Guaranteed issued health insurance program. This program pays a set amount for services rendered. Works well for individuals that want a plan to further offset health expenses or for individuals that can not qualify or afford traditional health insurance

 

Basic Group Insurance Plan   Plus Group Insurance Plan
Service Benefits Amount Paid to insured   Services Benefit Amount Paid to Insured
Doctor Visit $50.00 per visit   Doctor Visit $75.00 per visit
Diagnostic Tests $50.00 per visit   Diagnostic Test $75.00 per visit
Child Wellness $50.00 per visit   Child Wellness $75.00 per visit
Hospitalization $200.00 per day   Hospitalization $500.00 per day
Intensive Care $400.00 per day   Intensive Care $1,000.00 per day
Surgery

$500.00 inpatient
$200.00 outpatient

  Surgery

$2,000 inpatient
$800.00 outpatient

Emergency Room

$300.00 for injury
$150.00 for sickness

  Emergency Room $300.00 for injury
$150.00 for sickness
 
 
Definition of Benefits

Doctor's Office Visits
Benefit paid per visit to a doctor's office for treatment of injury or sickness. 6 visits allowed per covered person per calendar year; 1 of which can be used for wellness care.

Diagnostic Testing
Benefit paid per visit to a doctor's office or outpatient facility for medically necessary diagnostic testing and x-rays of an injury or sickness. 3 visits allowed per covered person per calendar year; 1 of which may be used for wellness care.

Child Wellness Visits
Benefit paid per visit to a doctor's office for well child care at 11 specified age intervals from birth through age 5. Well child care includes physical exam, laboratory tests, immunizations, and vision and hearing screening.

Hospitalization
Benefit paid per day (overnight stays in the hospital) for up to 100 days per confinement for injury or sickness. The benefit amount for hospitalization for confinement in an Intensive Care Unit / Coronary Care Unit is doubled for a maximum of 30 days per confinement. Benefits for Mental Illness / Alcohol or Drug Abuse confinements are payable at 50% for a maximum of 30 days per confinement. Benefits for Convalescent Facility confinements are payable at 50% for a maximum of 60 days per confinement; confinement must begin within 3 days of an inpatient hospitalization of at least 3 consecutive days.

Definition of Benefits
Doctor's Office Visits
Benefit paid per visit to a doctor's office for treatment of injury or sickness. 6 visits allowed per covered person per calendar year; 1 of which can be used for wellness care.

Diagnostic Testing
Benefit paid per visit to a doctor's office or outpatient facility for medically necessary diagnostic testing and x-rays of an injury or sickness. 3 visits allowed per covered person per calendar year; 1 of which may be used for wellness care.

Surgery
Benefit paid for1 inpatient surgery and for 1 outpatient surgery (performed in a hospital or outpatient surgery center) per covered person per calendar year.

Emergency Room
Benefit paid for 1 visit to the emergency room for injury and 1 visit for sickness (when not hospital confined) per covered person per calendar year.

 

 

 

Cost of Plans

Plan Type   Basic Plan
  Plus Plan
Member   $ 50.00   $ 89.00
Member and Spouse   $ 88.00   $162.00
Member and Children   $112.00   $196.00
Family   $150.00   $269.00

 

Enroll Now!

News Flash

Now is the time to review your health insurance policy and makes changes as it is the yearly period when people can enroll in a health insurance plan. For 2019 coverage, the Open Enrollment Period is November 1, 2018 – December 15, 2018.  Visit our health insurance guide and health insurance enrollment page for more information.