|
Press
here
to review fees/prices and requisites.
Plan's
Deductibles:
| General
Doctor |
$
7.00
|
|
| Specialist |
$12.00 |
|
| Sub-Specialist |
$15.00 |
|
|
|
|
| Major
Medical (Maximum 3 per family) |
$200 |
|
| -
"Stop Loss" |
$4,000 |
|
|
|
|
| Psychic |
$15.00 |
|
| - Hospitalization |
$200 |
|
|
|
|
| Emergency
Room |
|
|
| -
With Pre-Certification |
$250 |
|
| -
Without Pre-Certification |
$50 |
|
|
|
|
| Ambulance |
|
|
| -
Earth |
$80.00 |
|
| -
Air |
$4,000 |
|
| Newly-birth
babies are immediately eligible |
|
|
|
|
|
| Laboratories
and X rays |
30% |
|
| Pharmacy
Medicines
|
|
|
| Individual
Plan - up to $1,500 annually |
|
|
| Family
Plan - up to $4,000 annually |
|
|
| -
Bioequivalent |
20%
|
|
| -
Original
Brand |
30% |
|
| -
Maintenance
|
50% |
|
| |
|
|
| Dental
(with Delta Dental and up to $1,000 annually) |
|
|
| -
Preventive and diagnosis |
20% |
|
| -
Restorative Services |
20% |
|
| -
Dental Crowns and Dental Bridges |
50% |
|
|
|
|
Press here
to apply for this plan and start enjoying the benefits of a more
secure life.
For
more information, free of charge, call
1-800-981-6545
MONDAY
THROUGH FRIDAY FROM
8:30-12:00 AM A 1:00-5:00 PM
or
press here
to design your
very own health plan.
|
|