Critical Illness is medical insurance that pays a lump-sum benefit upon diagnosis of a critical illness or condition. A critical illness insurance payout helps you avoid the financial strain a major illness can create so you can focus on your recovery. Even though medical insurance and other insurance coverages are essential, they don’t cover everything. Medical science and treatment is phenomenal, but it can also be very expensive. Patients can experience financial hardship because of the expenses their insurance does not cover.
Note: THIS PLAN IS NOT AVAILABLE If a member chooses to enroll in a plan that already has the Critical Illness benefit such as HealthCare Assist, Healthcare Select, or Healthcare Basic.
Following is the benefit and rate information for the Critical Illness. Each insured member and each insured family member receives the following benefits each coverage year.
Payable for 10 conditions:
1. Critical Illness Benefit Plan is underwritten by AXIS Insurance Company.
The insurance described provides limited benefits. Limited benefits plans are insurance products with reduced benefits and are not intended to be an alternative to or integrated with comprehensive coverage. This insurance does not coordinate with any other insurance plan. It does not provide major medical or comprehensive medical coverage and is not designed to replace major medical insurance. Further, this insurance is not minimum essential benefits as set forth under the Patient Protection and Affordable Care Act.
Limitations & Exclusions
For Critical Illness benefit on all plans:
Pre-Existing Condition Limitation
The Insurance Company will not pay Critical Illness Benefits for any Pre-existing Condition. A “Pre-existing Condition” means a disease or physical condition for which the Employee received medical treatment, during the treatment period shown above before his or her most recent effective date of insurance. The Pre-existing Condition Limitation will apply to any added benefits or increase in benefits. It will not apply after the Limitation Period shown above.
* Coverage may not be available in all U.S. states and jurisdictions. Product availability and plan design features, including eligibility requirements, descriptions of benefits, exclusions or limitations may vary depending on state laws.
In addition, Critical Illness Benefits will not be paid for: