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| $159.95 | $189.95 | $219.95 | $249.95 |
Individual + Spouse | $269.95 | $329.95 | $359.95 | $419.95 |
Individual + Children | $249.95 | $309.95 | $319.95 | $379.95 |
Family | $349.95 | $429.95 | $439.95 | $519.95 |
 | Above amounts indicate monthly rates |
| $179.95 | $209.95 | $239.95 | $269.95 |
Individual + Spouse | $289.95 | $349.95 | $379.95 | $439.95 |
Individual + Children | $269.95 | $329.95 | $339.95 | $399.95 |
Family | $369.95 | $449.95 | $459.95 | $539.95 |
| | Above amounts indicate monthly rates |
Monthly Administration Fee | $10.00 | $10.00 | $10.00 | $10.00 |
One Time Processing Fee | $75.00 | $75.00 | $75.00 | $75.00 |
The One-Time Processing Fee and monthly Association Fee apply to all states and plans. |
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Daily - In Hospital - Up to
Combined Maximum days per policy year | $500
30 | $1,000
30 | $500
30 | $1,000
30 |
Initial Hospital Admission - Up to | n/a | n/a | $250 | $250 |
Surgery with Anesthesia Benefit
Surgery % of RBRVS - Up to:
Anesthesia as % of Covered Surgery - Up to: |
50%
25%
|
50%
25%
|
80%
25%
|
80%
25%
|
Intensive Care - Up to
Combined Maximum days per policy year | $500
3 | $1,000
3 | $500
3 | $1,000
3 |
Doctor Office Visits - Up to
Combined Maximum visits per policy year | $50
5 | $50
5 | $70
5 | $70
5 |
Preventative Test Care - Up to
Combined Maximum tests per policy year | $50
1 | $50
1 | $70
1 | $70
1 |
Emergency Care/Urgent Care - Up to
Combined Maximum visits per policy year | n/a | $50
1 | $50
1 | $50
1 |
Diagnostic Testing & Lab Benefit - Up to
Combined Maximum visits per policy year
| $50
5 | $50
5 | $70
5 | $70
5 |
Accidental - Up to
Deductible per Accident
Maximum # of accidents per person per
policy year | | | | |
Skilled Nursing Facility - Up to
Combined Maximum days per policy year | n/a | n/a | $100
10 | $100
10 |
Term Life
Max Benefit (Primary Only) | n/a | n/a | $10,000 | $15,000 |
Accidental Death & Dismemberment
Max Benefit - Up to: | $10,000 Primary, $5,000 Spouse,
$2,500 Dependant |
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Expand / Close Physicians, Hospitals & Labs
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| Dental
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| Vision
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| Hearing
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| 4 Tier Prescription*
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| Chiropractic Care
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| Alternative Medicine
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| Elder Care
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| 24 Hour Nurse Hotline
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| 24 Hour Counseling Hotline
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| Discount medical features are not available in:
CT, FL, ID, KS, ME, MT, NH, NV, VT and WA
* 4-Tier Prescription not available in Tennessee
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Fitness Centers | | Amusement Parks |
Vitamins & Supplements | | Floral Arrangements |
Identity Theft Guardian | | Moving & Storage |
Durable Medical Equipment & Supplies | | Car Rentals |
Medical Records Software Plus | | Magazine Subscriptions |
Legal Assistance | | KB-Toys |
Financial Planning | | Luggage Online |
Hotels | | Overstock.com |
Roadside Assistance Emergency Access | | Personalization Mall |
Auto Maintenence | | Toshiba |
Movie Tickets | | Cookies & Confections |
Tradesman Referrals | | Match.com |
Emergency Travel Assistance® | | Petsmart |
| | | Expedia (Discounts on Travel, Cruises, Car Rentals & Hotels |
Complete 