Cancer Insurance Plan
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The SPE Cancer Expense Insurance Plan can help pay for the extra costs your basic plan won't cover. The Plan can help give you and your family the financial assistance you need to help pay for the expenses associated with cancer care at a very affordable group rate.
You can choose between the Standard Plan or the High Option Plan with its higher benefits. It's up to you.
Eligibility Requirements
All members who reside in the U.S. and their dependents are eligible for insurance, provided they have not been medically diagnosed or treated for cancer during the five years (12 months TX; 6 months CA) prior to enrollment (not available to age 65 and over in CA.).
This plan may not be available in all states. Please call the administrator at 800-337-3140 to see if it is available in your state.
* Eligible dependents include unmarried children under age 19, or age 25 if a full-time student. Please note that dependent eligibility ages vary by state. See certificate for details.
Benefits Go Directly to You
Even if your basic health insurance policy covers you if you're diagnosed with cancer, you'll probably be required to pay a co-insurance payment for medical expenses. Plus, there may be incidental costs incurred in connection with your treatment which aren't covered by basic health insurance. The SPE Cancer Expense Insurance Plan benefits can be paid directly to you for you to use as you wish, regardless of any other insurance coverage (or you can have them assigned to your doctor or hospital).
Plan Benefits
| Benefit | Payment to You | Description |
| Initial Occurrence | Standard (Plan 1) $1,000 High Option (Plan 2) $1,500 | Paid when cancer (except skin cancer) is first diagnosed. Paid once per insured's lifetime. Coverage must be effective 30 days prior to diagnosis (except in AZ, MO, OK, and TX). |
| (The Initial Occurrence Benefit is not available in MN.) | ||
| Hospital Confinement Days 1-60 |
Standard (Plan 1) $100 per day High Option (Plan 2) $150 per day | Paid beginning the first day. |
| Hospital Confinement Days 61+ |
Standard (Plan 1) $250 per day High Option (Plan 2) $375 per day | Paid beginning the 61st day during any illness period. |
| Intensive Care | Standard (Plan 1) $100 per day High Option (Plan 2) $150 per day | Paid when confinement in Intensive Care Unit when confinement is due to cancer with a 15-day maximum benefit period. |
| Outpatient Treatment | Standard (Plan 1) $100 per day High Option (Plan 2) $150 per day | Paid for outpatient treatment, including chemotherapy by injection. |
| Hospice Care | Standard (Plan 1) $100 per day $18,000 maximum High Option (Plan 2) $150 per day $27,000 maximum | Paid when the insured's life expectancy is 6 months or less with a 180-day lifetime maximum benefit. |
The overall lifetime maximum amount for all benefits is $250,000 per covered person, subject to individual benefit limitations and maximums.
Affordable Group Rates Regardless of Age
Affordable group rates make this a Plan all members should consider. Your rates will not rise with age; rates can only be increased on a group-wide basis.
Affordable Semiannual Premiums
| Plan 1 (Standard Plan) | |
| Member | $ 41.70 |
| Member and Family* | $ 78.00 |
 Plan 2 (High Option Plan) |
|
| Member | $ 61.50 |
| Member and Family* | $115.00 |
* Family coverage includes the covered member and the spouse and
dependent children of the covered member.
Dependent children include unmarried
children under age 19 or age 25 if a
full-time student. Dependent eligibility ages vary by state. See certificate for details.
Premiums may be paid semiannually or annually. To pay annually, multiply the premium listed above by two.
Note: A $2.00 administrative fee is added for billing modes other than annual.
Effective Date
Coverage becomes effective on the date the application is approved and the first premium payment is received by Monumental Life, provided you meet the eligibility requirements.
Exclusions and Limitations
This Plan only pays benefits for medical care or treatment resulting from cancer that is recommended and approved or performed by a physician. This Plan does not cover sickness or injury (except as specified as cancer) or treatment or services performed outside the United States.
Pre-Existing Conditions
Benefits will not be payable for cancer for which treatment has been received before the covered person has been insured for 30 days from his effective date of coverage. However, if a covered person continues to incur expenses for cancer which had been diagnosed during the 30-day period, benefits will be payable after the insurance has been in effect for 12 consecutive months from the effective date. (Pre-existing may vary in some states.)
The Insurance Company Relies on Your Answers and Statements
Misstatements or failure to report information on your application may be used as the basis for denying or reducing claim benefits, or even rescinding your insurance.
How to Apply for Coverage
It is important to read the General Information section of this website before applying for coverage. The Plan application and complete application instructions, are available here.
THIS IS A CANCER ONLY POLICY.
The SPE Cancer Expense Insurance Plan is underwritten by Monumental Life Insurance Company, Cedar Rapids, IA, an AEGON company.
MZ0800577/0002A
Policy form #s CA1000GPM
Certificate form #s CA1000GCM.series.