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OverviewBenefitsRatesFAQsTermsNo Risk
CSEA endorsed Cancer CarePLUS Helps you Detect and Treat Cancer
- Be Paid up to $60.00 every year for Cancer Screens
Cancer CarePLUS pays benefits for ANNUAL cancer screening tests such as mammography, diagnostic radiology/imaging, pap smears, skin scans, colorectal, prostate and even physical exams as part of cancer-related check-ups.
- Collect CASH Benefits for Hospital Stays, Doctor Visits, Drugs, Chemo, Surgery and MORE
If cancer is detected after you've been enrolled 60 days, CancerCare Plus pays cash benefits toward many of the services used in your treatment and recovery.
- Collect Benefits In Addition to Other Insurance
You're paid benefits directly (or to a provider of your choice)-- to use as you see fit for day-to-day expenses, medical costs, traveling to/from the cancer center. You're in charge of how you spend the money.
- Cover your spouse and save on rates.
Depending on your age group, you pay up to 30% less for your family, than if family members join separately and pay the single rate.
- Affordable group rates
Coverage is payroll-deducted to make it easy to budget
- 30 Day FREE Look
If you have any questions regarding these benefits, please call 1-800-296-2732 or 916-326-4283.
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CSEA endorsed Cancer CarePLUS Benefits
Add extra protection from Cancer.
1 out of every 4 deaths in the U.S. are from cancer (2008 Cancer Facts & Figures). That’s why you need all the protection you can get to detect and treat this disease. The CSEA endorsed Cancer CarePLUS Plan pays powerful benefits to help you be screening each year. And if needed, Cancer CarePLUS works toward getting you top-notch treatments.
You Are Eligible For Coverage Even If You Have Family History
You can't be turned down for coverage as long as you are a CSEA member or the spouse/dependent child of a CSEA member, under age 75, and you have been free of cancer for the past five years.
Collect Benefits to Help You Detect and Treat Cancer:
- $60.00/year Wellness Benefit (Optional). This benefit helps prevent and detect cancer early by paying benefits for yearly exams. CSEA recommends every member use this benefit for their annual cancer screenings. If you incur any expense for any tests/exams and you select this optional benefit with your plan, you will receive $60 ($75 for mammography and pap test) towards any actual incurred expense for mammography, pap test, diagnostic radiology/imaging, colorectal, prostate and even physical exams as part of a cancer-related check-up. Benefit is payable once every 12 months.
- $60.00/day for Hospital Confinement Benefit (days 1-10); $40.00/day, days 11-90.
(Note: You will also receive this cash benefit if you are diagnosed with a serious illness such as heart attack, stroke, multiple sclerosis, muscular dystrophy, and many other specified diseases.)
- Up to $5,000.00/month for Extended Hospitalization. After 90 consecutive days in the hospital, 100% of hospital charges in lieu of all other benefits up to $5,000.00/month. Successive periods of hospitalization separated by less than 90 consecutive days count as the same benefit period.
- $2,250.00 maximum benefit/illness period for Private Duty Nurse. $25.00/day for a private contracted nurse while hospitalized for cancer treatment.
- $1,000.00 maximum benefit/illness period for Attending Physician. $15.00/day for doctor's visits (other than your surgeon) while in the hospital.
- Up to $750.00/Surgery. 10% of actual charges. No limit on the number of surgeries covered. For skin cancer, you'll receive $125.00/initial incision; $62.50/additional incision.
- 20% actual charges for Anesthesia. Per operative session, except skin cancer, for which you receive $25.00/operative session. No limit on the number of procedures.
- Up to $750.00/Surgery and 20% of actual charges for Anesthesia for Reconstructive Surgery. (for CA residents only).
- $750.00* per illness maximum for pints of blood and plasma. For in-hospital or outpatient pints of blood and plasma. No maximum benefit for leukemia. *There is no illness period maximum for leukemia.
- $2,000.00 lifetime maximum for Radiology and Chemotherapy. $100.00/day. Includes X-ray, radium and cobalt treatments.
- $1,000.00 per illness maximum for Ambulance Service. $75.00/per illness period for transportation to or from the hospital for cancer treatment.
- $500.00 lifetime maximum for Outpatient Prescription Drugs. $50.00/calendar year deductible; 50% of benefit amount.
- 10% (maximum) of the Hospital Confinement daily benefit for Miscellaneous Hospital Expenses, including drugs, oxygen and other medical supplies (not the room) while hospitalized for cancer treatment.
Keep Coverage Even if Your Health Changes
Coverage can't be cancelled because you get sick. You'll be protected up to age 80 as long as you remain eligible, pay your premiums and the master policy stays in force.
You're Under No Obligation.
If you decide the CSEA endorsed Cancer CarePLUS isn't for you, just let us know in the first 30 days. We'll promptly refund your premiums...no questions. No obligation.
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Cancer CarePlus Rates
Check Out These Payroll-Deducted Premiums -- Easy to Budget!
The buying power of more than 130,000 CSEA members gain you access to affordable group Cancer CarePLUS rates. The Wellness Benefit is an additional valuable option. Plus, to make budgeting easier, premiums are payroll deducted.
Include your family and save money. Depending on your age group, you pay up to 30% less for your family, than if family members join separately and pay the single rate.
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Cancer CarePLUS Rates:
Costs shown are based on a monthly rate; rates increase when you enter a higher age category, as shown.
Your dependent children qualify up to age 19 (25 if full-time student).
| Member's Age |
Member Only |
Member & Spouse |
Member & Family |
| 18-49 |
$5.42 |
$7.56 |
$8.07 |
| 50-64 |
$7.73 |
$12.31 |
$12.86 |
| 65+ |
$9.69 |
$14.32 |
$14.92 |
Add the Optional Wellness Benefit
| Member's Age |
Member Only |
Member & Spouse |
Member & Family |
| 18-49 |
$2.00 |
$2.80 |
$3.70 |
| 50-64 |
$2.88 |
$4.60 |
$4.86 |
| 65+ |
$3.86 |
$5.74 |
$6.00 |
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Terms:
As long as you are a CSEA member or the spouse/dependent child of a CSEA member, under age 75, and you have been free of cancer for the past five years, you cannot be turned down for this coverage.
Effective Date: Your coverage will become effective on the first day of the month following receipt and approval of your Activation Form and first payroll deduction payment by the Administrator.
Termination: Your coverage will remain in force until you reach age 80, as long as you keep paying your premiums, Master Policy No. MZ0911370H0000A remains in force and you remain a CSEA member.
Pre-Existing Condition Limitation: No benefits will be payable for the Covered Person's Pre-Existing Conditions. They are defined as a Cancer, except Skin Cancer, for which the Covered Person received medical Treatment or medical advice within six months prior to the effective date of this coverage. Covered Medical Expenses resulting from a Pre-Existing Condition will not be covered unless six months of continuous coverage have elapsed under this coverage or under any qualifying prior coverage. Credit will be given toward satisfaction of the six months of continuous coverage for the time the Covered Person was covered under the qualifying prior plan provided the Covered Person becomes eligible for coverage under this plan within 30 days of termination of qualifying prior coverage, exclusive of any waiting period, and applies for coverage under this plan within the enrollment period set forth in the Group Policy. Qualifying prior coverage means any individual or group policy, contract, or program that is underwritten or administered by a health or disability insurer, nonprofit hospital service plan, health care service plan, fraternal society, self-insured employer plan, or other entity and that provides or arranges medical, hospital, and surgical coverage which does not supplement other private or governmental plans. This includes continuation or conversion coverage, but does not include accident only, credit, disability income, Medicare Supplement, Long Term Care, dental or vision, worker's compensation or similar law, or liability insurance. Qualifying prior plan also includes Medicare, Medicaid, and any other publicly sponsored health program. Any increase in benefits will be subject to a new Effective Date of Coverage on that increased amount of benefits only.
Exclusions: Benefits will not be paid under this Policy and any attached Rider for any expenses which result from: injury or sickness other than Cancer (except as noted in the specified disease rider to include Cystic Fibrosis, Diphtheria, Encephalitis, Heart Attack, Meningitis (Epidemic Cerebrospinal), Multiple Sclerosis, Muscular Dystrophy, Osteomyelitis, Poliomyelitis, Rabies, Scarlet Fever, Sickle Anemia, Small Pox, Stroke, Tetanus, Tuberculosis, Tularemia, and Typhoid Fever); expenses the Covered Person is not legally obligated to pay or those charged only because the Covered Person has insurance; treatment or services performed outside of the United States; declared or undeclared war or any act of war; full-time service in the armed forces; and participating in a riot, committing, or attempting to commit, a felony. All benefits are subject to the Overall Lifetime Maximum Benefit Amount of $300,000. This brochure presents an outline of terms and benefits. For complete information, please refer to Master Policy MZ0911370H0000A.
Endorsed by:
The CSEA incurs costs in connection with providing oversight and administrative support for this sponsored plan. To provide and maintain this valuable membership benefit, CSEA is reimbursed for these costs.
California State Employees Association
Administered by A.G.I.A., Inc.
PO Box 22708
Santa Barbara, CA 93121-1208
Underwritten by:
Monumental Life Insurance Company, an AEGON company, Cedar Rapids, IA. #8886929
© 2009 AGIA
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Did you know?
Top 5 Types of Cancers in California:
- Prostate
- Breast
- Lung
- Colon
- Skin
Get Your Tests Early to Find Cancer.
Discuss your risks with your doctor.
Source: Cancer Facts & Figures 2008
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