If you’re diagnosed with cancer and once we have approved your cancer treatment, you are covered by the Oncology Programme. We do not limit your cancer treatment costs. We cover the first part of your approved cancer treatment over a 12-month period.
We cover the first R200 000 from your available funds from the Oncology benefit up to 100% of the Fund rate. If your treatment costs more than the cover amount, you will need to pay 20% of the additional costs. Cancer treatment that is a Prescribed Minimum Benefit (PMB), is always covered in full if you use service providers who we have an agreement with. All cancer-related health care services are covered up to 100% of the Fund rate. You might have a co-payment if your healthcare professional charges above this rate.