Benefit
Benefit entitlement
Maximum cover
Covers the cost up to the maximum cover for this benefit of the following treatments, procedures, consultations, tests, diagnostic imaging, support and care once a diagnosis of cancer has been made by a specialist .
CANCER TREATMENT
Consultations with a specialist for treatment or procedures relating to the treatment of cancer .
Specialist consultations
Diagnostic imaging and tests and procedures in connection with the treatment of cancer including: CT, PET/CT and MRI scans Ultrasounds X-rays, scintigraphy Mammography Colonoscopy Laboratory tests Tumour genetic testing Gastrointestinal endoscopy Cystoscopy Hysteroscopy Diagnostic laparoscopy Chemotherapy and immunotherapy treatment including targeted therapy, oral, intravenous infusion, instilled, and intraoperative chemotherapy provided by or under the direction of a specialist , whether administered in an approved facility or at home. This covers the cost of Pharmac and non-Pharmac subsidised MedSafe indicated cancer chemotherapy and immunotherapy drugs, subject to AIA criteria . This also includes the cost of materials, hospital accommodation and ancillary hospital charges .
Diagnostic imaging and tests
$500,000 per life assured per policy year , subject to maximums for specific treatments or procedures
Chemotherapy/immunotherapy
Prior approval must be obtained before the treatment takes place.
Radiotherapy treatment provided by a specialist in an approved facility including planning, shielding and accessories, field setup and simulation, subject to AIA criteria.
Radiotherapy
Prior approval must be obtained before the treatment takes place.
Implantation of radioactive seeds for the treatment of malignancies of the prostate.
Prostate brachytherapy
1304 ACC – UMB version 4 Effective 08 March 2024
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