Cancer Insurance

Facts - Cancer in India

Cancer prevalence in India is estimated to be around 25 Lakh, with over 8 Lakh new cases every year, about 6 Lakh cancer deaths reported in 2010 Cancer prevalence similar in rural and urban areas Over 70% of cancer deaths occurred in the age bracket of 30-69 years At ages 30-69 years, the three commonest fatal cancers are : Men: Oral, Stomach, and Lung Women: Cervical, Breast and Stomach
Source - Dikshit et al, Lancet 2012

Cancer treatment Financial burden

Treatment costs in India ( INR ) PET Scan 15000 to 40000 Surgery - 1.5 lacs to 4 lacs Chemotherapy - 1.5 lacs to 6.60 lacs Radiation therapy - 30000 to 2 lacs

Huge financial implications make it difficult for most families to maintain a certain standard of living while bearing the cost of treatment for a cancer patient

Raheja QBE offering - Cancer Insurance

While one cannot always predict the future, it is good to be prepared. Raheja QBEs Cancer Insurance is here to help Insured and family better cope financially and emotionally if, God forbid, a positive diagnosis of cancer ever occurs Cancer insurance is a primary or supplemental insurance policy that helps to reduce the financial burden of cancer treatment costs It is not designed to replace a traditional health insurance policy, but to compliment it by covering additional cancer expenses that may not be covered by one's current policy

USP Cancer Insurance

All individuals in the age group of 1 day to 70 years can opt for this insurance cover Offers a combination of Benefit & Reimbursement cover Sum Insured options - INR 1 Lakh and in multiples thereof subject to a maximum of INR 10 Lakh

Covers all types of Cancer (except Cancer caused in presence of HIV) Policy cover will respond upon diagnosis with Cancer (diagnostic investigation or treatment by a duly qualified medical practitioner or surgeon)

Policy covers all expenses related to treatment of Cancer (both Inpatient & Outpatient)

USP Cancer Insurance

50% of the Sum Insured or Rs. 2,50,000 whichever is less, is paid as a lump sum amount on acceptance of a claim under the Policy Rest Sum Insured is reimbursed upon reasonable and necessary by the medical Insured expenses towards actually medical incurred

treatment of Cancer, after 75% of the benefit payment made is exhausted Once claimed, continued benefits under the Policy are reimbursed up to Sum Insured limit even after the expiry of the Policy, for up to 5 yrs from inception of the Policy No Medical examination till age of 50 years Tax benefit u/s 80D of Income Tax Act. prevailing in India

Premium Chart
Age In yrs < 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-70 71-74 * 75 onwards* Premium (INR) 102 127 179 306 561 1070 1731 2648 4074 7130 7488 7844

Premium per Lakh Sum Insured Including Service Tax * Only renewals

Who can opt for this policy ?

To be eligible for cancer insurance, one cannot have a pre-existing cancerous condition. In most cases, people who have previously been diagnosed and treated for cancer are ineligible for coverage

All individuals in the age group of 1 day to 70 years can opt for this insurance cover

For policies continued without any break there is no exit age

Health check-up will be arranged by Raheja QBE as per Insureds convenience

Health Check-up : Is it required for buying a Cancer Insurance Policy?

All Insureds less than 50 years of age will be accepted for this insurance cover on the basis of the self-declaration as given in the proposal form All Insureds above the age of 50 years will be accepted for coverage after medical examination. Such Insured's who are extended this insurance by Raheja QBE after medical examination and confirmation of no pre-existing cancer in the proposal form and are later on detected with cancer in advanced stages will not be denied cover on the basis of the disease being a pre-existing one
Male ( Cost : INR 1500) Clinical Examination Prostate Specific Antigen Test Stool examination-occult blood Complete blood count chest X-ray Ultrasound of upper abdomen Review by registered Physician Female ( Cost : INR 2700) Clinical Examination CBC Chest X-Ray PAP Smear Mamogram Stool examination-occult blood Complete blood count Ultra sound of Pelvis

Reimbursement towards medical expenses for pre-policy medical examination will be limited to 50% of actual cost as mentioned above

What the Policy does not cover?

Any injury, disease or illness directly or indirectly caused or contributed by nuclear weapons, or caused by contact of the insured person with radiation or radioactivity from any source whatsoever from non diagnostic or therapeutic source Any cancer or cancer related condition(s) for which the Insured had signs or symptoms and was diagnosed and received medical advice/treatment, within 48 months prior to the inception of his/her first policy with Raheja QBE Any representations on the basis of which this Policy is issued, if is discovered to be fraudulent or incorrect or if any fraudulent means or devices are adopted at any time in making a claim under or in respect of this Policy Any claim where the diagnostic investigation does not reveal the positive existence or presence of Cancer

Claims Procedure
A notice of claim shall be given to Raheja QBE within a period of 30 days of the happening of any event which gives rise to a claim under the Policy with full particulars The claim shall be substantiated in full with all supporting documents, including certificates The claim and the requisite information, particulars and documents in respect of a claim shall be submitted within 15 days of notification of the claim Claims shall be paid by Raheja QBE in Indian currency, subject to and in accordance with the limit of liability specified in the Policy Claim for reimbursement of medical expenses can submitted by the Insured to Raheja QBE on quarterly basis and shall be settled accordingly as per terms/conditions of the Policy and Raheja QBEs claim settlement procedures applicable from time to time

Claims Procedure
Intimation within 30 days of any event that would give rise to claim Documents to be submitted: Duly Filled Claim Form All Original Diagnostic, Investigative and Treatment Reports All original Bills and Receipts of Tests Carried out All original Bills and Receipts of Treatment taken All original/certified copies of Doctors prescriptions Discharge Summary

All the above documents are to be submitted within 15 days of Intimation of the Claim

Claims Procedure

Claim shall be paid for diagnosis, Investigation and treatment for Cancer within India only

No Claims will be payable if the Insured is diagnosed with Cancer within 30 days of policy inception date (does not apply for RQBE renewals)

In case of another in force policy under which the same claim is payable to the Insured, the RQBE Cancer Insurance Policy will settle only ratable portion of the reimbursement part of the claim

No claim payable if any data provided in the proposal form is fraudulent or incorrect Claim not payable if diagnostic investigation does not reveal presence of Cancer

Things to Note
Reimbursement of medical expenses (of the reimbursement part of the policy) will be based on submission of original bills only Reimbursement of claims will be made every quarter for actual expenses incurred, until the entire sum insured is exhausted Also if an Insured is diagnosed as suffering from Cancer and reports a claim during the period of insurance, he/she can continue to receive benefits under the Policy up to the Sum Insured limit even after the expiry of the Policy for up to 5 yrs from the inception of the Policy The renewal premium under the Policy is payable by the due date. Raheja QBE will allow a grace period of 30 days from the due date for payment of renewal premium

Things to Note
This Policy is ordinarily renewable unless the Insured or anyone acting on behalf of an Insured has acted in an improper, dishonest or fraudulent manner or there has been any misrepresentation under or in relation to this Policy or the renewal of the Policy poses a moral hazard The Policy will not be renewed for an Insured once a claim is admitted under this Policy For all claim-free policies subsequently renewed in accordance with the terms of the Policy, there will be an increase in the Sum Insured by 5% for the immediately following Period of Insurance provided that the

cumulative bonus over all Periods of Insurance shall not exceed 25%. The earned Cumulative Bonus will not be lost if the policy is renewed within the 30 day grace period

Contact us
Head Office: 5th Floor, Windsor House CST Road, Kalina Santacruz (East), Mumbai 400098 - India Telephone: 022-42313888 Toll Free: 1-800-102- (RQBE) 7723 Fax: 022-42313777 email: info@rahejaqbe.com

Hyderabad P Umesh +91 97013 27111 p.umesh@rahejaqbe.com

Chennai Srinivasan Rangarajan +91 89398 35000

Bengaluru Pramod Diwakar +91 98450 99293

srinivasan.rangarajan@rahejaqbe.com pramod.diwakar@rahejaqbe.com

Delhi Siddhartha Anand +91 99994 44331 siddhartha.anand@rahejaqbe.com

Pune Priyesh Pradhan +91 98339 77982 priyesh.pradhan@rahejaqbe.com

Ahmedabad Kamlesh Khuntwal +91 90999 80705 kamlesh.khuntwal@rahejaqbe.com

Thank You
Raheja QBE General Insurance Company Limited (RQBE) is a joint venture between the Rajan Raheja Group and QBE Insurance Group Limited licensed by Insurance Regulation and Development Authority (IRDA) on December 11th, 2008. It has positioned itself as a speciality Insurer in segments where the Indian economy is most poised to grow rapidly. These speciality products are drawn from the worldwide specialist offerings by the foreign partner QBE. Rajan Raheja Group is a diversified business conglomerate with well known brands such as H&R Johnson (India) Ltd, Exide Industries Ltd, Prism Cement Ltd, RMC Readymix (India) Pvt Ltd, Hathway Cables & Datacom Pvt Ltd, Asianet, Outlook Publishing and Globus Stores, ING Vysya Life Insurance in its portfolio. QBE Insurance Group Limited is an Australian listed company with a Group Head Office based in Sydney. QBE is one of the top 20 global general insurance and reinsurance group Australia's largest international general insurance and reinsurance group Largest underwriter at Lloyds London, UK and owns several iconic syndicates at the Lloyds The Annual Gross Written Premium (GWP) for the financial year 2011 was in excess of US$ 18 billion and Net profit after tax was US$ 704 million Geographical spread of Annual Gross Written Premium (GWP): 71% from USA & UK and 29% from Asia pacific and Australia QBE has a consistent Standard & Poors rating of A+ Operates out of 52 countries with over 16,000 staff worldwide. Has presence in over 130 countries through its Lloyds license and global alliances 140 acquisitions in the past 30 years