RADIOTHERAPY. Treatment of illnesses by way of radiations for the purpose of stopping the proliferation of malignant cells.

RADIOTHERAPY. External beam radiotherapy was administered to the pelvis using a four-ﬁeld box technique. Patients were treated with 10 MV photons from a linear accelerator to a total dose of 46 Gy in 2 Gy fractions, speciﬁed at the isocentre. A brachytherapy boost was given to the vaginal vault in case of extensive CLS (68% of the patients), using vaginal colpostats, 15 Gy low dose rate or equivalent dose, prescribed at 5 mm from the vaginal mucosa. Survival analysis The follow-up was closed on April 2005 and ranged for the 402 patients from 0 to 223 months. The mean duration of follow-up was 60 months. The mean and median duration of follow-up for the 51 HR patients was 54 and 40 months, respectively; with adjuvant radiotherapy 50 and 38 months and without radiotherapy 59 and 58 months, respectively. The disease free survival (DFS) was deﬁned as the time from RHL to cytologically or histologically proven evidence of recurrent disease or date last seen. Cancer speciﬁc survival (CSS) was deﬁned as the time from date of operation to death by tumour or date last seen. Survival curves were made using the Xxxxxx-Xxxxx method (25). The difference in DFS and CSS by treatment regimen was evaluated using the log-rank test (25;26). The chi-square test was used to calculate the relative risk and a p-value <0.05 was considered as statistically signiﬁcant. Results High-risk patients according to LUMC risk proﬁle Fifty-one (13%) patients met the LUMC criteria for postoperative radiotherapy. The clinical and histo- logical characteristics of the HR patients who were treated with (n=34, 67%; after 1997) and without postoperative radiotherapy (n=17, 33%; before 1997 or protocol violation after 1997) are listed in Table

RADIOTHERAPY. Radiotherapy including when it is used to relieve pain ✓ Yes Proton beam therapy (PBT) A type of radiation therapy which uses protons rather than x-rays to treat cancer. ✓ Yes We will pay PBT for: • malignant solid cancers in members aged 21 and under • central nervous system (brain and spinal cord) cancer • chordomas or chondrosarcomas (types of spine cancer) in the base of the skull or cervical spine (neck bones) which have not spread (metastasised) • high naso-ethmoid, frontal and sphenoid tumours with base of skuill involvement • adenoid cystic carcinoma with perineural invasion • esthesioneuriblastoma • cancer of the iris, ciliary body or choroid parts of the eye (uveal melanoma) which has not spread (metastasised) • conjunctival melanoma • choroidal haemangioma Accelerated charged particle therapies A therapy where charged particles are targeted into the tumor tissue at an increased speed. X No However, there is limited cover for Proton Beam Therapy in the circumstances shown above. Advanced Therapy Medicinal Products (ATMPs), Cellular and Gene Therapy Products (CGTPs) and Regenerative Medicine Advanced Therapy (RMAPs) Advanced Therapy Medicinal Products (ATMPs), Cellular and Gene Therapy Products (CGTPs) and Regenerative Medicine Advanced Therapy (RMAPs) ✓ Yes We cover a small number of approved ATMPs/CGTPs/RMATs. For the current list of ATMPs/CGTPs/RMATs that we cover, please see section 12. Palliative Care to relieve pain or symptoms rather than cure the cancer. ✓ Yes We will provide cover and support throughout your cancer treatment even if it becomes incurable. We cover radiotherapy, chemotherapy and surgery (such as draining fluid or inserting a stent) to relieve pain. End of life care End of life care ✓ Yes We will cover treatment to relieve symptoms during the end stages of life.

RADIOTHERAPY. 2.11 Private room (difference between semi-private and private room)

RADIOTHERAPY. The following is the minimum list of equipment for sites to offer the complete comprehensive clinical training program in radiotherapy medical physics: • Positioning/Immobilization systems (breast, head and neck) • Mould room and workshop equipment • Conventional/fluoroscopic radiotherapy simulation • CT-based 3D treatment planning, including access to a CT scanner • 60Co teletherapy • Linear accelerator (LINAC) with photon and electron beams • Kilovoltage therapy • Brachytherapy low dose rate (LDR) and/or high dose rate (HDR) • Access to systems for absolute and relative dosimetry of all treatment equipment The assumption is that there is a workload of at least 500 new patients per year, 200 of whom will receive brachytherapy. In addition to the CQMPs, there should be sufficient staffing levels of radiation oncologists and radiation therapy technologists to support the service. At least 15% of the patients should receive individualized CT-based 3D treatment planning. From the list of equipment it is clear that there is a significant component of radiology procedures (radiographic, fluoroscopic and tomographic) needed for patient imaging as part of the treatment planning and treatment verification process. Some of the competencies gained during training on the physical and technical aspects of these modalities will meet the requirements for some modules of clinical training in radiology and nuclear medicine medical physics. References to the imaging medical physics competencies are noted in the portfolio where applicable.

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Speech Therapy This plan covers speech therapy services when provided by a qualified licensed provider and part of a formal treatment plan for: • loss of speech or communication function; or • impairment as a result of an acute illness or injury, or an acute exacerbation of a chronic disease. Speech therapy services must relate to: • performing basic functional communication; or • assessing or treating swallowing dysfunction. See Autism Services when speech therapy services are rendered as part of the treatment of autism spectrum disorder. The amount you pay and any benefit limit will be the same whether the services are provided for habilitative or rehabilitative purposes.
Radiation Therapy/Chemotherapy Services This plan covers chemotherapy and radiation services. Respiratory Therapy This plan covers respiratory therapy services. When respiratory services are provided in your home, as part of a home care program, durable medical equipment, supplies, and oxygen are covered as a durable medical equipment service.
Diagnostic procedures to aid the Provider in determining required dental treatment.
Therapies Acupuncture and acupuncturist services, including x-ray and laboratory services. • Biofeedback, biofeedback training, and biofeedback by any other modality for any condition. • Recreational therapy services and programs, including wilderness programs. • Services provided in any covered program that are recreational therapy services, including wilderness programs, educational services, complimentary services, non- medical self-care, self-help programs, or non-clinical services. Examples include, but are not limited to, Tai Chi, yoga, personal training, meditation. • Computer/internet/social media based services and/or programs. • Recreational therapy. • Aqua therapy unless provided by a physical therapist. • Maintenance therapy services unless it is a habilitative service that helps a person keep, learn or improve skills and functioning for daily living. • Aromatherapy. • Hippotherapy. • Massage therapy rendered by a massage therapist. • Therapies, procedures, and services for the purpose of relieving stress. • Physical, occupational, speech, or respiratory therapy provided in your home, unless through a home care program. • Pelvic floor electrical and magnetic stimulation, and pelvic floor exercises. • Educational classes and services for speech impairments that are self-correcting. • Speech therapy services related to food aversion or texture disorders. • Exercise therapy. • Naturopathic, homeopathic, and Christian Science services, regardless of who orders or provides the services. Vision Care Services • Eye exercises and visual training services. • Lenses and/or frames and contact lenses for members aged nineteen (19) and older. • Vision hardware purchased from a non-network provider. • Non-collection vision hardware. • Lenses and/or frames and contact lenses unless specifically listed as a covered healthcare service.
Rhytidectomy Scar revision, regardless of symptoms. • Sclerotherapy for spider veins. • Skin tag removal. • Subcutaneous injection of filling material. • Suction assisted Lipectomy. • Tattooing or tattoo removal except tattooing of the nipple/areola related to a mastectomy. • Treatment of vitiligo. • Standby services of an assistant surgeon or anesthesiologist. • Orthodontic services related to orthognathic surgery. • Cosmetic procedures when performed primarily: o to refine or reshape body structures or dental structures that are not functionally impaired; o to improve appearance or self-esteem; or o for other psychological, psychiatric or emotional reasons. • Drugs, biological products, hospital charges, pathology, radiology fees and charges for surgeons, assistant surgeons, attending physicians and any other incidental services, which are related to cosmetic surgery.
Infusion Therapy the administration of antibiotic, nutrients, or other therapeutic agents by direct infusion. Note: The limitations on Therapy Services contained in this Therapy Services provision do not apply to any Therapy Services that are received under the Home Health Care provision or to therapy services received under the Diagnosis and Treatment of Autism or Other Developmental Disabilities provision. .
Orthotic Appliances Coverage for Orthotic Appliances is limited to custom-made leg, arm, back and neck braces, when related to a surgical procedure or when used in an attempt to avoid surgery, and is necessary to carry out normal activities of daily living excluding sports activities. Coverage includes the initial purchase, fitting or adjustment. Replacements are covered only when Medically Necessary due to a change in bodily configuration. All other Orthotic Appliances are not covered. The determination of whether a covered item will be paid under the DME, orthotics or prosthetics benefits will be based upon its classification as defined by the Centers for Medicare and Medicaid Services.
Vaccination and Inoculation (a) The Employer agrees to take all reasonable precautions, including in-service seminars, to limit the spread of infectious diseases among employees.
Anesthesia Services This plan covers general and local anesthesia services received from an anesthesiologist when the surgical procedure is a covered healthcare service. This plan covers office visits or office consultations with an anesthesiologist when provided prior to a scheduled covered surgical procedure.
Diagnostic Services Procedures ordered by a recognized Provider because of specific symptoms to diagnose a specific condition or disease. Some examples include, but are not limited to:

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