New service embedded in Sun Life stop-loss coverage boosts employees’ understanding of cancer diagnoses and confidence in treatment plans
Sun Life U.S., the leading independent provider of medical stop-loss insurance in the country, announced the launch of its Expert Cancer Review service, which provides members facing a cancer diagnosis with access to an objective, documented second opinion from an independent oncology specialist. The new service will be embedded in new and renewing Sun Life stop-loss plans beginning July 1.
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The introduction of Expert Cancer Review comes at a crucial time in healthcare. Sun Life’s annual high-cost claims report shows that cancer consistently ranks as the most common and costly condition across the country. Malignant neoplasm diagnoses, particularly in adults ages 40-59, account for more than 40% of total claims spend. Ensuring the best treatment plan is in place can provide peace of mind and prevent delays in treatment or unnecessary medical costs for the member undergoing care.
“As a former nurse, I recognize the profound impact a cancer diagnosis can have on people. By offering access to expert second opinions, we will be able to empower our members with knowledge and give them confidence in their cancer treatment plans,” said Jennifer Collier, president, Health and Risk Solutions, Sun Life U.S. “This new service reflects our commitment to helping members get the care they need, ensuring they are supported and well informed during a challenging time.”
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Second opinions, whether for cancer or other diagnoses, can have significant impact on the patient’s health journey. Sun Life data from 2023-2024 showed that 39% of members who sought second opinions from qualified specialists saw a change in their diagnostic strategy, diagnosis or treatment plan.
Collier continued, “Second opinions can be a game changer, potentially avoiding misdiagnoses, sparing people from unnecessary treatments, uncovering better-tailored therapies and even reducing medical costs.”
Expert Cancer Review harnesses the clinical expertise of Health Navigator, Sun Life’s healthcare navigation and advocacy service. Health Navigator provides support for all health conditions with one-on-one care advisors who help members get the right diagnoses, doctors and treatments. For members using Expert Cancer Review, this dedicated team coordinates with independent expert oncologists to ensure thorough reviews and answer questions. The resulting opinions, written in plain language, are sent to the member and treating physician.
As a stop-loss provider, Sun Life covers high-dollar claims for employers who self-fund their employee health plans. According to KFF, an independent non-profit organization focused on national health issues, 63% of covered workers in the U.S. are in a plan that is self-funded.
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Source – PR Newswire
