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According to the Cancer Facts and Figures 2010, one out of every two men and one out of every three women in the United States will be diagnosed with cancer in their lifetime.* Fortunately, advances in cancer treatment are saving more lives than ever before.

With these advances in care, however, come rising health care costs. There are hospital expenses, specialists' fees, prescription drugs, operations, day and night nursing care, therapists and more.

Even if your basic health insurance policy covers you for cancer, you'll probably be required to pay a co-payment for medical expenses (usually 20% of covered expenses).

The ASME Cancer Expense plan helps protect you against these expenses. The plan:

  • Provides supplemental benefits, paid directly to you, regardless of any other insurance coverage, for any use you wish.
  • Can be used to help pay for some of the best treatment available to fight cancer.

* Cancer Facts and Figures-2010.

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PLAN HIGHLIGHTS

  • Members and their spouses are eligible for coverage regardless of age if you have not been diagnosed with, treated for, or advised of cancer (except skin cancer) within the five years prior to your effective date of coverage. Dependent children under age 19, 25 if a full-time student
  • Two options to choose from: Standard and High:
Benefit Amount Standard HighOption
Cash Payment upon First Occurrence $1,000 $1,500
Hospital Benefit (First 60 Days) $100/day $150/day
Hospital Benefit (Over 60 days) $250/day $375/day
Outpatient Treatment $100/day $150/day
Hospice Care (Maximum 180 days) $100/day $150/day
ICU Benefit (Maximum 15 days) $100/day $150/day

Coverage For You and Your Family

As an ASME member, you are eligible for this insurance regardless of your age provided you have not been diagnosed with, treated for, or advised of cancer (except skin cancer) within five years prior to the effective date of coverage. Your dependents under age 19, 25 if a full time student, are also eligible provided they meet the health requirements. (This Plan is not available to residents of AZ, CT, GA, MA, ME, NJ, NY, OR, SC, SD, VT and WA). Not available in California age 65 and over.


FIRST OCCURRENCE IS COVERED

Benefits begin on the first day cancer is positively diagnosed, provided your policy has been in force for 30 days prior to diagnosis. You’ll receive $1,000 under the Standard Option or $1,500 under the High Option upon the first occurrence to help you pay for initial expenses. (First occurrence benefit does not pertain to skin cancer and will be paid only once during your lifetime.)

Hospital Confinement Days 1-60

For the first through 60th day of a covered hospitalization, you will receive $100 per day under the Standard Option or $150 per day under the High Option. The benefit will be paid subject to the following conditions:

  1. the Covered Person is Hospital Confined
  2. the Confinement must be caused by Cancer
  3. the Confinement begins while insurance under the Policy and Rider are in force for the Covered Person

Intensive Care Benefits

Under the Standard Option, an additional $100 per day will be payable if the confinement is in an Intensive Care Unit. An additional $150 per day will be payable under the High Option if the confinement is in an Intensive Care Unit. The maximum benefit period will be 15 days.

Extended Hospital Confinement Days 61+

Beginning on the 61st day of hospitalization, your daily benefit increases to $250 per day under the Standard Option or $375 per day under the High Option.

Outpatient Care

As an outpatient receiving therapy and treatment for cancer (including chemotherapy), you'll be paid $100 per day under the Standard Option or $150 under the High Option to help you meet ongoing costs.

Hospice Care

If hospice care should be required, the Standard Option can pay $100 per day for a maximum of 180 days, up to $18,000, to help meet the special needs of you and your family. The High Option pays you $150 per day up to $27,000.


ECONOMICAL RATES REGARDLESS OF AGE

Semiannual premiums are surprisingly affordable and are the same regardless of your age or that of your insured dependents:

  Standard Option High Option
Member $ 41.70 $ 61.50
Member & Family** $ 78.00 $ 115.00

** Family coverage includes the covered member, spouse and dependent children (unmarried children under age 19; or, under age 25 if enrolled as full-time students) of the covered member.

Effective Date of Coverage

Coverage becomes effective on the date following acceptance by the administrator of the application and the first premium payment, provided you or any dependent to be covered is not hospital confined.


EXCLUSIONS

This policy only pays benefits for medical care or treatment resulting from cancer, and recommended and approved or performed by a physician. The policy does not cover injury or sickness (other than cancer), or treatment or services performed outside the United States.


PREEXISTING CONDITION LIMITATION

A cancer for which treatment has been received before the covered person has been insured for 30 days from his effective date of coverage will be considered a preexisting condition (except in AZ, MN, MO, TX, WI and WY). We will, however, make payments for this cancer if the covered person incurs expenses after his or her insurance has been in effect for 12 months.

How to File a Claim

To file a claim, call or write to the administrator for claim forms.

Certificate of Insurance

When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan.

This information is only a brief description of the principal provisions and features of the Plan. The complete terms and conditions are set forth in the policy issued by Monumental Life Insurance Company to the Trustee.

"30–Day Free Look"

When you become insured you will be sent a Certificate of Insurance summarizing your insurance coverage. If you are not completely satisfied with the terms of your Certificate, you may return it, without claim, within 30 days. Your coverage will be invalidated and you will receive a full refund--no questions asked!

Important Notice to Persons on Medicare

This policy or certificate duplicates some Medicare Benefits.

This is Not a Medicare Supplement Insurance Policy

This policy or certificate provides limited benefits, if you meet the policy conditions, for hospital and medical expenses only when you are treated for cancer. It does not pay your Medicare deductibles or coinsurance and is not a substitute for a Medicare supplement insurance policy.

This policy or certificate duplicates Medicare benefits when it pays: hospital or medical expenses up to the maximum stated in the policy.

Medicare pays extensive benefits for medically necessary services (regardless of the reason you need them). These include:

  • hospitalization
  • physician services
  • hospice
  • other approved items and services

Before You Buy This Policy

Check the coverage in all health insurance policies you already have.

For more information about Medicare and Medicare supplement insurance, review the Guide to Health Insurance for People with Medicare, available from the insurance company.

For help in understanding your insurance, contact your state insurance department or state senior insurance counseling program.

This information is for illustrative purposes only and is not a contract. It is intended to provide a general overview of the services described. Remember that only the policy can provide the actual description of services, terms, conditions and exclusions.

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HOW TO APPLY

Get Quicker, Easier Service When You Apply

Before you request coverage, you must be a member in good standing of ASME . Please wait until your application for membership is accepted before initiating your insurance requests. If you have any questions regarding membership, see the ASME home page.

1. Refer to the Plan description for benefits and premium cost as you fill out the Application Form.

2. Make a check payable for the total amount of the premium due to: Administrator, ASME Insurance Program.

3. Mail the completed Application with your check to:

Administrator, ASME Insurance Program
12421 Meredith Drive
Urbandale, IA 50306

Collapse All Expand All
Click here to expand contentClick here to collapse content  When is the coverage effective?

Coverage becomes effective on the date following acceptance by the Administrator of the application and the first premium payment, provided you or any dependent to be covered is not hospital confined. This is group insurance. Coverage continues in force as long as premiums are paid when due, you are an ASME member and the group policy remains in force.


Click here to expand contentClick here to collapse content  Will I meet with a salesman?

Issuance of this coverage is handled over the Internet and the mail. You can review the materials in the privacy of your home and purchase your insurance directly through the mail without meeting with a salesman. You can, of course, talk to a licensed representative if you'd like. Please click the Contacts section for the Program Administrator's toll-free number.


Click here to expand contentClick here to collapse content  Who is eligible for this insurance?

As an ASME member, you and your spouse are eligible for this insurance regardless of your age provided you have not been medically treated for, or advised of cancer (except skin cancer) within five years prior to the effective date of coverage. Your children are also eligible provided they meet the health requirements and are under age 19 (under 25 if enrolled as full-time students.) (This plan is not available in all states, please contact the administrator for more information.)


Click here to expand contentClick here to collapse content  By whom is this plan underwritten?

This plan is underwritten by Monumental Life Insurance Company. Monumental Life Insurance Company is an AEGON company and is one of the oldest and largest life insurance companies in the US. [Monumental Life's] long standing history of service and financial strength have earned it consistently high marks from insurance rating agencies. For more information, please visit www.aegonins.com.


Click here to expand contentClick here to collapse content  Who is Marsh U.S. Consumer, the Insurance Administrator?

Marsh U.S. Consumer is the company contracted to administer the Insurance Program. See the section ‘About Us’ for more information this topic.


Click here to expand contentClick here to collapse content  What if I have second thoughts after I apply?

When you become insured, you will be sent a Certificate of Insurance summarizing your benefits under the Plan. If you are not completely satisfied with the terms of your Certificate of Insurance, you may return it, without claim, within 30 days. Your coverage will be invalidated and you will be sent a full refund—no questions asked!


Click here to expand contentClick here to collapse content  Are there any exclusions?

Benefits will not be paid under this policy and any attached rider for any expenses which result from: injury or sickness other than cancer; or treatment or services performed outside the United States.

No benefits will be payable for the Covered Person's Preexisting Conditions. They are defined as a Cancer that was positively diagnosed within ten years prior to the Covered Person's Effective Date of Coverage under this Policy, or a Cancer for which treatment had been received before the Covered Person has been Insured for 30 days from his Effective Date of Coverage.

We will, however, pay benefits for Cancer diagnosed and treated within the first 30 days the Covered Person has been insured. Expenses for such treatment are payable only if incurred after coverage has been in force for 12 consecutive months from the Effective Date.


Click here to expand contentClick here to collapse content  Why are these rates so economical?

Often financial experts recommend group plans due to the financial advantages of group rates. But it’s important to remember that all "groups" are not created equal.

The ability to negotiate the most competitive rates is partially determined by the size of your group, and the group buying power of over 120,000 ASME members is very substantial.


Insurance Application & Brochure Residents of KS only
Insurance Application and Brochure Other States
We're here to help! Please contact us in whatever manner is most convenient for you.
 
Program Administrator
Title: ASME Insurance Program Administrator
Address: Marsh U.S. Consumer
  12421 Meredith Drive
  Urbandale , IA 50398
Phone: 1-800-289-ASME (2763)
Email: asme@marshpm.com
Hours: 7:30 a.m. to 6:00 p.m. M-F (Central)
Website: http://www.personal-plans.com/product/marsh/
   
Application Mailing Address
Title: Administrator, ASME Insurance Program
Address: P.O. Box 10374
  Des Moines , IA 50306-0374
   
Payment Billing Address
Title: Administrator, ASME Insurance Program
Address: P.O. Box 10425
  Des Moines , IA 50306-0425
   
Insurance Company
Title: Monumental Life Insurance Company
an AEGON company
Address: 4333 Edgewood Road NE
  Cedar Rapids, IA 52499
Phone: 1-800-533-5957

Insurance Enrollment
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Residents of KS only


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