2022-23 Mansfield ISD Benefit Guide

Page 33

Cancer Insurance

EMPLOYEE BENEFITS

APL ABOUT CANCER Cancer insurance offers you and your family supplemental insurance protection in the event you or a covered family member is diagnosed with cancer. It pays a benefit directly to you to help with expenses associated with cancer treatment.

For full plan details, please visit your benefit website: www.mybenefitshub.com/mansfieldisd

Treatment for cancer is often lengthy and expensive. While your health insurance helps pay the medical expenses for cancer treatment, it does not cover the cost of non-medical expenses, such as out-of-town treatments, special diets, daily living, and household upkeep. In addition to these nonmedical expenses, you are responsible for paying your health plan deductibles and/or coinsurance. Cancer insurance through American Public Life helps pay for these direct and indirect treatment costs so you can focus on your health.

Cancer Low Plan Employee $20.00 Employee + Spouse $42.76 Employee + Child(ren) $25.40 Family $48.14

High Plan $36.10 $77.08 $44.52 $85.56

Should you need to file a claim contact APL at 800-256-8606 or online at www.ampublic.com. You can find additional claim forms and materials at www.mybenefitshub.com/mansfieldsisd. Summary of Benefits Cancer Treatment Policy Benefits Radiation, Therapy, Chemotherapy, Immunotherapy -Max per 12-month period Hormone therapy – Max of 12 treatments per calendar eyer Experimental Treatment Cancer Screening Rider Benefits Diagnostic Testing – 1 test per calendar year Follow-Up Diagnostic Testing – 1 test per calendar year Medical Imaging – per calendar year Surgical Rider Benefits Surgical Anesthesia Bone Marrow Transplant – Max per lifetime Stem Cell Transplant – Max per lifetime Prosthesis – Surgical Implants / Non-Surgical (not Hair Piece) 1 device per site, per lifetime Internal Cancer First Occurrence Rider Benefits Lump Sum Benefit – Max 1 per Covered Person per lifetime Lump Sum for Eligible Dependent Children – Max 1 per Covered Person per lifetime Heart Attack/Stroke First Occurrence Rider Benefits Lump Sum Benefit – Max 1 per Covered Person per lifetime Lump Sum for Eligible Dependent Children – Max 1 per Covered Person per lifetime Hospital Intensive Care Unit Rider Benefits Intensive Care Unit Step Down Unit – Max of 45 days per Confinement for any combination of Intensive Care Unit or Step Down Unit

Plan 1 Plan 2 $10,000 $20,000 $50 per treatment $50 per treatment Paid in the same manner and under the same maximums as any other benefit Plan 1 Plan 2 $50 per test $50 per test $100 per test $100 per test $500 per test / 1 per calendar year Plan 1 Plan 2 $30 unit dollar amount $60 unit dollar amount Max $3,000 per Max $6,000 per operation operation 25% of amount paid for covered surgery $6,000 $12,000 $600 $1,200 $1,000 / $100 $3,000 / $300 Plan 1 Plan 2 $5,000 $10,000 $7,500 $15,000 Plan 1 Plan 2 $5,000 $10,000 $7,500 $15,000 Plan 1 Plan 2 $600 per ay $600 per day $300 per day

$300 per day 33


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