GUARDIAN CANCER INSURANCE
Benefits
Employee Coverage*
Type of Plan
VALUE PLAN 1
Pre-existing condition limitation
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Air Ambulance
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Ambulance Anesthesia Anti-Nausea
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Attending Physician Blood/Plasma/Platelets Bone Marrow/Stem Cell
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Cancer Screening
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Experimental Treatment
Extended Care Facility/Skilled Nursing Care Government or Charity Hospital
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Home Health Care Hormone Therapy
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Hospice
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Hospital Confinement
ICU Confinement
Inpatient Special Nursing
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Medical Imaging
Outpatient or Ambulatory Surgical Center Outpatient and Family Member Lodging
Physical or Speech Therapy
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Prosthetic
Radiation Therapy Chemotherapy and Immunotherapy
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Reconstructive Surgery
Second Surgical Opinion
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Skin Cancer
Surgical Benefit 6FKHGXOHDPRXQWXSWR Transportation/Companion Transportation PLOHXSWRSHUURXQGWULSHTXDOEHQHILWIRUFRPSDQLRQ Waiver of Premium ,QFOXGHG
Cancer Insurance Monthly Rates
IssueAge
Employee
Employee & Spouse
Employee & Child
Family 80 70 30 80
<40
30 0 0 20
7 2 7
31 1 1 21
41-50 51-60
61+
*The services, exclusions, and limitations listed above do not constitute a contract and are a summary only. The Guardian plan documents are the final arbiter of coverage. This document is a summary of the major features of the referenced insurance coverage. It is intended for illustrative purposes only and does not constitute a contract. The insurance plan documents, including the policy and certificate, comprise the contract for coverage. The full plan description, including the benefits and all terms, limitations and exclusions that apply will be contained in your insurance certificate. The plan documents are the final arbiter of coverage. Coverage terms may vary by state and employer-sponsored plan. The premium amounts reflected in this summary are an approximation; if there is a discrepancy between this amount and the premium deducted from your paycheck, the latter prevails.
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