📖 Patient Profile: The Sharma Family’s Journey
Patient: Mrs. Anjali Sharma, 42
Diagnosis: Stage 3 Breast Cancer (HER2 Positive)
Policy: DeepSeek Super Health Plan (₹25L cover)
Total Treatment Cost: ₹18,72,450
Out-of-Pocket Expense: ₹0
🩺 Treatment Timeline & Costs
Treatment Phase | Date | Procedure | Hospital | Cost (₹) |
---|---|---|---|---|
Diagnosis | Jan 2023 | Biopsy + PET Scan | Apollo Chennai | 85,600 |
Surgery | Feb 2023 | Mastectomy + Reconstruction | Fortis Mumbai | 4,25,000 |
Chemotherapy | Mar-Aug 2023 | 6 Cycles (TCHP) | Tata Memorial | 6,10,200 |
Targeted Therapy | Sep 2023-Feb 2024 | Trastuzumab (8 doses) | Apollo Delhi | 5,92,400 |
Radiation | Mar 2024 | 25 Sessions (IMRT) | HCG Bangalore | 1,59,250 |
Total Claim Approved: ₹18,72,450
✅ How Insurance Covered Everything
1️⃣ Cashless Hospitalization
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Used at 3 different network hospitals
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Zero payment during admissions
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Automatic pre-authorizations
2️⃣ Full Coverage of Advanced Treatments
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Included ₹5.9L targeted therapy
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Covered reconstructive surgery
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No sub-limit on chemotherapy
3️⃣ Additional Benefits Utilized
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Second medical opinion from US specialist
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Travel allowance for Mumbai-Delhi trips
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Wig allowance (₹15,000)
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Nutritionist consultations
📊 Financial Impact Without Insurance
Expense Head | With Insurance | Without Insurance |
---|---|---|
Hospital Bills | ₹0 | ₹18,72,450 |
Medicines | ₹0 | ₹2,40,000 (estimated) |
Travel/Stay | ₹28,000 covered | ₹1,50,000 |
Income Loss | ₹50,000/mo benefit | Full salary loss |
Total Saved: ₹22-25 lakhs**
💡 Key Takeaways From This Case
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Adequate Sum Insured Matters
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₹25L cover handled multi-city treatment
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Would have exhausted ₹5L basic policy in first phase
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Network Hospitals Save Stress
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Cashless at top cancer centers
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No reimbursement paperwork delays
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Comprehensive Covers Are Crucial
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Many policies exclude targeted therapy
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Ours covered innovative treatments
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Additional Benefits Add Value
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Non-medical support made difference
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Mental health coverage helped recovery
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📢 Mr. Sharma’s Testimonial
*”When cancer struck, we feared losing our life savings. But our health insurance became our financial guardian angel – approving every claim without question. The case manager even helped find the best oncologists. This security let us focus 100% on Anjali’s recovery.”*
📞 Want Similar Protection? Call 1800-XXX-XXXX
🔍 Compare Cancer Coverage Plans
Plan Feature | Basic Plan | Sharma’s Plan | Premium Plan |
---|---|---|---|
Sum Insured | ₹5L | ₹25L | ₹50L |
Targeted Therapy | 50% cover | Full | Full+ |
Hospital Network | 50 centers | 200+ | 500+ |
Claim Settlement | 7 days | 48 hours | 24 hours |
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