Sterling Estates - 2025 Benefits Guide

Cancer Insurance

Covered service

Benefit amount

Immunotherapy We will not pay benefits under this provision for the same treatment under either the Radiation and Chemotherapy Benefit or the Experimental Treatment Benefit. Lifetime maximum of $3,500 applies, per covered person. Reconstructive Surgery In addition, 30% of the surgery amounts listed is paid for general anesthesia used during these procedures. Breast Symmetry (modification of the non-cancerous breast performed within 5 years of reconstructing the cancerous breast)

$450 Monthly

$350

Breast Reconstruction Facial Reconstruction

$700 $700

Breast Transverse Rectus Abdominis Myocutaneous (TRAM) Flap

$2,500

Alternative Care Pays the amount shown per visit to an accredited practitioner for you or your covered dependent upon the diagnosis of internal cancer for Palliative care (acupuncture, massage therapy, bio- feedback and hypnosis), and Lifestyle training (smoking cessation, Yoga, meditation, relaxation techniques, Tai Chi and nutritional counseling). Limited to 20 visits per benefit year under either category, per covered person and lifetime maximum of 2 benefit years. There is also a one- time benefit ($150) for Integrative Assessment and Education when performed by an accredited practitioner following the diagnosis of internal cancer. Experimental Treatment Treatment must be administered by medical personnel in a doctor’s office, clinic, or hospital; maximum monthly benefit is $1,050. We will not pay benefits under this provision for laboratory tests, immunotherapy, diagnostic x-rays and therapeutic device or other procedures related to these treatments. This benefit is not payable for any day the Radiation or Chemotherapy benefit is payable.

$50 Per Visit

$150 Daily

Anti-nausea drugs

$100 Monthly

Post-hospital Doctor Visits This benefit is payable per doctor visit once every 6 months. Benefits payable up to 5 years after the diagnosis of internal cancer for the purpose of ongoing cancer evaluation.

$50 Per Visit

16 | Sterling Estates 2025 Benefits Guide

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