Oncology Management Programme

Members diagnosed with cancer can benefit from our oncology programme, which offers support and reliable information on managing this disease. On this program, we cover all approved cancer-related care, working closely with you and your healthcare provider to ensure a clinically appropriate and cost-effective treatment plan.

Registering for the Oncology Programme

If you have been diagnosed, it's crucial to register on the programme. You or your treating provider must send us a copy of your test results confirming your diagnosis to oncology@medipos.co.za or call us on 0860 100 078 for more information.

Before starting your treatment, your cancer specialist must submit your treatment plan for approval. We will only fund your cancer treatment if the treatment plan has been approved through the Oncology Management Programme. Click here to view our oncology benefit guide.

How we cover oncology

Once you are registered on the oncology programme, and depending on your benefit option, the Scheme will cover your approved treatment up to the following amounts according to your chosen benefit option:

Option A	Option B	Option C
Limited to R499 500 per beneficiary per year for PMB treatment and non-PMB treatment. Thereafter unlimited for PMB treatment.	Limited to R299 700 per beneficiary per year for PMB treatment and non-PMB treatment. Thereafter unlimited for PMB treatment.	Subject to PMB treatment only.

ICON Designated Service Provider (DSP)

You have full cover from the oncology benefit for approved chemotherapy, radiotherapy and other treatment prescribed by your specialist, if they are on the ICON Network. If you use a specialist who is not on the ICON Network, the Scheme will only pay 75% of the Medical Scheme Rate and you would need to pay the balance.