Cancer Insurance – Types, Benefits, Buy and compare cancer plans online

Cancer Insurance – Types, Benefits, Buy and compare cancer plans online

What is Cancer Insurance?

Cancer is a life-threatening and dreadful disease affecting approximately 2.5 million people living in India. This disease is dangerous enough to affect the peace and happiness of one’s life. However, many effective medical technologies, treatments related to cancer have started giving a ray of hope in this case and this makes cancer insurance important.

Cancer Insurance is a special type of fixed benefit insurance plan which helps in the management of the financial crisis associated with the treatment of cancer. Cancer insurance policies are designed in such a way that they help in offering comprehensive coverage against cancer. This insurance plan will help the policyholder with financial support for treatment-related issues in case of a financial emergency.

There are two basic types of health insurance plans in India- Indemnity health plans and fixed benefit health insurance plans. Indemnity health plans pay for the expenses incurred by the insured on hospitalization and the fixed benefit health plans pay on the occurrence of ailment. Since cancer insurance plan is a Fixed Benefit health insurance plan, it can be taken alongside an indemnity health insurance plan for hospitalization coverage. This type of plan pays the entire sum insured after survival of 30 days from the diagnosis of a certain specified severity of cancer.

Cancer policy offers coverage against the various expenses which are associated with the various stages of cancer such as the diagnosis, treatment which can include hospitalization, chemotherapy, etc. The benefits associated with cancer policy can be availed at the various stages of the disease. In general terms, it is advisable to keep yourself prepared to face financial crises associated with such dreadful diseases by the purchase of cancer insurance.

Benefits of Buying Cancer Insurance Plan

The major benefits of buying a cancer insurance plan can be listed below.

1.  Cancer policy offers comprehensive insurance associated with cancer.
2.  In the case of the purchase of cancer insurance, the insurance coverage will continue after the  early stage of cancer has been diagnosed.
3.  There is an increased sum assured for Cancer insurance policies.
4.  There is a benefit of waiver of premium for the duration of around 3 years to 5 years during the  entire policy term.
5.  There are some cancer insurance plans which tend to offer an income benefit up to 5 years for   covering the cost of daily expenses of the household.
6.  On the diagnosis of cancer, a lump sum is paid to the policyholder.
7.   If there are no claims made during a year, then there is an increase in the sum assured by a   certain percentage.
8.  Policyholders can avail tax benefits under Section 80D of the Income Tax Act, 1961.

List of top 7 Cancer Insurance plans in India

Let us list down some of the Cancer Insurance plans available in India.

1. Aegon Life iCancer Insurance Plan

The major benefits which can be availed under the Aegon Life iCancer Insurance are listed below:

• •   This cancer policy provides coverage against all categories of cancer except that of skin   cancer
  •  A policyholder can make multiple claims for different types of cancer
  •  The Aegon Life iCancer Insurance provides coverage for all the stages of cancer i.e. major,  minor and critical stages
  •  Policyholders can avail tax benefits under Section 80D of the Income Tax Act, 1961

The minimum age for purchase of the Aegon Life iCancer Insurance is 18 years and the maximum age is 65 years. The maturity age of the Aegon Life iCancer Insurance is 70 years. The minimum term of the policy is 5 years and the maximum term is 70 years.  The minimum sum assured is Rs. 10, 00,000 and the maximum sum assured is Rs. 50, 00, 00. The premium can be paid either annually or monthly and the term of premium payment will remain the same as that of the policy.

2. Future General iCancer Protect Plan

Some of the major features associated with the Future Generali Cancer Protect plan are mentioned below:

• •  The sum assured for major lives can be Rs. 10 lakhs, Rs. 20 lakhs, Rs. 30 lakhs or even       Rs.  40 lakhs
  •  In the case of minors, the sum assured offered by the Future Generali Cancer Protect Plan     is Rs. 10 lakhs
  •  The eligibility age bracket for major lives is between 18 years to 65 years whereas for     minors the eligibility age bracket is 1 year to 17 years
  •  There are two modes for the payment of premium i.e. One- time payment mode or Annual     and Monthly premium payment mode
  •  In the case of Single premium payment frequency, the policy term is for 5 years. If the   premium payment frequency is regular for major lives the policy term can be for 10 years,  15  years, 20 years or 80 years minus the age of entry into the policy. For minors, the policy   term is 18 minus the age of entry into plan or 10 years whichever is higher
  •  Maximum coverage is offered by the policy until the age of 80 years

3. HDFC Life Cancer Insurance Plan

The important features of the HDFC Life Cancer Insurance can be enlisted as below:

• •  The HDFC Life Cancer Insurance offers 100% payment of Sum assured on the diagnosis of  cancer
  •  There are provisions for lower rates of premium if the sum assured is more than Rs. 10  lakhs
  •  For those customers purchasing the Insurance policy online, there is a discount of 5.5% on   the policy’s premium
  •  The cancer policy has 3 options i.e. Silver, Gold, and Platinum. For all the three options, 25% of the sum assured is paid on the diagnosis of cancer in minors along with a waiver of  the insurance premium for 3 years. Similarly, for the diagnosis of cancer in major lives 75% or 100% of the sum assured is paid on the diagnosis of cancer
  •  The minimum eligible age for purchase of the policy is 18 years and the maximum age limit is 65 years
  •  The minimum maturity age for the policy is 28 years and the maximum age is 75 years
  •  The minimum term of the policy is 10 years and the maximum term is 20 years

4. ICICI Prudential Cancer Insurance Plan

• •  In ICICI Prudential Cancer Insurance, a lump sum is paid to the policyholder on the  diagnosis of cancer. However, the lump-sum payment is based on the condition of the   patient  and never exceeds 100% of the sum assured

•  In the case of minors, on the diagnosis of cancer, there is a provision of a waiver of insurance   premium
•  The eligible age bracket for availing the benefits of the ICICI Prudential Cancer Insurance is 20   years to 60 years
•  The sum assured to be paid to policyholders on the diagnosis of cancer is from a range of Rs. 5  lakhs to Rs. 25 lakhs
•  The tenure of the policy can be from 10 years to 70 years and the premium payment can be done either annually, half-yearly or on a monthly basis

5. PNB MetLife Cancer Insurance Plan

• •  The minimum age for the purchase of this cancer Insurance is 18 years whereas the  maximum age limit is 65 years
  •  The sum assured amount in the case of PNB MetLife Cancer Insurance lies between Rs. 5  lakhs to Rs. 40 lakhs
  •  The term of the policy can be from 10 years to 70 years
  •  The payment of premiums can be done either yearly, half-yearly or monthly

6. SBI Life Sampoorn Cancer Suraksha Plan

• •  The minimum entry age for this cancer policy is 18 years and the maximum age is 65 years
  •  The minimum sum assured amount is Rs. 10, 00,000 and the maximum amount is Rs. 50,  00,000
  •  The tenure of the SBI Life Sampoorn Cancer Suraksha plan is from 5 years to 30 years
  •  The premium payment for cancer insurance can be done either half-yearly, quarterly or monthly

7. Birla Sun Life Insurance Cancer Shield Plan

• •  The minimum eligible age for this cancer policy is 18 years and the maximum eligible age is   65 years
  •  The minimum sum assured amount is Rs. 10, 00,000 and the maximum amount is Rs. 50,  00,000
  •  The tenure of this cancer insurance is for 5 years to 20 years
  •  The premium payment for cancer insurance can be done either half-yearly, quarterly or monthly.

#5 Things to be considered before buying the cancer insurance plan

Here are some of the major things which need to be considered before buying a cancer insurance plan.

1. High Sum Assured

Since the cost of treatment associated with cancer is very high, it is advisable to choose a cancer policy with a high sum assured. Usually, cancer policy will provide a sum assured between Rs. 10 lakhs to Rs. 50 lakhs. Policyholders should ensure that the sum assured provided must cover all expenses starting from the cost of hospitalization to the cost incurred for chemotherapy as well.

2. Cancer policy should cover multiple stages

Before a policyholder purchases cancer insurance, he should check out that the coverage provided by the cancer insurance plan should be for all the stages involved in cancer such as the minor stage, major stage, and the critical stage.

3. Look up period and policy flexibility

The cancer policy which is chosen to be purchased should provide an adequate look-up period within which the policyholder can read or check the terms and conditions and even cancel the cancer policy on dissatisfaction.
The cancer policy should provide flexibility in terms of premium payment i.e. either on a monthly, quarterly or yearly basis. Also, the cancer policy should help the policyholder in availing tax benefits under Section 80D of the Income Tax Act, 1961.

4. Wide Term of policy

Since the procedure of diagnosis and cancer treatment is a long procedure, the policyholders should consider the term of the cancer insurance plan while the purchase of the plan. It should have a longer-term to cover the entire period of treatment of the disease.

5. Your medical history should align with your cancer policy

It is advisable that a policyholder should opt for the purchase of a cancer policy only when the genetic conditions or the environmental conditions make him prone to have cancer. Moreover, an applicant for cancer insurance should be aware that skin cancer and cancer caused by sexually transmitted diseases are not covered by the cancer policy.

Eligibility criteria for the purchase of cancer insurance

In general, the minimum age for being eligible to purchase a cancer insurance plan is 18 years and the maximum eligible age is 65 years.
Cancer insurance in India offers coverage for all types of cancer except for a few such as skin cancer or cancer caused due to sexually transmitted diseases.  But, in case if an applicant for cancer insurance is having some pre-existing disease history then the insurance provider will not consider him eligible for the policy. Moreover, the eligibility for cancer insurance also depends on factors such as an applicant’s medical records, applicant’s lifestyle and his family history of cancer.
Furthermore, if a person applies for cancer insurance after being diagnosed with cancer then his application for cancer insurance would not be accepted by the insurance providers.

Claim process and the claim settlement ratio:

Since cancer insurance plan is fixed benefit insurance, the claim needs to be made on the survival of 30 days after the diagnosis of the ailment, i.e. on the diagnosis of cancer.
For making a claim in cancer insurance, it can be feasible in the following mentioned ways.

1. Claim made via the health service provider

By this option, the medical service provider of the policyholder can submit the claim for the cancer policy to the insurance provider electronically.

2. Claim submission by policyholder using physical means

Moreover, the policyholder can submit his own claim by sending the paperwork to the insurance provider. The policyholder can obtain the form for claims and submit it directly to the insurance provider. This can happen if the medical service provider of the policyholder is not in the network of the insurance provider.

3. The online method of claim submission through Turtlemint

The most convenient method for making a cancer insurance claim is by online method. This is an easy and faster method for making the cancer insurance claim. You can send the claim forms and necessary documents through email or visit through https://www.turtlemint.com/raise-claim and make the claim.
The details need to be filled in the claim form https://www.turtlemint.com/raise-claim#claim-form with the type of product, Insurer name, Policy number, contact details and free space for the details about the claim and then click on “Raise a Claim”. Your claim would be registered and someone from our claim department would connect with you and assist you to complete the entire process with the requisite documents.

Claim Settlement Ratio for Cancer Insurance Plans:

Claim Settlement Ratio of cancer insurance is the number of claims that have been settled by the insurance provider against the number of claims that have been filed in a particular year. Claim settlement ratio is a very important factor to be considered while purchasing cancer insurance as it depicts the trend of an insurance provider regarding the settlement of claims made. A policyholder should always opt for an insurance provider who has a higher claim settlement ratio.
In health insurance plans, it is called Incurred Claim Ratio or ICR.
Incurred Claims Ratio is the ratio of the total amount of claims paid by an insurance company against the total amount of premiums earned. The formula for calculating the ratio is as follows –

Incurred Claims Ratio =

(total amount of claims paid / total amount of premiums collected) * 100

Important aspects of the ratio

Incurred Claims Ratio of different health insurance companies:

Here is a comparative analysis of the Incurred Claims Ratio of different health insurers for the financial year 2017-18–

Name of the insurer	Incurred Claim Ratio
Acko General Insurance Limited	65.02%
Aditya Birla Health Insurance Company Limited	89.05%
Apollo Munich Health Insurance Company Limited	62.47%
Bajaj Allianz General Insurance Company Limited	77.61%
Bharti AXA General Insurance Company Limited	98.50%
Cholamandalam MS General Insurance Company Limited	39.96%
Manipal Cigna Health Insurance Company Limited	46.29%
DHFL General Insurance Limited	7.89%
Edelweiss General Insurance Company Limited	70.01%
Future Generali India Insurance Company Limited	87.42%
Go Digit General Insurance Limited	60%
HDFC Ergo General Insurance Company Limited	52.58%
ICICI Lombard General Insurance Company Limited	68.26%
IFFCO Tokio General Insurance Company Limited	90.69%
Kotak Mahindra General Insurance Company Limited	48.21%
Liberty General Insurance Limited	74.58%
Magma HDI General Insurance Company Limited	34.93%
Max Bupa Health Insurance Company Limited	50.19%
National Insurance Company Limited	115.55%
Raheja QBE General Insurance Company Limited	18.19%
Reliance General Insurance Company Limited	106.54%
Religare Health Insurance Company Limited	51.97%
Royal Sundaram General Insurance Company Limited	61.41%
SBI General Insurance Company Limited	52.93%
Shriram General Insurance Company Limited	50.83%
Star Health & Allied Insurance Company Limited	61.76%
TATA AIG General Insurance Company Limited	60.68%
The New India Assurance Company Limited	103.19%
The Oriental Insurance Company Limited	113.86%
United India Insurance Company Limited	110.95%
Universal Sompo General Insurance Company Limited	104.17%

Procedure for applying for insurance and documents needed

To apply for cancer insurance, there are two major methods.

• Physical means of applying for insurance

Firstly, an applicant can visit the nearest insurance provider’s offices and find out about the various cancer insurance plans. Then he can obtain the application form and fill in the required details. The necessary documents need to be submitted and then on the premium payment cancer insurance purchase would be successfully done.

• Online Method

Another convenient method is the online method of cancer insurance purchase. You can compare various cancer insurance plans online and then you need to choose between buying a new policy, renewing your existing health plan or porting the existing health insurance plan from your existing insurer to a new one.
Then, depending upon your requirements, you can fill in the details online. Then a list of possible health plans, based on your requirement along with premium, features and benefits would be displayed. You would then need to compare and choose the best plan that suits your needs. Then, on the payment of premium, the purchase of a cancer insurance policy is completed.
Documents needed while applying for cancer insurance are listed below.

• •   Age Proof – Voter ID card, PAN Card, Aadhar Card, Passport, Birth Certificate, Driving  License, etc.
  •   Identity Proof – a Voter ID card, Passport, Driving License, Aadhar Card, etc.
  •   Address Proof – Driving License, Passport, Ration Card, PAN Card, Aadhar Card, etc.
  •   Medical Reports
  •   Recent coloured passport-sized photographs
  •   Form filled and signed

Frequently Asked Questions

1. Can a policyholder of cancer insurance policy avail tax benefits?

Yes, cancer insurance policyholders can avail of a tax deduction of up to Rs. 25,000 under Section 80D of the Income Tax Act, 1961.

2. Can cancer policy be applied by persons smoking cigarettes?

Yes, cigarette smokers can avail of the benefits of cancer policy but on the payment of a higher premium.

3. What are the exclusions in a cancer insurance plan?

The exclusions in a cancer insurance plan are mentioned below:

• •  Any type of cancer has been caused by sexually transmitted diseases such as AIDS
  •  Skin cancer is not covered under a cancer insurance plan
  •  Cancer which might have been caused due to pre-existing conditions, congenital conditions, nuclear contamination, contact with radioactive compounds, chemical contamination, etc.

4. Can a policyholder include cancer insurance along with his existing health insurance plan?

Yes, a policyholder can supplement his existing health insurance policy with a separate cancer insurance plan.

5. Do cancer insurance plans have a waiting period?

Yes, most of the cancer insurance plans have a waiting period of 30 days.

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Courtesy Article: Supramind / October 20, 2019