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Health Access Plan B |
Health Access Plan C |
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Note: During the free quoting process, you will be able to view state-specific variations, limitations and exclusions. |
Limited benefit plan (Hospital Benefits: $100,000 maximum) |
Limited benefit plan (Hospital Benefits: $200,000 maximum) |
| Office Visit Copays (Preventive exams included) You pay your copay and the plan pays 100% of the remaining cost of an eligible office visit up to $150 per visit. |
- You pay $25 copay per office visit
- Copay applies to each of four office visits per person, per calendar year
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- You pay $25 copay per office visit
- Copay applies to each of four office visits per person, per calendar year
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| Prescription Drugs |
Copay of $10 (generic) / $50 (preferred brand) / $75 (non-preferred brand) up to $250 in benefits / calendar year |
Copay of $10 (generic) / $50 (preferred brand) / $75 (non-preferred brand) up to $750 in benefits / calendar year |
| Outpatient Medical Services: Includes outpatient hospital, surgical center or urgent care facility. Preventive services included. |
- You pay $200 deductible*
- We pay 80% of covered charges up to $500 per person, per calendar year
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- You pay $200 deductible*
- We pay 80% of covered charges up to $1000 per person, per calendar year
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Surgeon |
Included surgeon benefits for both inpatient and outpatient surgery paid to the scheduled benefit amount. |
Included surgeon benefits for both inpatient and outpatient surgery paid to the scheduled benefit amount. |
| Assistant Surgeon |
We pay up to 20% of amount paid for surgery |
We pay up to 20% of amount paid for surgery |
| Anesthesiologist |
We pay up to 20% of amount paid for surgery |
We pay up to 20% of amount paid for surgery |
| Ground and Air Ambulance: Up to 2 trips / calendar year |
Up to $100 ground/$1,000 air per trip |
Up to $100 ground/$1,000 air per trip |
| Emergency Room (Fee is waived if admitted to hospital) |
$250 in benefits for each of two visits/calendar year after $100 fee |
$750 in benefits for each of two visits/calendar year after $100 fee |
| Inpatient Benefit Facility Charges |
- We pay up to $750 per day for sickness/$1000 per day for injury
- We pay 80% up to $100,000 in benefits, per calendar year, based on the daily inpatient limits
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- We pay up to $2000 per day for sickness/$4000 per day for injury
- We pay 80% up to $200,000 in benefits, per calendar year, based on the daily inpatient limits
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| Other Non-surgical/Non-facility Inpatient Services |
Considered under the inpatient/day maximum (coinsurance applies) |
Considered under the inpatient/day maximum (coinsurance applies) |
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Lifetime Maximum |
$1 million |
$1 million |
| Medical Questions for Qualification |
Limited medical questions to qualify |
Limited medical questions to qualify |
| Pre-existing Conditions |
Covered after being continuously insured under plan for 12 months |
Covered after being continuously insured under plan for 12 months |
| Benefits After Reaching Maximums |
Access to network at contracted/discounted rates |
Access to network at contracted/discounted rates |