Real-Life Case Study: How Health Insurance Covered ₹18L Cancer Treatment

📖 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

  • Used at 3 different network hospitals

  • Zero payment during admissions

  • Automatic pre-authorizations

2️⃣ Full Coverage of Advanced Treatments

  • Included ₹5.9L targeted therapy

  • Covered reconstructive surgery

  • No sub-limit on chemotherapy

3️⃣ Additional Benefits Utilized

  • Second medical opinion from US specialist

  • Travel allowance for Mumbai-Delhi trips

  • Wig allowance (₹15,000)

  • 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

  1. Adequate Sum Insured Matters

    • ₹25L cover handled multi-city treatment

    • Would have exhausted ₹5L basic policy in first phase

  2. Network Hospitals Save Stress

    • Cashless at top cancer centers

    • No reimbursement paperwork delays

  3. Comprehensive Covers Are Crucial

    • Many policies exclude targeted therapy

    • Ours covered innovative treatments

  4. Additional Benefits Add Value

    • Non-medical support made difference

    • Mental health coverage helped recovery


📢 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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