CRITICAL ILLNESS COVERAGE DETAILS
Pre-existing
conditions are covered after 12 consecutive months of coverage. The
critical illness benefit is not HIPAA eligible.
The policy has 10 critical illnesses that are covered.
Critical
Illness Diagnosis
If an insured person is diagnosed with a critical illness, listed below,
by a physician, the Company will pay a benefit subject to the Benefit
Payment Conditions and Schedule of Benefits of the plan selected. Once
a 100% of the maximum benefit amount has been paid for an insured person,
coverage terminates and no further benefits are payable to that insured
person.
Life Threatening Cancer
Pays benefits if an insured person is first diagnosed with life threatening
cancer, more than 90 after the person's effective date of coverage.
(The benefit is 10% payment after 30 days and before 90 days.)
Heart Attack
Pays benefits if an insured person is first diagnosed as having suffered
a heart attack more than 30 days after the person's effective date
of coverage.
Kidney (Renal) Failure
Pays benefits if an insured person is first diagnosed with having suffered
kidney (renal) failure more than 30 days after the person's effective
date of coverage.
Stroke
Pays benefits if an insured person is first diagnosed with having suffered
a stroke more than 30 days after the person's effective date of coverage.
Coma
Pays benefits if an insured person is first diagnosed as being comatose
more than 30 days after the person's effective date of coverage.
Coronary Artery Bypass Graft
Pays 25% of the benefit amount if an insured person is first diagnosed
with a condition that necessitates a Coronary Artery Bypass Graft and
receives the Coronary Artery Bypass Graft more than 30 days after the
person's effective date of coverage. This benefit is paid once per
lifetime.
Loss of Sight, Speech or Hearing
Loss of Sight, Speech or Hearing Pays benefits if an insured person is
first diagnosed with loss of Sight, speech or Hearing more than 30
days after the person's effective date of coverage.
Major Organ Transplant
Pays benefits if an insured person is first diagnosed with a condition
that necessitates a Major Organ Transplant and receives that Major
Organ Transplant more than 30 days after the person's effective date
of coverage.
Paralysis
Pays benefits if an insured person is first diagnosed as being paralyzed
more than 30 days after the person's effective date of coverage.
Severe Burns
Pays benefits, depending on the severity of the burn, if an insured person
is first diagnosed with having suffered a Severe Burn more than 30
days after the person's effective date of coverage.
These are brief descriptions of the coverage available under the policy. The policies will contain limitations, exclusions and termination provisions.