CANCER COVERAGE The Guardian Cancer Plan is designed to provide you and eligible family members with benefits for costs associated with cancer treatment . Multiple years of cancer treatment means multiple years of deductibles and out - of - pocket costs ! When first eligible , there are no physical exams or blood tests required , and coverage is 100 % portable . Benefits are paid directly to you ! Description of Benefits Initial Cancer Diagnosis $ 1 , 500 Hospital Confinement $ 300 / Day ( 1st 30 Days ) $ 600 / Day ( After 30 Days ) ICU Confinement $ 400 / Day ( 1st 30 Days ) $ 600 / Day ( After 30 Days ) Surgical Benefit Up to $ 2 , 750 Radiation & Chemotherapy Up to $ 5 , 000 Blood , Plasma , Platelets $ 50 / Day , Up to $ 5 , 000 Attending Physician - While Hospital Confined $ 25 / Day , Up to 75 Visits Hospice Care $ 50 / Day , Up to 100 Days / Lifetime Anesthesia 25 % of Surgery Benefit Prosthesis Up To $ 4 , 000 2nd Surgical Opinion $ 200 / Surgical Procedure Skin Cancer Up To $ 600 Ambulance - 2 Trips per Confinement $ 200 / Trip Air Ambulance - 2 Trips per Confinement $ 250 / Trip Immunotherapy $ 500 / Month $ 2 , 500 Lifetime Max Annual Cancer Screening Benefit for $ 125 / Year * Employee & Covered Spouse * Must Complete Annual Wellness Screening or Procedures Plan Pays Employee Only $ 15 . 00 Employee + Spouse $ 29 . 00 Employee + Child ( ren ) $ 17 . 00 Employee + Family $ 31 . 00 Monthly Premium * Wellness Benefit covers screenings & procedures such as mammography , colonoscopy , pap smear , PSA , chest x - ray , and more . Payable once per calendar year for the covered employee & spouse . Employee Only Annual Premium = $ 180 . 00 Annual Wellness Benefit = $ 125 . 00 * Net Annual Cost = $ 55 . 00 Employee + Spouse Annual Premium = $ 348 . 00 Annual Wellness Benefit = $ 250 . 00 * Net Annual Cost = $ 98 . 00 Employee + Child ( ren ) Annual Premium = $ 204 . 00 Annual Wellness Benefit = $ 125 . 00 * Net Annual Cost = $ 79 . 00 Employee + Family Annual Premium = $ 372 . 00 Annual Wellness Benefit = $ 250 . 00 * Net Annual Cost = $ 122 . 00 Annual Net Cost
ClearVue Glass & Mirror Company Benefits Guide 2026 Page 18 Page 20