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A shock to the system

Max Robinson, a 58-year-old engineer from Melbourne, has travelled around the world most of his working life. In 2008 he accepted a temporary role in Singapore with a new software company. And when he found out that Bupa cover was included as part of the benefits package, he was particularly pleased. Unfortunately, he was forced to use the cover sooner than anticipated – 10 months later he was diagnosed with cancer of the rectum.

man looking out the window
It became clear that Max needed surgery and radiotherapy to treat the cancer. He contacted Bupa who immediately appointed a case manager to oversee his treatment. From that moment on everything was preauthorised directly with the hospital and all the bills were paid without Max even seeing an invoice. He started to make a good recovery and before long, went back to work. A year later, in May 2010, he moved to London to take on a new challenge.

 

A medical dilemma

When he arrived in the UK, Bupa helped Max find a specialist consultant and private clinic where he could continue his follow-up cancer treatment. And for a year or so he made good progress. But in August 2011 the cancer came back – this time in his liver. It was a huge setback, but his consultant advised that there were treatment options available. He said that thanks to recent developments in colorectal cancer treatment, it was possible to perform surgery to remove the affected section of the liver.

Max was very aware that this could improve his outcome, but was understandably nervous, so he contacted Bupa to explain his dilemma. The adviser confirmed that the treatment was fully covered. He was also sympathetic to Max’s concerns.  The adviser suggested that Bupa International’s expert second opinion service, provided by Advanced Medical, might put his mind at rest. There was no additional cost, so it made perfect sense.

Within five days Max had received detailed medical reports from two different specialist consultants. They answered his questions about the proposed procedure and allayed his fears. He decided to go ahead with the surgery and has been making a steady recovery ever since.

In 2012 Bupa paid a total of AUD$ 89,979 for Max’s treatment, Max’s Company premium was AUD$ 6,971 for the year.

Whilst the case study is fictional, the price and situation detailed reflects events experienced by members.

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