Cancer & Serious Disease Plans

A chronic illness can take an emotional and costly toll on you and your family. That's why Blue Cross and Blue Shield of Louisiana (Louisiana Blue) offers affordable coverage for cancer and serious diseases (CSD).

 

Plan F - Comprehensive 80

Plan G - Comprehensive 50

Benefits    
Lifetime max per member $100,000 $100,000
Lifetime max for inpatient private-duty nursing services (accrues to overall lifetime maximum) $3,000 $3,000
Coverage of first $10,000 100% 100%
Coverage after first $10,000 of allowable charges 80% up to the remaining lifetime maximum 50% up to the remaining lifetime maximum
 
There is a 60-day period following the effective date of coverage, during which time no benefits are available.
Plus sign that becomes an "X" when the accordion collapses to show more content Covered Diseases

Both CSD plans cover these diseases:

  • Cancer (any type)
  • Diphtheria
  • Encephalitis (sleeping sickness)
  • Leukemia
  • Polio
  • Poliomyelitis
  • Rabies
  • Scarlet Fever
  • Sickle Cell Anemia
  • Smallpox
  • Spinal Meningitis (Meningococci)
  • Tetanus
  • Tularemia
Plus sign that becomes an "X" when the accordion collapses to show more content Covered services, treatments and supplies
All CSD plans provide coverage for the following benefits. Please see your contract for complete details.

Hospital and professional services

  • Inpatient room and board, general nursing services, special care unit and skilled nursing services
  • Operating, recovery and treatment rooms and equipment
  • Drugs and medicines, including take-home prescription drugs
  • Blood transfusions
  • Anesthesia, including supplies and services
  • Medical and surgical supplies, casts and splints
  • Diagnostic services and physical therapy from a hospital employee
  • X-ray and laboratory services
  • Radiation and chemotherapy

Medical and surgical benefits

  • Inpatient and outpatient surgery, including preoperative and postoperative medical visits
  • Multiple surgical procedures performed at the same surgical setting
  • Surgeon's and assistant surgeon's fees
  • Anesthesia
  • Second surgical opinions
  • Outpatient services of an ambulatory surgical center, allied health facility or urgent care center
  • Oral surgery benefits

Other covered services, supplies and equipment

  • Ambulance service benefits to or from a hospital
  • Durable medical equipment, orthotic devices and prosthetic appliance
  • Disposable medical equipment or supplies
  • Private-duty nursing services while in the hospital
  • Hospice care in a hospital
  • Home healthcare benefits
  • Oral surgery benefits
  • Physical therapy benefits
  • Chiropractic services benefits
  • Organ, tissue and bone marrow transplant benefits
  • Breast reconstructive surgery services
  • Prescription drugs
Plus sign that becomes an "X" when the accordion collapses to show more content Limitations and exclusions
Below is a partial listing of policy exclusions. Please see your contract for complete details
  • Services, treatment or supplies rendered within 60 days after the effective date of coverage
  • Experimental services, supplies or equipment
  • Drugs and medicines not approved by the U.S. Food and Drug Administration (FDA)
  • Services that are cosmetic or restorative
  • Services for mental disorders, alcohol or drug abuse and eating disorders
  • Services covered by workers' compensation or employee liability laws
  • Transportation services other than ambulance
  • Speech, occupational or recreational therapy
  • Food or food supplements, including gastric tube feedings
Premiums will vary depending on age, family composition and CSD plan selection. Rates are changed on the basis of age and family composition. The CSD contracts can be terminated for nonpayment of premium, failure to meet eligibility requirements, fraud, non-Louisiana residency and material misrepresentation. Plan F refers to Cancer and Serious Disease contract #23XX9978. Plan G refers to Cancer and Serious Disease contract #23XX9632. Both are specialized benefit policies.

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