Cancer Insurance PIC Benefit Summary



Cancer Insurance PIC Benefit Summary

    Benefit Summary for GE - Professional Insurance (PIC)
    Professional Insurance PIC (2 units)
    Benefit
    Amount
    Hospital Expense
    $120/day for the first 7 days
    $70/day for the next 83 days
    Extended benefits commence on the 91st day of continuous confinement
    Drugs and Medicine
    Pays up to 10% of the total payable Hospital Confinement Benefits for drugs and medicines administered in the hospital
    Surgical Benefits
    Pays from $60 to $1000 per operation as provided in the surgical schedule.
    Anesthetics
    Pays up to $140 per operation ($60 for skin cancer) if administered by an anesthetist not employed by the hospital
    Attending Physician
    Pays up to $20 per visit - not more than one visit per day while confined to hospital
    X-Ray, Radium Therapy, Radio-Active Isotopes & Chemo-therapy
    Usual and customary charges

    Lifetime max: $2,000 per insured

    Graduate Nursing Benefits
    Not to exceed $48/day
    Blood and Plasma
    Usual and customary charges

    Lifetime max: $600 per insured
    (No lifetime max for Leukemia)

    Ambulance
    Not to exceed $100 per hospital confinement
    Transportation Expense
    $1,000 (regular plane or train fare when required and authorized by attending physician for hospital confinement due to cancer)
    Optional Hospital Intensive Care Rider
    Pays $260 per day for Hospital Intensive Care unit confinement
    Lifetime Maximum: $10,000
    This outline of coverage provides a very brief description of the important features of your policy. This is not the insurance contract and only the actual policy provisions will control. The policy itself sets forth in detail the rights and obligations of both you and your insurance company. It is therefore important that you read your policy carefully.