|
Claim Type |
Premier Plan |
Sickness
In-patient/Out-patient Hospital Care. |
80% Coinsurance
($5000
maximum, $150 Deductible) |
|
Accident
In-patient/Out-patient Hospital Care |
80% Coinsurance
($5000 maximum,
$150 Deductible) |
Emergency Room/Ambulance
*Deductible waived if admitted to hospital. |
80% Coinsurance
($5000 maximum,
$350 Deductible*) |
Physician Care
Covers Doctor's office visits at the physician of
your choice. |
$15 co-pay
($85 maximum per visit) |
|
Lab/X-ray/Diagnostic
Tests
Pays per
occurrence. No limit on occurrences. |
$1000 per occurrence |
Prescription Drug
Express Scripts card.
50% co-pay. Unlimited discount on generic and brand name
drugs. |
$1000
(per year, unlimited discounts
from Express Scripts) |
Accidental Death
Additional benefit pays a lump sum in case of
accidental death. |
$10,000 |
Additional In-Hospital
Benefit pays for every day the insured is
hospitalized, in addition to the other benefits above. |
$15,000 max
($500/day, up to 30 days) |
Vision Program
Covers yearly eye exam,
glasses and contacts. Discounts on Lasik surgery. |
50-80% Discount
|
PPO Network
Beechstreet PPO network. One of the largest PPO
networks in the country. |
Included at no cost |
Guaranteed Issue
90% of medical claims are under $5000. This plan is
designed to cover those costs.