HDFC Ergo iCan Cancer Insurance Plan

The expenses incurred to treat cancer can range easily from Rs 20 lakhs to Rs 50 lakhs or sometimes more than that. To manage all your financial burdens related to cancer treatment, HDFC Ergo Health insurance has introduced iCan Cancer Insurance Plan.

This plan offers the option of a high sum Insured at affordable premiums. iCan Cancer insurance plan specially for women is available in the form of individual health insurance plans and family floater plans.

There are two variants of the iCan Cancer Insurance Plan:

• iCan Essential
• iCan Enhance

Key Features of HDFC Ergo General iCan Cancer Insurance

Always get familiar with the salient features by reading policy documents/brochures thoroughly to avoid the selection of a wrong plan. Let’s discuss the key features of iCan Cancer Insurance Plan that will help you in making the correct selection-

1. Long-term coverage

   iCan Plan offers lifelong coverage for individuals going through cancer treatment irrespective of the health status or claims of an insurer.

2. Pre and Post Hospitalization

   This plan covers the expenses incurred in the 30 days before the date of getting admitted to the hospital whereas post-hospitalization includes the expenses incurred after 60 days the policyholder is discharged from the hospital.

3. No medical check

   iCan offers no medical check-up for sum insured up to Rs. 20 lakhs and age up to 55 years.

4. Cashless facility

   Get the cashless facility for the treatment of cancer at 4000+ network hospitals. Moreover, the reimbursement process of treatment costs is smooth and hassle-free.

5. Follow-up care

   It includes the coverage of medical examination while undergoing cancer treatment, but to a specific limit after the discontinuation of the treatment. This is done on the basis of a referral from a medical practitioner for at least 6 months with a report saying ‘No’ evidence found related to the disease.

We at PolicyX.com have tried to sum up all the key features in the table. It is suggested to go through the table for a better understanding.

**Last Updated on August, 2021

Eligibility and Other Restrictions

There are few eligibility criteria that are required to be met by an individual who is availing this plan,

**Last Updated on August, 2021

Why Should I Choose the iCan Cancer Health Insurance?

What are the Benefits of iCan Cancer Insurance Plan?

Here are the following benefits of iCan Cancer Insurance Plan that will help you in choosing a plan,

1. Lifelong Coverage for Cancer Treatment

   There are high chances of recurrence of cancer in the first five years after the treatment. The plan does not stop giving coverage to its insured for a lifetime irrespective of medical state and age.

   This is more beneficial in the case of cancer insurance for women because with the increase in age the probability of occurrence of cancer increases in females. Cases of breast cancer, ovarian cancer, etc have been found in females as their age increases.

2. CritiCare Benefit

   In case the insured is diagnosed with cancer then s/he gets a 60% lump sum payout of the sum insured. This is also applicable to cancer insurance for women.

   This means if the insured sum is chosen is Rs. 20 lakhs then, in this case, the insured gets Rs. 12 lakhs as a lump sum and still the insured can use the base 20 lakhs, to meet the treatment expenses.

3. FamilyCare Benefit

   There are cancer plans for the family also. On diagnosis of stage IV cancer or recurrence of cancer, a 100% lump sum payment of the sum insured is provided to the policyholder.

   So, in case the insured has a cover of Rs. 20 lakhs, s/he will get a lump sum amount of 20 lakhs, and still, the policyholder is eligible to have the base 20 lakhs to cover the treatment expenses.

4. Second Opinion

   iCan cancer insurance provides coverage for a second opinion from a specialist in certain cases depending upon the criticality of the cancer phase for women and individual/ family floaters.

5. Cost-Effective Protection

   The treatment cost of cancer might range between Rs. 20 lakhs to Rs. 50 lakhs and regular health insurance with such a high sum insured can result in a rise in the premium amount. But in the case of HDFC ERGO iCan Cancer insurance plan, the insured sum is provided at a lower premium comparatively.

6. Tax Benefits

   Get the Income-tax benefits U/S 80(D) of the Income Tax Act, 1961.

Two Add-on MyCare Benefit Covers

Here are mentioned the two MyCare benefit cover in details, that an insured can get under HDFC ERGO iCan Cancer Insurance Policy:

1. Standard Plan

   The plan covers expenses for hospitalization (Daycare and Inpatient) and outpatient treatment taken for cancer.

   • List of conventional treatment that gets coverage are:

     1. Chemotherapy

     2. Radiotherapy

     3. Organ transplantation, as part of cancer transplantation

     4. Surgeries for excision of cancerous tissue or removal of organs/ tissue (Onco-surgery)

   • All the pre-hospitalization medical expenses incurred within 30 days before the hospitalization date get the coverage.
   • Under post-hospitalization expenses, all the costing for treatment after the discharge from the hospitals gets the coverage.
   • There is an ambulance coverage of Rs. 2000 per hospitalization in the case of an emergency.
   • The follow-up care post gets coverage of Rs. 3000 twice a year.

2. Advanced Plan

   Other than the base cover following are mentioned things get coverage under the advanced plan:

   • Personalized and targeted therapy.
   • Immunotherapy including immunology agents e.g. Interferon, TNF, etc.
   • Proton Beam Therapy
   • Stem cell transplantation
   • Hormonal therapy or endocrine manipulation

iCan Cancer Insurance Sample Premiums

A premium table is given for the enhanced plan and standard plans. The table mentioned the premium to be paid by male insured separately under an individual plan.

Annual premium Table - iCan Enhanced (Non -smoker)

**Last Updated on August, 2021

Annual premium Table - iCan Essential (Non -smoker)

**Last Updated on August, 2021

With the help of this table, you will get an idea about the premium which is required to be paid by an individual(non smoker). Go through the table and choose your plan wisely.

As we have discussed above, the premiums paid by non smoker individuals under iCan Enhanced and Essential Cancer Insurance Plans. Now, you are definitely going to think what if I smoke? So we are providing a table of premiums paid by smoker and non-smoker.

The table mentioned the premium to be paid by an individual (male) at different ages for a sum insured Rs. 5 lakhs separately under an individual plan. Graph drawn here shows premium paid by smoker Vs Non-Smoker.

Annual Premium Rates for iCan Enhanced Plan

**Last Updated on August, 2021

As you can see on the graph, the premium for non- smokers is lower than smokers. The reason behind this is the low expectancy ratio of Smokers as they are more susceptible to chronic illnesses such as bronchitis, lung cancer, and other associated heart problems. Because of this, they may have a shorter life expectancy than non-smokers.

**Policy T&Cs and Premium Rates are subject to change.

What is the Claim process for iCan cancer insurance plan?

The insurance company should be informed about the planned hospitalization at the time of filing a claim. In case of cashless claim service, the insurer should be intimated at least 48 hours prior to the hospitalization. If there is a case of emergency hospitalization, then the company can be informed within 24 hours after the treatment procedures or the hospitalization.

Documents required at the time of filing a claim,

• Duly filled claim form
• Original medical bills and payment receipts
• Summary of discharge along with all the original report
• Medical certificate certifying by the medical practitioner who was treating the cancer patient.
• Complete list of medical services
• All the prescription related to treatment

What is not covered under the iCan Cancer Insurance Plan?

In case your treatment falls on the exclusion list then the claim might get rejected. So, here is a list of exclusions under iCan Cancer Insurance Policy and iCan Cancer Insurance Plan for women:

• Non-allopathic treatment
• Any treatment other than cancer
• Congenital external diseases, defects, and anomalies
• Pre-existing condition for cancer for which the insured has existing signs & symptoms, and/or was diagnosed, and/or received consultation, investigation, treatment, or admission anytime prior to the date on which policy was issued.
• Prosthetic and other devices which are self-detachable, removable without surgery involving anesthesia.
• "AIDs" and other infections with HIV including but not limited to conditions related to or arising out of HIV/AIDs such as ARC, Lymphomas in the brain, Kaposi's sarcoma, tuberculosis.
• Treatment availed outside India or at a healthcare facility that is not a hospital.