella)
  169. Urea / BUN
  170. Uric Acid / BUA
  171. Urinalysis / MUR
  172. Urine albumin/creatinine ratio / Microalbumin Creatinine Ratio
  173. Urine Amylase
  174. Urine Calcium
  175. Urine Chloride (Cl)
  176. Urine Creatinine / Creatinine
  177. Urine Creatinine Clearance / Creatinine Clearance
  178. Urine Culture / Culture & Sensitivity a. URINE
  179. Urine Cytology
  180. Urine Glucose / Glucose
  181. Urine hCG (strip) / Stat Pack (Monoclonal)
  182. Urine Magnesium / Magnesium (Mg)
  183. Urine Micral Test / Micral Test
  184. Urine Microalbumin
  185. Urine Osmolality / 24 Hour Urine Osmolality
  186. Urine Phosphorus
  187. Urine Potassium (K)
  188. Urine Protein
  189. Urine Sodium (Na)
  190. Urine Uric Acid
  191. Vitamin B12 / Vitamin B12
  192. Vitamin D / Vitamin D25 Hydroxy Calceferol
  193. Widal Test
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