Benefits for cancer-related treatment on our Oncology Programme

All registered members on the Oncology Programme have access to chemotherapy, medicine and materials, in and out of hospital radiation treatment and PET scans.

Benefits of our Oncology Programme

1. You have full cover for approved cancer-related treatment, in- and out-of-hospital.
2. You have cover for pathology, radiology, medicine and other cancer-related treatment from other healthcare professionals.
3. You have access to donor searches for bone marrow transplants.
4. We always cover any cancer-related treatment that falls within the Prescribed Minimum Benefits in full, with no co-payment if you use healthcare professionals with whom we have an agreement.
5. There is no overall limit applicable to the benefit, but all claims for Oncology treatment are subject to a threshold of R220,000 per beneficiary per year.
   
   You can still get authorised treatment after you have reached the threshold.
   • If the treatment you get is part of the Prescribed Minimum Benefits (PMBs) , we will continue to pay at 100% of the Fund Rate after the threshold is reached. Note that you must use the Fund's designated service providers where applicable.
   • If you've reached the threshold and the oncology treatment you get is not part of the Prescribed Minimum Benefits, we will continue to pay the claims, but at 80% of the Fund Rate.

What you need to do before your treatment

If you are diagnosed with cancer, you need to register on the Oncology Programme. To register, you or your treating doctor must send us a copy of your results that confirm your diagnosis

• Call 0800 00 16 15
• Email oncology@engenmed.co.za
• Fax 011 539 5417

Read more about our Oncology Programme .