LA Health members who have been diagnosed with cancer can register on the Oncology Programme, where you will get support and access to reliable information on cancer and what steps to take to manage this disease. We cover all approved cancer-related care within this programme.
We work with you and your doctor to ensure the most clinically appropriate and cost-effective treatment plan. We pay most claims related to treating cancer from the Major Medical Benefit, and only some claims from the day-to-day benefits.
Cancer treatment that falls within the Prescribed Minimum Benefit is always covered in full, with no co-payment.
On LA Comprehensive, LA Core, LA Active and LA Focus all other types of cancer will be covered over a 12-month cycle, in full up to the applicable threshold, where after a 20% co-payment will apply to all further cover, without any overall limits. Refer to your benefit brochure for the applicable thresholds limits
Stem cell transplants (related to cancer treatment) are unlimited on the LA Comprehensive, LA Core, LA Active and LA Focus Options, if performed at the Scheme’s DSP and subject to registration on the Oncology Programme. A limit applies if a DSP is not used.