Oncology Risk Management

The Oncology Risk Management Programme is specifically designed to effectively manage cancer patients. The primary function of the Programme is to pre-authorise oncology treatment and to interact with oncologists regarding treatment plans for cancer patients. The ultimate objective is to ensure that patients receive the care they require and to optimise the oncology expenditure according to members' available benefits. The Programme includes member education, the promotion of wellness and pre-authorisation which grants access to medicine and hospital benefits.
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Care coach
The Programme offers direct access to a specialised oncology care coach. The care coach will work closely with the patient, the healthcare provider and the oncologist to ensure co-ordinated care.

Icon Oncology Provider Network
Icon Oncology, formerly the Independent Clinical Oncology Network (ICON), is the Fund's network provider for oncology services.
Fund benefits
Most types of cancer are covered under Prescribed Minimum Benefits (PMBs), this offers complete coverage as long as it complies with legislation. The care coach can advise on these requirements.
For non-PMBs, the care coach can advise on usage of medical benefits.
Cancer treatment
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1download Download the South African Oncology Consortium (SAOC) application formpicture_as_pdf South African Oncology Consortium (SAOC) application form
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2print Print and complete the patient details and medical aid details sections
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3stethoscope Your healthcare provider or oncologist must complete the rest of the form
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4edit_note Once the treatment plan is approved, the oncology care coach will inform your healthcare provider

Oncology Risk Management Programme information leaflet

Anti-neoplastic therapy facilities
Oncology (cancer) educational information
- picture_as_pdf Breast Cancer
- picture_as_pdf Cervical Cancer
- picture_as_pdf Chemotherapy
- picture_as_pdf Chemotherapy Side Effects
- picture_as_pdf Colorectal Cancer
- picture_as_pdf Lung Cancer
- picture_as_pdf Prostate Cancer
- picture_as_pdf Radiotherapy
- picture_as_pdf Radiotherapy Side effects