Most types of cancer, if detected early, can be treated effectively. Today, there are thousands of people all over the world who have had cancer and have been cured. They now lead normal lives. Should cancer be detected, this Cancer Insurance Policy provides substantial financial support so that you can be adequately treated in time, allowing you not only to lead a normal life after cancer but one with lesser worries. This Cancer Insurance Policy relieves you of the crippling costs of curing cancer.
What the Policy Covers?
All individuals in the age group of 1 day to 70 years can opt for this insurance cover with Raheja QBE.
In case an Insured is diagnosed with Cancer and this requires diagnostic investigation or treatment by a duly qualified medical practitioner or surgeon, Raheja QBE pays the Insured:
- 50% of the Sum Insured or Rs. 250,000.00 whichever is less, as a lump sum amount on the acceptance of a claim under the Policy; and
- reasonable and necessary medical expenses actually incurred by the Insured in the diagnostic investigation or medical treatment of Cancer, in excess of 75% of the amount paid as a lump sum as stated above.
Reimbursement of medical expenses will be based on submission of original bills only.
Reimbursement of claims will be made every quarter for actual expenses incurred, until the entire sum insured is exhausted.
Sum Insured options starting from Rs.1 Lakh and in multiples thereof subject to a maximum of Rs. 10 Lakhs available under this policy.
Also if an Insured is diagnosed as suffering from Cancer and reports a claim during the period of insurance, he/she can continue to receive benefits under the Policy up to the Sum Insured limit even after the expiry of the Policy for up to 5 yrs from the inception of the Policy.
The Insured for the purposes of this Policy shall mean the Insured specified in the Schedule only
- For policies continued without any break there will be no exit age.
- All Insureds less than 50 years of age will be accepted for this insurance cover on the basis of the self declaration provided as well as certification of good health by a registered medical practitioner as given in the proposal form.
- All Insureds above the age of 50 years will be accepted for coverage after medical examination. Such Insureds’ who are extended this insurance by Raheja QBE after medical examination and confirmation of no pre-existing cancer in the proposal form and are later on detected with cancer in advanced stages will not be denied cover on the basis of the disease being a pre-existing one.
- Reimbursement towards medical expenses for pre-policy medical examination will be limited to 50% of actual expenses.
The renewal premium under the Policy is payable by the due date. Raheja QBE will allow a grace period of 30 days from the due date for payment of renewal premium. If the Policy is not renewed within the grace period, then Raheja QBE may agree to issue a fresh policy subject to Raheja QBE’s underwriting criteria and, in such cases, no continuing benefits shall be available from the expired Policy.
This Policy is ordinarily renewable unless the Insured or anyone acting on behalf of an Insured has acted in an improper, dishonest or fraudulent manner or there has been any misrepresentation under or in relation to this Policy or the renewal of the Policy poses a moral hazard.
The Policy will not be renewed for an Insured once a claim in is admitted under this Policy.
For all claim-free policies subsequently renewed in accordance with the terms of the Policy, there will be an increase in the Sum Insured by 5% for the immediately following Period of Insurance provided that the cumulative bonus over all Periods of Insurance shall not exceed 25%. The earned Cumulative Bonus will not be lost if the policy is renewed within the 30 day grace period.
What the Policy does not cover?
- Any injury, disease or illness directly or indirectly caused or contributed by nuclear weapons, or caused contact of the insured person with radiation or radioactivity from any source whatsoever from non diagnostic or therapeutic source.
- Any cancer or cancer related condition(s) for which the Insured had signs or symptoms and was diagnosed and received medical advice/treatment, within 48 months prior to his/her first policy with Raheja QBE
- Any representations on the basis of which this Policy is issued is discovered to be fraudulent or incorrect or if any fraudulent means or devices are adopted any time in making any claim under or in respect of this Policy.
- Any claim where the diagnostic investigation does not reveal the positive existence or presence of Cancer.
