This supplemental benefit includes a Personal Cancer Indemnity Plan with Wellness Benefits as well as an Optional Specified-Disease Benefit Rider covering more than 30 specified conditions. Coverage is available for:

• Yourself or your spouse single coverage - Single Coverage: $21.50 per month
• You and child(ren) ~or~ your spouse and child(ren) - 1 Parent Coverage: $25.90 per month
• Family - Family Coverage: $36.40

• Cancer Wellness Screening: $30 per calendar year when charge is incurred
• First-Occurrence: $1,500 Adult / $2,250 Child
• Mammogram Benefit: Up to $70
• Hospital Confinement: $200 per day 0-30 days / $400 per day 31+ days
• Radiation and Chemotherapy: Up to $200/day
• Medical Imaging: $100 per year
• Immunotherapy: $300 per month
• Experimental Treatment: Up to $200 per day
• Anti-Nausea: Up to $100 per month
• Nursing Services: Up to $100 per 24 hour day
• Surgery/Anesthesia: $95-$3,000 for in or out of hospital, plus 25% Anesthesia
• Outpatient Surgery: $200
• Skin Cancer: $100-$600 depending on procedure
• Reconstructive Surgery Benefit: $350-$2,500 plus 25% Anesthesia
• Prosthesis: Surgical up to $2,500 / Non-surgical up to $200
• In-patient Blood and Plasma Benefit: Up to $50 per day times days confined
• Out-patient Blood and Plasma: Up to $200 per day
• Second Surgical Opinion: Up to $200
• NCI Evaluation: Evaluation $500 / Travel & Lodging over 50 miles $250
• Transportation: 40 cents per mile or up to $1,200 round trip
• Lodging Benefit: Up to $50 per day over 50 miles
• Ambulance Benefit: $200 ground or $1,000 air ambulance
• Bone Marrow Transplant: $10,000 for patient and $1,000 for donor
• Stem Cell Transplant: Up to $2,500
• Extended Care Facility: $100 per day
• Hospice: $500 for first day and $50 per day up to $12,000 maximum
• Home Health Care: $50 per day (10 per hospital and 30 per year)
• Waiver or Premium: Yes
• Continuation of Coverage: Yes