We pay for cancer treatment from our Oncology Benefit

It's challenging to hear you or a loved one has been diagnosed with cancer. Support is an essential part of living with cancer. Our Oncology Programme is easy to use and gives members and their families peace of mind that you have cover for cancer treatment.

How the Oncology Benefit works

The Oncology Benefit gives members cover for approved cancer treatment. All registered members on the Oncology Programme have access to chemotherapy, medicine and materials, in-hospital and out-of-hospital radiation treatment and PET scans.

Your cancer treatment cover

Remedi offers three benefit options to choose from: the Comprehensive, Classic and Standard benefit options. Your cover will depend on the benefit option you are registered on. On the Comprehensive and Classic benefit options, your cover is structured per person and a family limit applies. This means that if more than one person in your family is diagnosed with cancer, you will have access to adequate cover for your cancer treatment.

You will be liable for co-payments of up to 20% if you are registered on the Comprehensive or Classic benefit options and have reached your individual per person oncology limits. For health professionals who do not have a payment arrangement with the Scheme, your co-payment could be more than 20% if your treatment cost is higher than the Remedi Rate. Health professionals who have a payment arrangement with the Scheme will be funded at 80% of the agreed rate of all further treatment and you will need to pay the balance from your own pocket.

Your individual per person limit is a rolling limit from the date of diagnosis to the following year. This is to allow you sufficient funds to get treatment for each member in the family during their yearly treatment period from date of diagnosis.

Radiology and pathology approved for your cancer treatment are also covered from the Oncology Benefit. Cancer treatment that falls within the Prescribed Minimum Benefits is always covered in full, with no co- payment if you use service providers who have agreements with us. Members who are registered on the Standard benefit option are therefore assured of sufficient cover for Prescribed Minimum Benefit cancer treatment. This applies provided that the member gets their treatment from health professionals and facilities that are the Scheme's designated service providers or within the network arrangements of this benefit option.

Registering on the Oncology Programme

If you or a dependant is diagnosed with cancer, contact our care team by phoning 0860 116 116 to register you or your dependants on the Oncology Programme. You can also email DCO_oncology@discovery.co.za. For more information about the Oncology Programme and the benefit limits available to you on each of the available Remedi Options, access our benefit guide here.