Critical Illness Insurance
While Medical insurance is vital, it doesn’t cover everything. If you suffer from a serious illness, such as cancer, stroke or a heart attack, medical insurance may not provide the coverage you need. Critical Illness insurance can ease the financial strain and help you focus on your recovery.
What Critical Illness Insurance Covers
- Heart Attack
- Multiple Sclerosis
- Stroke
- Alzheimer’s Disease
- Parkinson’s Disease
- Major Organ Failure
Wellness Benefit
Earn a $50 cash benefit by receiving an eligible health screening (once per calendar year).
Here are some examples of regular preventive care that would qualify for the wellness benefit:
- Annual Physical (No Cost on all Light & Wonder medical plans)
- Immunization or Vaccine
- Mammogram
- Pap Smear
- Skin Cancer Biopsy
- Cholesterol Blood Test / Lipid Panel / Triglycerides Blood Test
- Colon Cancer Screening (Stool Test or Colonoscopy)
| Coverage Summary | |
|---|---|
| Eligibility | All active, full-time employees working a minimum of 30 hours per week. |
| Employee Spouse Children | Employee - Up to age 100 Dependent Spouse - Up to age 100 Dependent Child - Up to age 26 |
| Employee Spouse Children | Any multiple of $10,000 but not less than $10,000 and not more than $40,000 Any multiple of $10,000, but not more than the lesser of $40,000 or 100% of the Employee Amount Any multiple of $5,000, but not more than the lesser of $20,000 or 50% of the Employee Amount of $40,000 |
| Guaranteed Issue Amount | Employee - $40,000 Spouse - $40,000 Child - $20,000 All amounts are Guaranteed Issue during initial eligibility, annual enrollment, and Qualified Life Events. Enrollment at any time other than initial enrollment, annual enrollment or a Qualified Life Event is not permitted. |
| Age Reduction Schedule | No Age Reduction Applies to Employee and Spouse Coverage. |
| Lifetime Benefit Maximum | None |
| Recurrence | 100% of the amount paid for the First Occurrence of the Critical Illness or Procedure up to the Lifetime Maximum Benefit. Recurrence means positive diagnosis of a Critical Illness or Procedure for which a benefit was paid, and the date of diagnosis of recurrence is more than 90 Days after prior benefit payment. |
| PAID AT 100% OF COVERAGE AMOUNT | - Alzheimer's Disease - Amyotrophic Lateral Sclerosis (ALS) - Benign Brain Tumor - Cancer - Invasive - Coma - Coronary Artery Bypass Graft - Heart Attack - Major Organ Failure - Multiple Sclerosis - Muscular Dystrophy - Paralysis of Limbs - Parkinson's Disease - Renal Failure - Stroke Childhood Benefits - Cerebral Palsy - Cleft Lip / Palate - Congenital Heart Disease - Cystic Fibrosis - Down Syndrome - Gaucher Disease Type 2 or 3 - Spina Bifida |
| PAID AT 50% OF COVERAGE AMOUNT | - Blindness - Deafness - Loss of Speech - Type 1 Diabetes |
| PAID AT 25% OF COVERAGE AMOUNT | - Addison's Disease - Aneurysm - Cancer - Non-Invasive (in Situ - other than Skin Cancer) - Huntington's Chorea - Myasthenia Gravis - Polio - Scleroderma - Sudden Cardiac Arrest - Transient Ischemic Attack (TIA) Childhood Benefits - Autism |
| PAID AT 25% OF COVERAGE AMOUNT Recurrence for Infectious Diseases pays 10% and has a 5-day hospital stay requirement | - Anthrax - Bacterial Cerebrospinal Meningitis - Cholera - COVID-19 - Diphtheria - Encephalitis - Legionnaire's Disease - Lyme Disease - Malaria - Methicillin-Resistant Staphylococcus Aureus (MRSA) - Necrotizing Fasciitis - Osteomyelitis - Pertussis (whooping cough) - Rabies - Rocky Mountain Spotted Fever - Sepsis - Tetanus - Tuberculosis - Typhoid Fever |
How Will a Critical Illness Claim Get Paid?
After purchasing Critical Illness insurance, if you suffer from one of the serious illnesses covered by your policy, you’ll be paid in a lump sum. The payment will go directly to you instead of to a medical provider. The payment you receive can be used for many things including:
- Child care costs
- Medical expenses
- Travel expenses for you and your family
- Lost wages from missed time at work
- Living expenses