Specified disease insurance
Financial relief at a crucial time
Medical advancements have greatly improved our ability to manage serious health events. But the unexpected cost of those events—while keeping up with everyday expenses—can put a strain on your finances.
While most major medical plans help with care and treatment expenses, other costs can add financial pressure to an already stressful situation.
First Symetra’s specified disease insurance can help.
How it works
If you’re diagnosed with a covered condition after the policy is in effect, you’ll receive a lump-sum benefit payment based on the terms of your policy and the diagnosis.
Benefits are paid directly to you and are not reduced based on any other insurance coverage you have.
Why specified disease insurance?
Specified disease insurance can provide some financial relief after a serious medical condition.
The benefit payment can be used for anything—whether it’s transportation, child care or other expenses—so you can focus more on your recovery and less on your finances.
What's covered
The first time you’re diagnosed with a covered condition after your coverage is in effect, you’ll receive a one-time, lump-sum payment equal to your plan’s benefit amount for that condition. Each condition may be eligible for an additional payment when diagnosed while under the policy.
Your coverage may include the conditions below. Please see your certificate for complete details.
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• All forms of cancer: invasive, non-invasive (in situ) and non-melanoma skin cancer |
• Stroke |
Claim examples
In addition to their health insurance, Kristen and Andrew are both enrolled in First Symetra’s specified disease insurance. They are each covered under a $20,000 benefit amount.
Meet Kristen
After a breast cancer diagnosis, Kristen’s doctors treated the condition with a combination of surgery and radiation therapy. She used her specified disease benefit to help pay her deductible and coinsurance, plus other expenses while she recovered.
Invasive cancer
Benefit paid:
$20,000
How Kristen used her benefit dollars:
Related medical costs: $5,500
Child care: $1,200
Parking and transportation: $600
Lost income: $12,700
Meet Andrew
After Andrew suffered a heart attack, he spent two days in the hospital and another three months recovering at home. His specified disease benefit provided financial support to help with a variety of related health costs and lost income.
Heart attack
Benefit paid:
$20,000
How Andrew used his benefit dollars:
Related medical costs: $6,000
Lost income: $14,000
Note: These examples are for illustrative purposes only and are meant to provide a general overview of how benefits work. Any resemblance to actual persons is purely coincidental. Refer to your additional enrollment materials for your plan’s specific benefit amounts.
Why enroll in specified disease insurance at work?
A cancer diagnosis, heart attack or other life-altering condition usually leads to unknown and unexpected costs. And some of these—such as transportation, child care and mortgage payments—aren’t covered by health insurance. Specified disease insurance can help pay for these additional costs while you focus on your recovery.
Signing up for First Symetra’s specified disease insurance also means you can enjoy:
- A simple enrollment process with no required medical questions or exams.1
- An easy and flexible claims process.
- Responsive and empathetic customer service representatives at a U.S.-based call center.
- 24/7 access to your benefits information with our online platform, MyGO.
Next Steps
To learn more about specified disease insurance provided by First Symetra, contact your company's benefits representative.
Specified disease policies are insured by First Symetra National Life Insurance Company of New York, New York, NY. Mailing address: PO Box 34690, Seattle, WA 98124-1690. They provide benefits at a preselected, fixed dollar amount for covered conditions. They are not a replacement for major medical or other comprehensive coverage, and do not satisfy the minimum essential coverage requirements of the Affordable Care Act. Certificate form number is SBC-04535/NY 4/22. Coverage may be subject to exclusions, limitations, reductions and termination of benefit provisions. For costs and complete details of the coverage, contact your benefits representative.
1 Late entrants and those who elect coverage over the guaranteed issue amount outlined in the plan design may be required to complete a medical questionnaire.