Cardiopulmonary Rider (Form No. R G1717C) (HSA compatible)

The Cardiopulmonary Rider provides a lump sum benefit for each insured person upon diagnosis of certain cardiopulmonary specified illnesses, conditions and procedures. The amount payable is the percentage for each specific critical illness specified in the chart found in the Benefits section multiplied by the selected benefit amount.

 

Policy provisions relative to the Additional Diagnosis Benefit and Reoccurence Diagnosis Benefit do not apply to this rider.

 

Eligible Persons:  Employee, spouse, insured children and dependent grandchildren

Benefit Amount:  Same as selected for the plan of coverage; one benefit from each category will be paid once per insured person per calendar year

 

Cardiopulmonary Conditions

Open Heart Category

 

Invasive Procedure Category

 

Mitral Valve Replacement or Repair

50%

AngioJet Clot Busting

10%

Aortic Valve Replacement or Repair

50%

Atherectomy

10%

Surgical Treatment of Abdominal Aortic Aneurysm

50%

Stent Implementation

10%

 

 

Cardiac Catheterization

10%

Pulmonary Category

 

Automatic Implantable Cardioverter Defibrillator

10%

Pulmonary Embolism

25%

Pacemaker Placement

10%

Idiopathic Pulmonary Fibrosis

25%

Valvuloplasty

10%