Scott County USD 466 Benefit Information 2024-2025

GUARDIAN CANCER INSURANCE

Benefits

Employee Coverage* ADVANTAGE PLAN 2

Type of Plan

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

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Medical Imaging

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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 <40  00  7   01  80 41-50  80  4   81  50 51-60  40  2   41  30 61+  30 $111   31 $111  30

*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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