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Fighting cancer: These covers can protect your family from financial crisis

Ensure it pays out a percentage of the sum assured on at least two stages of cancer -early stage and major stage

Mahavir Chopra 

health insurance

strikes fear in even the most strong-willed. As people embrace more fast-paced and unhealthy lifestyles, the incidence of this disease is set to increase. According to projections by the (ICMR), India is likely to have over 880,000 cancer-related deaths and over 1.73 million new cases by 2020. Besides the gravity of the illness, it is the financial cost that exacts a heavy toll on the victim’s family. A policy has the potential to soften the financial blow in case the disease strikes. The story of a departed friend comes to mind. He had purchased both a term plan and a mediclaim policy and thought he had fulfilled all his responsibilities as far as buying protection goes. Then one day, he was diagnosed with blood His family struggled to meet the treatment expenses. The cost of sessions ran into hundreds of thousands of rupees, and they were not covered by his mediclaim policy since it is a pre-hospitalisation treatment. His family was forced to sell their house to cover the massive treatment costs. Purchasing a standalone plan could have made all the difference in his case. Lump sum payout on detection: A plan pays the insured a fixed amount, which is a percentage of the sum assured, on diagnosis of The payout depends on the stage of the person is diagnosed with. No sub-limits apply here, as is the case in many health plans. The entire cover is paid out on detection. Moreover, getting the claim does not require hospitalisation. This eliminates the hassle of applying for a cashless claim or running after the insurer for reimbursement after paying the expenses out of one’s own pocket. The victim can focus on his treatment without worrying himself sick about the astronomical bills. Payouts from plans can also become a substitute source of income as patients usually have to take a break from work due to the illness. cancer The above rates are inclusive of all taxes Other than those covered in the table (See table: What you pay), some of the standalone plans available are Care Plan, LIC Cover Plan and Max Life Plan. Stages of covered: Generally, a plan covers two to four stages of cancer: Carcinoma In Situ (CIS), early stage, major stage and critical stage.

As far as payouts are concerned, insurers normally club the stages and make payments for the first two stages, Carcinoma In Situ (CIS) and early stage, in one payout and for the last two, major and critical, in the other. There are also plans that pay for all stages separately or pay for a combination of them. Next, let us turn to the additional benefits that plans offer. Waiver of benefit: All future premiums payable under the plan are waived off for a period of three or five years, or even for the entire policy duration, on acceptance of claim under the early or major stages of The policy continues with all its benefits intact. This feature proves to be quite useful as the insured is relieved from the burden of regular payments on being diagnosed with Income benefit: Under this benefit, the insurer pays a monthly income equivalent to 1 per cent of the chosen sum assured for a defined period, which is usually three to five years, on diagnosis of a major stage of Some insurers pay this benefit over and above the chosen sum assured, while others pay it out of the sum assured. This benefit payment continues even after the insured’s death, for the remaining period. These payouts help the insured meet their day-to-day medical expenses. Increasing cover: Insurers also offer the option of increasing the basic cover by 10 per cent every year till it becomes double the level the insured started with, or till the time a claim is made for an early or major stage of This again proves useful as the cover increases yearly and helps the insured keep pace with the rising cost of treatment. All the above benefits are either an intrinsic feature of plans or customers have to opt for them separately by paying an additional charge. Premiums are not exorbitant: These plans are much cheaper than you would expect. To get an estimate, look at the table given above which offers the rates for a level sum assured plan of Rs 5 million for a 30-year-old. Choosing the right plan: The policy that you buy must have certain essential features. Ensure that it pays out a percentage of the sum assured on at least two stages of —early stage and major stage. Check the benefit that will be paid out at each stage and the combined total benefit the plan will pay. Before buying the plan, check whether the sum assured will remain fixed throughout the term or will increase every year up to a certain limit. The rates will be higher in case of a plan where the sum assured increases. You also need to find out whether the plan provides waiver of premiums upon diagnosis, and the duration and stage of for which this benefit is provided. It is beneficial to opt for a plan that provides this benefit at an early stage itself and for a longer period. Next, check the survival and waiting periods applicable to the plan. It is best to go for a plan that has the lowest or no survival period along with minimum waiting period before the cover starts. Finally, check the duration or term of the policy. It is advisable to opt for a policy that provides a longer coverage period so that you are protected even in old age. These plans do not offer any maturity or death benefit. However, being specialised health plans, they offer tax benefit of up to Rs 25,000 under Section 80D. You can also save both time and money (through a discount on premium) by purchasing this plan online. Given the high cost of treating and the reasonable rates at which these plans are available, one should opt for a cover at the earliest.


The writer is director–health, life & strategic initiatives, Coverfox.com

First Published: Sun, February 11 2018. 05:53 IST
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