• Posted Date: 28/02/2024

Health Insurance Cover for Prostate Cancer in the UK

Written By: Stuart Hendy LinkedIn Icon Reviewed By: Emma Leadbetter


Prostate cancer is a tough health problem and dealing with its treatments can be overwhelming. This article will help you understand what prostate cancer is, how to prevent it, its symptoms, and how to get a proper diagnosis. We’ll also discuss how health insurance can support you during these difficult times.

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What is Prostate Cancer?

According to Prostate Cancer UK, prostate cancer ranks as the most prevalent cancer in men, with over 52,000 diagnoses yearly, averaging 144 cases daily. Distressingly, the disease claims a life every 45 minutes, resulting in more than 12,000 annual deaths.  The likelihood of developing prostate cancer increases with age, and it is more commonly diagnosed in older men.

Prostate cancer is a type of cancer that forms in the prostate, a small gland in males. The prostate is responsible for producing seminal fluid, which nourishes and transports sperm. Prostate cancer can be common, and while some cases grow slowly and stay within the prostate, causing minimal harm, others can be more aggressive and spread quickly.

Types of Prostate Cancer

Prostate cancer can be classified into several types based on a few factors such as how the cancer cells look under a microscope, how quickly they grow and spread, and other molecular characteristics.

Adenocarcinoma

About 99% of prostate cancer cases are classified as adenocarcinoma. This cancer begins in the gland cells of the prostate, which are responsible for producing prostate fluid. Adenocarcinoma usually grows slowly and may not cause symptoms at first. However, if not detected and treated early, it can become more aggressive and spread to other parts of the body.

Other types of prostate cancer

Apart from the common adenocarcinoma, there are some other types of prostate cancer. These include:

This is a less common and more aggressive type of prostate cancer. It tends to grow and spread more quickly than adenocarcinoma.

Develops in the cells lining the ducts of the prostate gland and can be more aggressive than typical adenocarcinoma.

While more commonly found in the bladder, this type of cancer can occasionally occur in the prostate as well.

These are much less common and include various types of tumours that develop from different types of cells in the prostate.

Prostate cancer growth is categorised by aggressiveness and spread. Types include localised (confined to the prostate), locally advanced, and metastatic which are spread to other areas. Each with aggressive or non-aggressive forms.

Who is at Risk?

Prostate cancer risk is influenced by several factors.

  • Men over the age of 50 are at a higher risk, with the likelihood increasing with age. 
  • Family history plays a significant role, particularly if close relatives have had prostate cancer. 
  • Ethnicity also matters, with African American men facing a higher risk compared to other racial or ethnic groups. 
  • Obesity is another risk factor, as well as certain genetic mutations.
  • While some studies suggest that diet and exposure to certain chemicals may influence risk, the exact impact remains uncertain.

It’s worth noting that prostate cancer is rare in men under 40.

Symptoms

Prostate cancer symptoms can vary and may not always be apparent in the early stages. However, as the cancer progresses, symptoms may include:

  • Urinary changes, such as increased frequency, urgency, or difficulty starting or stopping urination.
  • Weak or interrupted urine flow.
  • Blood in the urine or semen.
  • Erectile dysfunction.
  • Pain or discomfort in the pelvic area, lower back, hips, or upper thighs.
  • Bone pain, especially in the spine, pelvis, or ribs, if the cancer has spread to the bones.

It’s important to note that these symptoms can also be caused by other conditions unrelated to prostate cancer. Therefore, if you experience any of these symptoms, it’s essential to consult a healthcare professional for proper evaluation and diagnosis. Regular prostate cancer screenings, including digital rectal exams and prostate-specific antigen (PSA) blood tests, are recommended for early detection, especially for men at higher risk.

How can prostate cancer be detected early?

prostate cancer detection

As awareness about prostate cancer grows more people are getting checked for it, especially if they have symptoms or a family history. One of the best ways for you to find cancer early before any signs show up, is to get a screening test.

  • PSA blood test: Measures prostate-specific antigen levels.
  • Digital rectal exam (DRE): Checks for abnormalities in the prostate.
  • Screening tests may not always detect cancer accurately.
  • Discuss screening options and risks with a doctor.
  • Factors like age and family history affect risk levels.

Finding cancer early makes treatment easier, so you need to consider getting checked regularly.

How to prevent it?

Cancer prevention involves adopting healthy lifestyle habits and minimising exposure to risk factors. Here are some key ways to reduce your risk:

  • Maintain a healthy weight through a balanced diet and regular exercise.
  • Eat a diet rich in fruits, vegetables, whole grains, and lean proteins, while limiting processed foods, red meat, and sugary drinks.
  • Avoid tobacco in all forms, including smoking and chewing.
  • Limit alcohol consumption.
  • Protect yourself from the sun by wearing sunscreen, seeking shade, and avoiding tanning beds.
  • Get vaccinated against viruses that increase cancer risk, like hepatitis B and human papillomavirus (HPV).
  • Get regular screenings and check-ups for early detection of cancer.
  • Limit exposure to environmental toxins and radiation when possible.
  • Prioritise mental health and manage stress effectively.

Treatments

Prostate cancer treatments vary based on factors like cancer stage and individual health. Common options include:

  • Surgery removes part or all of the prostate gland (prostatectomy).
  • Hormone therapy blocks hormones that fuel cancer growth.
  • Chemotherapy
  • Radiation therapy 
  • Immunotherapy boosts the body’s immune system to fight cancer.
  • Monitoring without immediate treatment for slow-growing cancers.

Cancer treatments can be both costly and prolonged. Fortunately, they’re provided for free by the NHS and if you develop cancer after your health insurance policy begins, your health insurance may cover the expenses.

Treatment with NHS

In the NHS, you have access to various cancer treatments tailored to your needs. Your options may include surgery, radiotherapy, chemotherapy, and immunotherapy. The NHS offers these treatments free of charge, ensuring you receive the best care regardless of financial status. 

While waiting times can vary, NHS strives to provide timely care, prioritising urgent cases. You’ll be seen by skilled specialists who are experts in their field, ensuring you receive the highest standard of care. Rest assured, with NHS, you’re in capable hands, and your health and well-being are the top priority.

Treatments Covered by Your Private Health Insurance

A health insurance plan typically offers comprehensive cover for prostate cancer, ensuring you and your family have access to various treatments, the best hospitals in the UK and support services. With a health insurance plan, you can typically expect coverage for

Benefits

Diagnosis and TestsHealth insurance plans provide quick access to diagnostic tests such as PSA (Prostate-Specific Antigen) tests, biopsies, and imaging scans like MRI or CT scans to accurately detect prostate cancer.
Treatment OptionsHealth insurance plans cover a range of treatment options including surgery, radiation therapy, hormone therapy, and chemotherapy, depending on the stage and severity of the cancer. They may also cover newer treatments such as immunotherapy or targeted therapy if recommended by your specialist and not available through NHS.
MedicationsHealth insurance plans often extend cover to medications prescribed for prostate cancer treatment, including hormone therapies, chemotherapy drugs, and supportive medications to manage side effects. These medications may not be available through NHS.
Specialist ConsultationsHealth insurance plans provide access to experienced oncologists and urologists who specialise in prostate cancer care, ensuring you receive personalised treatment plans tailored to your needs.
Aftercare and SupportHealth insurance plans understand the importance of aftercare in prostate cancer treatment. They typically offer support services such as counselling, rehabilitation, and follow-up appointments to monitor your progress and address any concerns post-treatment.

Make sure to check your health insurance plan to know what’s covered for treating prostate cancer and what’s not. Also, some plans might have extra help like health programs to assist you in handling your condition better. For additional information about comprehensive coverage in your health insurance, please visit our guide on cancer cover.

How can we help?

Let PremierPMI be your guide in finding the right health insurance policy to cover cancer treatments. Our team of experts takes the time to understand your needs and preferences, crafting a personalised solution just for you. We’ll walk you through what your plan covers and what it doesn’t, ensuring you have a clear understanding. Count on us to be by your side, offering support and expertise every step of the way. Your health and well-being are our top priorities, and we’re here to make sure you’re taken care of.

Stuart Hendy

Stuart Hendy, Senior PMI Advisor &Editor

Stuart Hendy is a highly experienced health insurance broker with extensive knowledge of private medical insurance and private treatment. His expertise is frequently sought by industry professionals and his insights have been featured in leading financial publications. Stuart is committed to providing his clients with the best possible healthcare solutions and empowering them to make informed decisions.

FAQ

Yes, you can typically still obtain health insurance even if you have symptoms of prostate cancer. However, as you mentioned, certain aspects related to prostate cancer, such as tests, diagnostics, and treatments, may be excluded from coverage due to it being considered a pre-existing condition.

In general, most insurance providers will exclude coverage for prostate cancer for a period ranging from 2 to 5 years after your cancer has been cleared, and no follow-up appointments with your consultant are required.

Yes, during the exclusion period for prostate cancer, if you develop a new, unrelated cancer, it would typically be covered by your health insurance policy according to its terms. The exclusion typically applies specifically to the pre-existing condition (prostate cancer) and related treatments, diagnostics, and follow-up care. Any new, unrelated medical conditions or illnesses would be eligible for coverage under your policy, subject to its terms and conditions.

You won’t find standalone “cancer cover” policies in the UK, but regular health insurance usually covers comprehensive cancer treatments. If you need help during tough times, you can also check out life insurance, critical illness cover, or income protection for financial support.


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