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Chronic condition example 1

Breast cancer

Carole develops a lump in her left breast which is diagnosed as breast cancer. Her specialist recommends that she has a mastectomy (breast removal) followed by a course of chemotherapy and radiotherapy.

We pay for the cost of the consultations and diagnostic tests to establish the diagnosis. We then pay for the mastectomy and the course of chemotherapy and radiotherapy in full, together with a post-operative check-up to make sure the treatment has been successful.

Once Caroles' course of treatment has been completed, her specialist recommends that she has regular check-ups to ensure she remains free from a recurrence of the disease.

We cover the cost of the check-ups for five years following the initial treatment. If there have been no further symptoms after this time, we will then withdraw cover after ensuring Carole has had the opportunity to make alternative arrangements to see her specialist. However, should another breast lump appear then cover would immediately be reinstated again.

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