Cancer

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

EMPLOYEE BENEFITS

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 High Plan Employee $20.00 $36.10 Employee + Spouse $42.76 $77.08 Employee + Child(ren) $25.40 $44.52 Family $48.14 $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 Plan 1 Plan 2

$10,000

$20,000 $50 per treatment $50 per treatment

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 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

Surgical Rider Benefits

Surgical Plan 1 $30 unit dollar amount Max $3,000 per operation Plan 2 $60 unit dollar amount Max $6,000 per operation

Anesthesia Bone Marrow Transplant – Max per lifetime Stem Cell Transplant – Max per lifetime 25% of amount paid for covered surgery $6,000 $12,000

$600 $1,200

Prosthesis – Surgical Implants / Non-Surgical (not Hair Piece) 1 device per site, per lifetime $1,000 / $100 $3,000 / $300

Internal Cancer First Occurrence Rider Benefits Plan 1 Plan 2

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 $5,000 $7,500 Plan 1 $5,000

$7,500 Plan 1 $600 per ay $300 per day $10,000 $15,000 Plan 2 $10,000

$15,000 Plan 2 $600 per day $300 per day