CIGNA 108%
HEALTH SPECTRA
cancer cash benefit and a 108% refund.
PLAN BENEFITS
- This product is a standalone individual policy which aims to provide life protection, hospitalization and critical illness protection. It is a non-indemnity insurance policy for critical illness and an indemnity insurance policy for hospitalization benefit with cash value.
- Long-term policy
- The plan provides 10 years of protection period, with 6 years of payment period, and level and guaranteed Premium.
In-patient surgical expenses benefit covers surgeon’s fee, anaesthetist’s fees and operating theatre fee. Post-surgical expenses benefit covers
outpatient expenses and auxiliary treatment e.g. Chiropractor treatment, physiotherapy.
Common expenses such as hospital room & board benefit, in-patient surgical and out-patient surgical expenses as well as post-surgical expenses are covered.
For detailed coverage amounts for each of the Benefits, please click here.
You will receive 108% of your total premium paid at the end of the 10th year of your policy. You can receive this extra cash value even if you have made claims on surgical, hospitalization and post-surgical expenses, as well as carcinoma-in-situ benefit.
Carcinoma-in-situ (CIS) benefit and cancer benefit are offered to help you during your difficult time. At the first confirmed cancer diagnosis, a lump-sum cancer benefit of up to HK$300,000 will be offered on top of 100% total premium paid.
From 15 days to age 65
Renewable till age 65
The premium is fixed during the six-year premium term, enabling you to manage a predictable financial plan. Three protection levels in Hong Kong or US dollars are designed for your different needs.
Annual discount coupons for body check-ups and spinal health assessments.
The coupons will be issued with your policy document pack, as well as 30 days after each policy anniversary thereafter.
Age 45
During a routine body checkup, Sam is discovered to have a 1 cm colorectal polyp. Under the advice of his doctor, Sam undergoes an immediate resection of the polyp at a private hospital, where he stays for 3 days for the treatment.
Age 48
Sam is discovered to have another colorectal polyp. He stays in the hospital for 3days to undergo a resection of the polyp. Unfortunately the doctor confirms his diagnosis of Colorectal Carcinoma-in-situ (CIS). After undergoing examinations and monitoring, he gradually recovers after several months.
| Benefit Items | Benefit Paid(HK$) |
Age 41 Purchases Cigna 108% Health Spectra Plan 2 | |
|---|---|
Age 45 (5th policy year) Medical reimbursement: | HK$22,400Hospital room & board HK$800 x 3In-patient surgical expenses HK$20,000 |
Age 48 (8th policy year) Medical reimbursement & CIS Benefit | Medical reimbursement & CIS Benefit: HK$78,900 Hospital room & board HK$800 x 3 In-patient surgical expenses HK$30,000Post-surgical expenses HK$1,500CIS Benefit HK$45,000 |
Age 50 (10th policy year) Policy matures with 108% premium paid: | HK$189,190 108% x 72 months x HK$2,433 (108% x 72 months x Monthly Premium Paid) |
Sam receives: (Medical reimbursement, CIS Benefit & 108% premium paid) | HK$290,490 |
His total premium paid: | HK$175,176 |
Age 35
Carol’s medical report indicates that there are two lumps in her right breast. After several tests and scans, she is diagnosed with Ductal Carcinoma-in-situ (CIS). She takes her doctor’s advice and undergoes immediate surgery to have the lumps removed.
Age 37
Unfortunately, Carol is diagnosed with Stage II ovarian cancer two years later. She is advised by her doctor to undergo surgery and receive chemotherapy
| Benefit Items | Benefit Paid(HK$) |
Age 30 Purchases Cigna 108% Health Spectra Plan 3 | |
|---|---|
Age 35 (6th policy year) | Medical reimbursement: HK$90,000 |
Age 37 (8th policy year) | Amount received for the first confirmed cancer diagnosis:HK$450,552 72 months x HK$3,341 + HK$300,000 - HK$90,000 (72 months x Monthly Premium Paid + Cancer Benefit - CIS Benefit paid) |
| Carol receives: (CIS benefit and Cancer Benefit) | HK$540,552 |
| Her total premium paid: | HK$240,552 |
Premium
1. Premium Level
The premium level of Cigna 108% Health Spectra corresponding to the plan level you select is determined based on age, gender and smoking habit of the person insured at policy commencement.
2. Non-payment of premium
If you fail to pay the initial premium, your policy will not take effect from the commencement date of your policy. Except for the initial premium payment, there will be a grace period of 1 month after any premium due date. Your policy will remain effective during this grace period. If any premium is not paid at the end of the grace period, your policy will lapse on the premium due date and you will lose the insurance cover.
We will not make any claim payment or any other payment payable under this policy, until we receive payment of all outstanding premium up to the date of the claim payment or when this policy terminates.
3. Mis-statement of Age and Sex
If age or sex has been mis-stated by you or any person insured but the relevant person insured would still be eligible for coverage, we have the right to adjust the premiums payable based on the correct information.
4. Premium Adjustment
We have the absolute right and discretion to adjust the premium payable under the policy upon the renewal of each policy term. Factors leading to premium adjustment may include but are not limited to our experience in claims, surrender, investment return, and expenses incurred by and/or in relation to this product.
Benefits
- Benefits in general
If your diagnosis is made in mainland China, the benefit payment is payable only if the diagnosis is made in a hospital of 3A grade or above.
- Hospital Room and Board Benefit and Inpatient Surgical Benefit
If the person insured uses a higher level of hospital facilities and services than that to which he is entitled under this policy, the benefit amount payable shall be lowered. The Hospital Room and Board Benefit and Inpatient Surgical Benefit shall not be payable for the class of suite/ VIP/ deluxe room of a hospital.
- Cancer Benefit
The lump sum Cancer Benefit will be paid if the person insured suffers from a first confirmed diagnosis of cancer and has survived for 30 days thereafter. If the person insured dies within 30 days after the first confirmed diagnosis of cancer, only the Compassionate Death Benefit will be paid.
The Cancer Benefit is subject to a waiting period, which refers to 90 days from the issue date or the commencement date (whichever is the later), or any approval date of reinstatement of your policy. Please refer to the key exclusions for details. - Carcinoma-in-situ (CIS) benefit
If the person insured suffers from a first confirmed diagnosis of carcinoma-in-situ, we will pay the Carcinoma-in-situ (CIS) Benefit in a lump sum, and the benefit amount under the Cancer Benefit will be reduced accordingly.
The Carcinoma-in-situ Benefit is subject to a waiting period, which refers to 180 days from the issue date or the commencement date (whichever is the later), or any approval date of reinstatement of your policy. Please refer to the key exclusions for details. - Renewal
Subject to our rights to terminate or amend the terms and conditions of this policy, this policy is renewable after the end of the tenth policy year provided that we continue to issue new policy(ies) under “Cigna 108% Health Spectra” and the following conditions are fulfilled at the time of each renewal:
- the person insured's age does not exceed 65;
- the benefit amount of the policy selected is not increased; and
- the person insured meets our underwriting criteria.
- Termination
- The policy will be automatically terminated when one of the following happens:
- The policy is not renewed upon the maturity date;
- The person insured reaches the age of 75;
- Any premium is not paid at the end of the grace period;
- The Cancer Benefit is fully paid; or
- The person insured passes away.
- If there is any fraud, mis-statement or concealment in the application or declaration, or if you or your beneficiary makes a dishonest claim, we have the right to cancel this policy immediately. In such case, all of the premium paid will not be returned and you shall immediately return all payment including claims paid by us under this policy.
- Exchange rate risk
Any transaction involving foreign currencies involves exchange rate risk. Upon currency conversion, the amount you receive and the premium you pay may vary as a result of changes in the exchange rate. You should consider the currency risk and decide which policy currency you should take.
- Inflation risk
While your current planned benefits will not be adjusted during the 10-year policy term, future medical costs may be higher than they are today due to inflation.
- Key Exclusions
Please refer to the product brochure for key exclusions.
The above insurance plan is underwritten by Cigna Worldwide Life Insurance Company Limited.
The above information is for reference only and does not constitute any contract or any part thereof between Cigna and any other parties. Please read the product brochure for details. For details of full terms, conditions and exclusions, please refer to the policy provisions. Cigna will be happy to provide a specimen of policy upon your request.
- Exchange rate risk
- The policy will be automatically terminated when one of the following happens:
