Voya Financial Logo

Voya Critical Illness Insurance

There are more than just medical bills to pay after a heart attack, stroke, or other unexpected covered medical condition. Critical Illness Insurance* provides a benefit payment that can help. This document includes expanded cost and benefit information for Critical Illness Insurance.

Critical Illness Insurance

Critical Illness Insurance doesn’t replace your medical coverage; instead, it complements it. The benefit payments don’t go out to pay for medical bills or treatments you may need, instead they come in— directly to you—to be used however you’d like. Choose this supplemental health insurance product for added protection if one of the following covered conditions comes your way.

Critical Illness Insurance is a limited benefit policy. It is not health insurance, and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.

How Much Coverage is Available?

You have the option to enroll in coverage in the amount(s) below.

Coverage Amount
For you $10,000, $20,000, or $30,000
Your Spouse $5,000, $10,000, or $15,000
Your children* $5,000, $10,000, or $15,000

*Child(ren) up to age 26

What’s covered by Critical Illness Insurance?

Critical Illness Insurance provides benefits for the covered medical conditions and diagnoses shown below. The most common conditions we pay claims for include:

  • Heart attack*
  • Cancer
  • Stroke
  • Coronary artery bypass
  • Kidney failure**

If one of these common events happens on or after your coverage effective date, and your claim is approved, benefits are payable at 100% of the Critical Illness benefit amount shown above unless otherwise stated. Use your benefit payment however you’d like.

* A sudden cardiac arrest is not in itself considered a heart attack.

** Listed in the certificate of coverage as “major organ transplant,” which means the irreversible failure of your heart, lung, pancreas, entire kidney or liver, or any combination thereof, determined by a physician specialized in care of the involved organ.

Multiple Benefit Payments

You may receive a benefit payment up to 100% of the Critical Illness benefit amount for each different diagnosis, up to the total maximum benefit. (A definition of “different diagnosis” is provided in the certificate of coverage).

Total maximum benefit: The total maximum benefit amount is 2 times the Critical Illness benefit amount for each covered condition. Once the total maximum benefit for a covered condition has been paid, no further benefits are payable for that same covered condition.

What else is included?

The Critical Illness Insurance available through your employer includes the following additional benefits:

Wellness Benefit

Complete an eligible health screening test, and we’ll send you a benefit payment to use however you’d like.

  • Employees receive an annual benefit payment of $50.
  • Spouses receive an annual benefit payment of$50.
  • Children receive 50% of your benefit amount per child, with an annual maximum of $100for all children.
M-DCPS Logo in white

Office of Risk and Benefits Management
1501 N.E. 2nd Avenue, Suite 335
Miami, Florida 33132
Mon – Fri, 8 a.m. to 4:30 p.m. ET
www.dadeschools.net
305-995-7129

FBMC Service Center
Mon – Fri, 7 a.m. to 7 p.m. ET
1-855-MDC-PS4U (1-855-632-7748)