Benefit
Benefit entitlement
Maximum cover
Private Health Cover and Private Health Plus
Costs for the surgical treatment of cancer are covered under the above Surgery benefit, as listed under Inpatient treatment costs and/or Outpatient treatment support costs. This benefit covers non-surgical cancer treatment costs 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 . Except where stated below to the contrary, the excess applies to any claims under this benefit.
CANCER CARE
Consultations with a registered medical specialist for treatment or procedures relating to the treatment of cancer .
Specialist consultations
Diagnostic imaging and tests and procedures in connection with the detection or treatment of cancer including:
> CT, PET/CT and MRI scans
> Ultrasounds
> X-rays, scintigraphy
> Mammography
Diagnostic imaging and tests
> Colonoscopy
$500,000 per life assured per policy year , subject to maximums for specific treatments or procedures
> 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 registered medical 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 Sovereign criteria . This also includes the cost of materials, hospital accommodation and ancillary hospital charges .
Chemotherapy/immunotherapy
Prior approval must be obtained before the treatment takes place.
Radiotherapy treatment provided by a registered medical specialist in an approved facility including planning, shielding and accessories, field setup and simulation, subject to Sovereign 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
712 PH-UMB version 9 Effective 8 April 2022
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