OPTIONAL RIDER BENEFITS These riders are optional and have an additional cost. Intensive Care Unit Rider Forms ICR97, ICR97OK and ICR02, (including state variations) (This rider is not available in AL, AR, ID, MD, MT, NC, SC, TN, and WY) Available from ages 18-64 Pays a daily benefit of $300 or $600 for a maximum of 45 days during any one hospitalization when confined to a Hospital Intensive Care Unit for injury or sickness. Cancer Screening Benefit Rider At your option, we can provide coverage for screening tests. Since the 5-year relative survival rate for all Cancers combined is 63% (rates varying greatly by cancer type and stage at diagnosis)*, it’s important to use this benefit for annual tests. We’ll pay a maximum benefit amount of $50 per calendar year for each Covered Person. That means even if you are never diagnosed with Cancer, you may collect on the screening benefit of the rider! Covered tests include: • CA125 Ovarian Cancer • Flexible Sigmoidoscopy • Chest X-Ray • Hemoccult Stool Specimen • Serum Protein Electrophoresis • PSA Prostate Cancer • Pap Smear (test only) • Mammography • Colonoscopy Forms CSB98 and CSB02, (including state variations) (This rider is not available in AL, ID, MD, MT, NV and WY) Available from ages 18-64
Benefits and riders may vary by state and may not be available in all states.
This is not a complete disclosure of plan qualifications and limitations. Please access our website to obtain a completed list for the Cancer First Occurrence product at disclosure.manhattanlife.com . Please review this information before applying for coverage. The amounts of benefits provided depend on the plan selected. Premiums will vary according to the selection made.
The cited facts represent the U.S. population, are for information only and do not imply coverage under the policy or endorsement of the company or the policy by the American Cancer Society.
Policy Form Numbers: FOB98 (including state variations), FOB98LA, FOB98TX, and FOB02, FOB02-ID (including state variations)
Underwritten by: ManhattanLife Assurance Company of America 10777 Northwest Freeway, Houston, Texas 77092 800-669-9030
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