Specified disease insurance

Financial relief at a critical time

Medical advancements have greatly improved our ability to manage critical 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.

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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.

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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

Your coverage includes the seven conditions below. 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 is eligible for an additional payment when diagnosed while under the policy.

• Invasive cancer
• Heart attack
• Major organ failure
• Minor cancer

• Stroke
• End-stage renal disease
• Obstructive coronary artery disease

Claim examples

In addition to their health insurance, Sarah and Andrew are both enrolled in First Symetra’s specified disease insurance. They are each covered under a $20,000 benefit amount.

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Meet Sarah

After a breast cancer diagnosis, Sarah’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 recovers.

Cancer

Benefit paid:
$20,000

How Sarah used her benefit dollars:
Related medical costs; $5,500
Child care: $1,200
Parking and transportation: $600
Lost income: $12,700

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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 user-friendly online administration tool, MyGO.

Next Steps

To learn more about specified disease insurance provided by First Symetra, contact your company's benefits representative.

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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. 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.