Page 15 - All Product Brochures-CA_Classical
P. 15

Hospital Confinement Indemnity Insurance


                                         Health Screening






                                         Individual Medical Bridge  insurance’s health screening benefit can help pay for
                                                                 SM
                                         health and wellness tests you have each year.





                                         Health screening .............................................................................. $_____________
                                                                                                            100.00
                                         Maximum of one health screening test per covered person per calendar year;
                                         subject to a 30-day waiting period
                                            „   Any generally accepted cancer        „   Human papilloma virus
                                              screening test not listed                screening test
                                            „   Blood test for triglycerides         „   Mammography
                                            „   Bone marrow testing                  „   Pap smear
                                            „   Breast ultrasound                    „   PSA (blood test for prostate cancer)
                                            „   CA 15-3 (blood test for breast cancer)  „   Serum cholesterol test for HDL
                                            „   CA 125 (blood test for ovarian cancer)  and LDL levels
                                            „   Carotid Doppler                      „   Serum protein electrophoresis

                                            „   CEA (blood test for colon cancer)      (blood test for myeloma)
                                                                                     „   Skin cancer biopsy
                                            „   Cervical cancer screening tests
                                              (approved by the federal FDA,          „   Stress test on a bicycle
                                              upon the referral of the insured’s       or treadmill
                                              health care provider)                  „   Thermography
                                            „   Chest X-ray                          „   ThinPrep pap test
       For more information,                „   Colonoscopy                          „   Virtual colonoscopy
            talk with your                  „   Echocardiogram (ECHO)

         benefits counselor.                „   Electrocardiogram (EKG, ECG)
                                            „   Fasting blood glucose test
                                            „   Flexible sigmoidoscopy
                                            „   Hemoccult stool analysis



                                         Cancer screening tests are included on the same terms as other screenings.

        ColonialLife.com





                                         THIS POLICY PROVIDES LIMITED BENEFITS.
                                         Waiting period means the first 30 days following any covered person’s policy coverage effective date, during which no
                                         benefits are payable. For cost and complete details, see your Colonial Life benefits counselor. Applicable to policy number
                                         IMB7000-CA. This is not an insurance contract and only the actual policy provisions will control.

                                         CA LIC#__________________
                                         ©2015 Colonial Life & Accident Insurance Company, Columbia, SC  |  Colonial Life insurance products are
                                         underwritten by Colonial Life & Accident Insurance Company, for which Colonial Life is the marketing brand.

                                                                                  IMB7000 – HEALTH SCREENING BENEFIT  |  10-15  |  101579-CA
   10   11   12   13   14   15   16   17   18   19   20