Illustrative examples
These are made-up scenarios to show how benefits can work. They are not real clients, not quotes and not a promise of any benefit.
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Hi, I'm Matt Matthew MacMillan, Licensed Agent · NPN 19951695This is a limited benefit policy for specified disease (cancer). It is supplemental, specified-disease indemnity insurance, not major medical coverage, and does not replace comprehensive health insurance. Policies typically include a waiting period (for example, 30 days after the effective date) before a diagnosis is covered, pre-existing condition limitations, and specific exclusions or reduced benefits (such as certain non-melanoma skin cancers or carcinoma in situ). See the policy for full details.
Illustrative examples, hypothetical people and numbers
Important: Cancer insurance is a limited-benefit, specified-disease supplemental policy. It is not major medical insurance and does not replace health insurance or Medicare. Benefits, waiting periods, limitations, exclusions and availability vary by carrier and state.
"Carol" (hypothetical, 68) has a Medicare Advantage plan with a $5,000 in-network out-of-pocket limit. She has a $10,000 lump-sum cancer policy, past its waiting period, and is diagnosed with a covered cancer.
| Amount | |
|---|---|
| Her MA costs that year (reached her limit) | $5,000 |
| Cancer policy pays her | $10,000 |
| Left over for travel, household bills, etc. | $5,000 |
"Mike" (hypothetical, 47) has an employer plan with a $6,000 out-of-pocket maximum and takes unpaid time off during treatment. His policy pays a $20,000 lump sum.
| Amount | |
|---|---|
| Medical out-of-pocket | $6,000 |
| Lost income (estimated) | $8,000 |
| Cancer policy pays him | $20,000 |
"Ann" (hypothetical) has a $10,000 policy that pays 25% for carcinoma in situ. She's diagnosed with a covered in-situ cancer and receives $2,500. Some plans pay a different percentage or none, which is why definitions matter.
For illustration only. Not real people, not quotes and not specific carrier products. Actual benefits, percentages, waiting periods and premiums vary by plan, carrier and state.
Not connected with or endorsed by the U.S. government or the federal Medicare program.
Email: matt@themacmillanagency.com
Important: Cancer insurance is supplemental coverage that pays benefits for covered diagnoses. It does not replace comprehensive medical coverage. Benefits, limitations and waiting periods vary by plan. This is a solicitation for insurance. By responding you will be contacted by a licensed insurance agent. The MacMillan Agency is not affiliated with or endorsed by the U.S. government, the federal Medicare program, or any state agency. Cancer insurance is supplemental coverage and is not a substitute for major medical coverage, and it does not satisfy the requirement for minimum essential coverage. Plans, benefits, limitations, exclusions and availability vary by state and carrier. Benefit amounts depend on the plan selected. Licensed in AL, AZ, DE, DC, FL, GA, IL, IN, LA, MD, MI, NJ, NC, OH, PA, SC, TN, TX, UT, VA, WA.
