Highlights
- The policy covers all major organ and tissue transplants.1
- Coverage begins at evaluation and remains in effect for up to 365 days post-transplant. 100% of all covered transplant services are included when an in-network provider is utilized.2
- Stand-alone fully-insured product designed especially for self-funded groups
- Works in conjunction with any stop loss coverage
- Discount to stop loss rates offered by most stop loss carriers
- Protects employer from catastrophic expenses resulting from transplant exposure
- Administered through TPAs and BUCAs
- Offers solution to transplant related lasers and rate loads from stop loss carriers
- Provides higher level of benefits for transplant patients (no deductible or out of pocket expenses)
- Produces high degree of patient satisfaction from interaction with internal nurse care management team
- Lifetime maximum options of $1,000,000, $2,000,000 and Unlimited
- Up to $15,000 travel benefit paid at $300 per day
- $5,000 indemnity benefit paid directly to covered patient post-transplant
- Direct payment to providers
- Access to major transplant facilities
- Heart, Lung/Double Lung, Kidney, Pancreas, Liver, Intestine, Heart/Lung, Kidney/Pancreas, Kidney/Liver, Liver/Intestine, Liver/Pancreas/Intestine, Autologous Bone Marrow Peripheral Stem Cell, Allogenic Bone Marrow - Peripheral Stem Cell - Cord Blood
- All transplant services, including evaluation, listing and transplant, are subject to medical review and approval.