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888-720-8889 PHONE
888-720-7261 FAX
EMAIL
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This
Plan is not available in AK, CT, ID, MN, MA, ME, MT,ND, NH, NY, RI, SD, VT, WA,WY. If you are in these states,
please go back
to choose a state again.
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Benefits
Medical Option
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Bronze
- $44.27 Employee Only
- $87.81 Employee+1
- $121.23 Employee+Family
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Gold
- $80.87 Employee Only
- $158.09 Employee+1
- $212.70 Employee+Family
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| Doctor
or Emergency Room Benefit
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Member
receives $40 per doctor's office visit. $300 maximum benefit
per person per calendar year. |
Member
receives $60 per doctor's office visit. $300 maximum benefit
per person per calendar year. |
| Hospital
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$200 p/day for hospital confinement;
$400 p/day for Intensive Care; $200 p/day for Substance Abuse;
$100 p/day for Mental Illness.
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$500 p/day for hospital confinement;
$1,000 p/day for Intensive Care; $500 p/day for Substance
Abuse; $250 p/day for Mental Illness.
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| Accidental
Medical Benefit |
Member
receives $300 per accident for charges incurred within 90 days
of an accident. No copayment. |
Member
receives $500 per accident for charges incurred within 90 days
of an accident. No copayment. |
| Outpatient
DXL |
Member
receives $40 per diagnostic x-ray and lab (DXL) test ordered
or performed by a Doctor; $300 maximum benefit per person per
calendar year. |
Member
receives $60 per diagnostic x-ray and lab (DXL) test ordered
or performed by a Doctor; $300 maximum benefit per person per
calendar year. |
| Surgical
Benefit |
Member
receives up to $400 for surgeries performed by a doctor, according
to surgical schedule. |
Member
receives up to $1,500 for surgeries performed by a doctor, according
to surgical schedule. |
| Term
Life |
Member
receives $5,000; $2,500 for spouse; $1,250 for children. |
Member
receives $10,000; $5,000 for spouse; $2,500 for children. |
| Drug
Card |
N/A
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N/A
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| Wellness
Care |
Member
receives $50 per visit for routine exams, medical treatment
and injections. $150 Calendar Year Maximum per person |
Member
receives $100 per visit for routine exams, medical treatment
and injections. $150 Calendar Year Maximum per person |
| Survivor
Benefit |
In the event of the employee's
death, his/her dependent's Hospital Indemnity benefits,
if applicable, may continue for up to two years , provided
the plan stays in force.
Sign Me Up
|
In the event of the employee's
death, his/her dependent's Hospital Indemnity benefits,
if applicable, may continue for up to two years , provided
the plan stays in force.
Sign Me Up
|
This plan has a pharmaceutical benefit that is available through K-Mart, Target and RiteAide, (and a list of other pharmacies is available) with discounts starting at 25% up to 60%. Vision services are available through Sears, J.C. Penny and Target.
Want to know more? Please read Case Histories
here.
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