Cancer B70300
What is the annual benefit amount for an approved cancer screening?
$100 per calendar year per covered person.
What is the benefit paid for Initial Accident Treatment?
$250 once per covered accident.
What is the First-Occurrence Benefit for a covered adult?
$25,000 once per lifetime.
STD benefits apply to disabilities caused by what two qualifying categories?
Covered Sickness or Off-the-Job Injury.
What is the Tier One payout amount?
$12,500 for any Tier One illness.
What is the Initial Cancer Diagnosis Benefit for the named insured or spouse?
$7,500 once per lifetime.
What is the ground ambulance benefit?
$400 per trip, limited to two trips per accident.
What is the benefit paid for subsequent specified health events?
$12,500 per occurrence.
What pregnancy conditions qualify for payment?
Pregnancy and childbirth are payable as sickness; complications payable even if pregnancy began before coverage.
Name three Tier One covered events.
Examples include Heart Attack, Stroke, ALS, Alzheimer’s, MS, Paralysis (any listed).
What monthly benefit is paid for physician-administered chemotherapy or radiation therapy?
$2,000 per calendar month.
What is the Year 1 Hospital Admission Benefit?
$1,500.
What is the daily hospital confinement benefit?
$300 per day.
What is the maximum disability duration following childbirth?
6 weeks non-cesarean
8 weeks cesarean, minus the elimination period.
What is paid for a Subsequent Tier One occurrence?
$6,250 — once the 180-day separation is met.
How many chemo benefits can be paid per month under the policy?
One self-administered and one physician-administered treatment per calendar month.
What is the maximum Daily ICU confinement benefit beginning in Year 5+?
$1,000 per day.
What is the Tier One Specified Heart Surgery Benefit value?
$4,000 per lifetime for covered surgeries like heart valve repair.
What qualifies for Partial Disability benefits?
Inability to perform job duties while earning less than 80% of pre-disability income.
What illnesses are categorized as Tier Two events?
Conditions like Lyme Disease, Sickle Cell Anemia, Lupus, Cystic Fibrosis, Cerebral Palsy, etc.
What is the per-day hospitalization benefit after the first 30 days for a covered adult?
$600 per day starting Day 31+.
What is the double-dismemberment benefit?
$50,000 once per covered accident.
How much does the ICU benefit pay Days 8–15?
$1,300 per day.
How long must disabilities from the same cause be separated to begin a new claim period?
180 days.
What is the maximum ICU benefit for Tier Three illnesses per 180 days?
$5,000.