Several attempts have been made to propose a luck egalitarian theory in health. This paper presents one view of such a theory and relates it to the literature on equality of opportunity. The aim of the paper is threefold: i) It presents a distinct view on luck egalitarianism and health, including a specification of what luck egalitarianism means; ii) it defends and differentiates this view against alternative applications of luck egalitarianism in this context and iii) it argues that this distinctive approach has several advantages when compared to the dominant alternatives from outside the luck egalitarian literature.