CPAA: Cancer Insurance Policy CPAA: Cancer Insurance Policy
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Cancer Insurance Policy

From diagnosis onwards, cancer treatment follows a progression, involving combinations of surgery to remove the tumour, radiation to kill cancer cells in surrounding tissue, chemotherapy to target cells that may have traveled from the original site and reconstructive surgery to restore the part removed to as close to its original appearance as possible. This can be an extremely expensive proposition for even the relatively wealthy.

In 1994, CPAA introduced the Cancer Insurance Policy in collaboration with New India Assurance Company. The policy is available to healthy individuals who have not suffered from cancer in the past.

An individual wishing to take this policy must first undergo a mandatory free check up at one of the CPAA’s Cancer Detection Centres. During the checkup, a Physician, a General Surgeon, a Gynaecologist and an E.N.T. Surgeon will screen them. Basic blood tests and a Pap smear test (for women) will be performed.

If the individual is found to be symptom-less as per the screening procedure, they are then enrolled under the scheme of their choice from those listed below. The policy takes effect 30 days from the date of the medical check up. If a pre-cancerous condition is detected, the patient is kept as a follow up case, and enrolled in the scheme after treatment and recovery.

In some cases additional tests may be necessary, charges for which will be reimbursed for the first check-up. If cancer is detected during the check-up, the policy will not be issued and the premium charge will be returned after deducting charges for any extra investigations conducted. 

The policy has many unique benefits. If the person is subsequently found to be suffering from cancer, reimbursement of expenses for treatment, hospitalisation, investigations related to cancer as specified in the policy document up to the insured amount will be made each year against bills submitted until the patient is considered cured or succumbs to the disease. All treatment has to be taken in India and must be allopathic in nature.

15 Year Comprehensive Scheme
(Effective 21st August, 2003)

 
Sum Insured
One time Lumpsum Payment
Category
(Rs.)
(Rs.)
I
 30,000
2,400
II  
50,000
3,000
III
1,00,000
4,700
IV
1,50,000
6,300
V
2,00,000
8,000

The policy also covers a free annual check-up at CPAA facilities. Literature and information about the disease will be available to the policy holder. 80G certificate for 50% tax exemption will be provided. A cumulative bonus payable to the policy holder shall be increased by 5% on the sum assured for every year during which the policy has been in force prior to claim but this increase will not exceed 50% of the sum insured.

It should be pointed out here that as per the Insurance Act, New India Assurance Company is not allowed to issue policies for more than one year. Once a policyholder contracted cancer, therefore, he was unable to renew his insurance in subsequent years, as the ailment was no longer a fortuity. This meant that the patient could only get one claim and could not get ongoing medical reimbursement for treatment, which generally spans several years. In the case of the Cancer Insurance Policy, however, CPAA helped to overcome this drawback and a novel arrangement has been forged whereby the insured person is covered for the longer term. This means that the policyholder has the benefit of a fresh limit every year to take care of his treatment expenses.

CPAA also undertakes to pay premiums in a timely manner before the expiry of the policy so that the policyholder holds a current policy at all times.

Whenever a claim is submitted, CPAA interacts with the patient on one hand and New India Assurance Company on the other hand to ensure that it is settled quickly. Since inception, 39 patients have made 147 claims. CPAA ensures that claim forms are completely filled in as required with the entire requisite supporting documents. CPAA also confirms that the bills are for cancer related treatment.

There is also a Corporate Policy, which is becoming increasingly popular among companies who make the cover available to their employees. Some 6500 members are participating in the scheme, including employees from companies such as HDFC, Godrej, TIFR, SICOM, J.B. Boda and Tata Assets.

The Insurance department accepts exchange students from all over the world and provides an opportunity to understand the unique qualities of the policy. In the past we have had exchange students from Nigeria, Australia and UK. Recently CPAA got an exchange student, Cathelyne van der Zon from Netherlands who is helping the department and learning more about the philosophy of "Total Management of Cancer" and India in the bargain.

Corporate Policy Benefits

  • Discounts varying from 5-40% are offered to corporate clients depending on the total; number of persons enrolling.

  • The policy documents issued will be in the name of the company. A list of companies covered under the policy will be attached. (No individual certificates will be handed out.) Adjustments against resignations will be made. 

  • Screening centres are present at different cities in the country to facilitate easy enrollment and accommodate transfers of employees.

  • If more than 50 people are present on site then our team will come to the work place and conduct the checkup there. (Valid for Mumbai only.)


   DISCOUNT RATES OFFERED

First 50 5%
Next 100 10%
Next 400 15%
Next 500 20%
Next 4000 25%
Next 5000 30%
Next 15,000 35%
Next 25,000 40%
Next 50,000 45%
Over & Above 1,00,000 50%


If you would like someone to contact you regarding the Cancer Insurance policy, click here.
For further information click here or call +91 22 2492-4000 / +91 22 2492-1856 / +91 22 2492-8775  (Mumbai) for further information.

Cancer Insurance Policy Covered in Economics Times

"In Sickness and in Health, Stay Covered". CPAA's Cancer Insurance Policy was the topic of an in depth story in the Economic Times . In more than 10 years, the policy has been publicized only through word of mouth. Even so, today, we have over 11,750 policy holders and 61 detected cases of whom 39 survive. Almost Rs. 80 lakh has been disbursed against 228 claims so far. With such a track record, the success story was bound to be noticed and praised.

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