Medical scheme believes its solution is a transparent and balanced approach to high-cost medicines
Cancer is one of the greatest challenges facing the world today. Its incidence is increasing rapidly, for reasons that are not fully understood but which appear to be linked to lifestyle.
The combination of the increasing incidence of cancer and the rapidly rising costs of its treatment poses a serious challenge for health funders worldwide, including government and private health insurers such as South African medical schemes. These funders are seeking ways to ensure that patients can access these medicines, while at the same time ensuring that the resulting costs do not undermine the long-term sustainability of the system.
This solution provides an excellent baseline level of cover across all plans, well in excess of the minimum level prescribed by the regulations. In addition, the scheme is the only one in the country to offer an innovation cancer benefit on its executive and comprehensive plans. This provides funding for a defined list of high-cost cancer medicines.
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