by
Almog Ramrajkar
| Apr 28, 2023
Cancer health insurance policies typically cover hospitalisation, chemotherapy, radiation therapy, surgery, and medication costs. The coverage can also include expenses related to pre-and-post-hospitalisation, doctor consultations, and diagnostic tests.
What is cancer health insurance?
Cancer is a life-threatening disease requiring extensive medical treatment, including chemotherapy, radiation therapy, and surgery. The financial cost of cancer treatment can be significant, and cancer insurance helps to ease the financial burden by covering some or all of the medical expenses related to cancer treatment.
Cancer health insurance policies typically cover hospitalisation, chemotherapy, radiation therapy, surgery, and medication costs.
How does cancer insurance work?
When the policyholder purchases a cancer insurance plan , he/she pays a premium to the insurance company. In return, the insurance company provides coverage for the expenses related to cancer treatment up to a predefined limit. The amount of coverage and premium depends on the cover chosen.
Let's consider an example to understand how cancer policy works. Mr A, a 30-year-old working professional, purchases a cancer insurance policy for a 20-year term with a sum insured of Rs 10,00,000. At 40 years of age, he gets diagnosed with the first cancer stage. In this scenario, the insurer will pay 25% of the sum insured, which amounts to Rs 2,50,000. As a result, the coverage under the policy will reduce to Rs 7,50,000.
After seven years, Mr A's cancer progresses to a severe stage. At this point, the insurer will pay the remaining sum insured amount of Rs 7,50,000, and the policy will terminate. It's important to note that the payout from the plan is made based on the stage of cancer diagnosed.
Once the policyholder receives the lump sum payment, the person can use it to cover any expenses related to the cancer diagnosis, including medical bills and treatment expenses, and to replace lost income. The payment is typically tax-free, and one can use it as one sees fit.
Types of cancer covered by cancer insurance plans in India
Types list of the types of cancer that insurance companies cover is quite extensive. The most common types are listed below:
The malignancy in this cancer begins in the bladder lining, commonly causing blood in the urine.
This type of carcinoma affects the colon or rectum, often causing changes in bowel habits or rectal bleeding.
A malignant tumour that develops in breast tissue, usually detected through a breast lump or mammogram.
Carcinoma that forms in lung tissue, commonly caused by tobacco and smoke exposure.
It is a cancer that develops in the kidney cells, often resulting in flank pain or blood in the urine.
It begins in cells of the immune system, causing swelling in the lymph nodes, spleen, or other immune tissues.
Also known as oral cancer, these are cancers that develop in the tissues of the throat or mouth, often causing persistent sores or difficulty swallowing.
This forms in the prostate gland, commonly leading to urinary problems or discomfort in the pelvic region.
This type of cancer forms in the pancreas cells, often causing abdominal pain and unintended weight loss.
It is cancer that develops in the uterine tissues, causing abnormal vaginal bleeding or discharge.
This kind of cancer forms in the thyroid gland, often leading to lump development or swelling in the neck.
Benefits of a cancer insurance plan
The health insurance for cancer policy covers various stages of cancer and provides a lump sum amount to the insured upon a cancer diagnosis.
Medical insurance for cancer patients may include premium waiver benefits. The waiving of premium payment happens in certain circumstances, such as a cancer diagnosis in its early stages.
If the policyholder does not make any claims during the year, the sum insured can increase by a percentage mentioned in the policy wording.
The premiums paid towards the cancer insurance policy are eligible for tax benefits under Section 80D of the Income Tax Act.
The major benefit of a cancer cover policy lies in its coverage continuity. Even if the policyholder is diagnosed with cancer several times, the policy will continue offering coverage without interruption.
Why do you need a cancer insurance plan?
Cancer can be an emotionally and financially draining health condition that often requires frequent medical visits, chemotherapy sessions, and hospital stays. As the treatment procedure is an ongoing process that can last for years, the costs can quickly pile up, making it difficult to manage them.
Furthermore, as cancer progresses, working and earning an income becomes impossible or difficult, making it even more challenging to manage treatment costs. However, with the help of a cancer insurance plan, one can avoid all these challenges. Cancer cover provides financial assistance in the form of a lump sum pay-out to cover the high costs of cancer treatment. It ensures one can access the best medical care without worrying about the financial burden.
Who is eligible to buy health insurance for cancer treatment?
- To purchase this policy, an individual must be at least 18 years old. However, parents can buy the policy for their newborn child as soon as they turn 91 days old.
- The policy is available for a five-year period and offered on an individual basis.
- The maximum age to purchase this insurance is 50 years old.
- There is no medical assessment required to buy this plan.
How to buy cancer insurance online?
- Step 1: Research and compare cancer insurance policies from reputable insurance providers.
- Step 2: Visit the insurance company’s website. Next, fill out the online application form for quote generation.
- Step 3: Provide accurate and complete personal and medical information, including your age, gender, medical history, and any pre-existing conditions.
- Step 4: Choose the coverage amount and duration and review the policy details, including exclusions and limitations.
- Step 5: Pay the policy premium through a secure online payment gateway.
- Step 6: Once the payment is processed, you will receive an email with the policy document and a confirmation of the coverage.
Inclusions of cancer insurance
Irrespective of whether it is in the early or advanced stages, the policy provides comprehensive coverage against most types of cancers.
- In-patient hospitalisation:
Cancer treatment often necessitates extended hospitalisation. Given this, cancer insurance covers a wide range of expenses associated with the treatment, including charges for oxygen, room rent, prescription fees, and other related costs.
Early detection of cancer greatly improves the chances of survival. Many insurers offer annual check-ups to their policyholders.
- Pre-and-post-hospitalisation:
The doctor may require several regular visits before admitting a cancer patient. Furthermore, as the treatment process can be lengthy, healthcare providers may need to administer medication and counsel patients even after discharging them from the hospital. This plan’s lump-sum payout covers both pre-and-post-hospitalisation expenses.
Exclusions of cancer insurance
- Health insurance with cancer cover does not provide coverage if the policyholder has pre-existing cancer ailments.
- Health insurance for cancer patients typically excludes coverage for carcinoma-in-situ and cancers caused by sexually-transmitted diseases, primarily HIV or AIDS.
- A congenital disease that progresses to form cancer would generally result in the policyholder being ineligible for coverage.
- Regardless of the stage, cancer insurance policies do not provide coverage for cancers resulting from the unlicenced use of drugs or heavy use of alcohol.
- These health insurance policies typically exclude coverage for cancer caused directly or indirectly by chemical, nuclear, or biological sources of pollution.