Secure Advantage
Can you choose different co-insurance options for sickness and accident?
No -- co insurance must match, the deductible may vary.
How many doctor visits do we cover per policy year for plan 2?
4
What is the network used for HealthAccess?
PHCS
What is the allowance for Non-Participating Provider for a PremiereVision (EyeMed) exam?
An Allowance of $35 or the Non-Participating Provider’s billed charges, whichever is less.
How many level options are in ABC and what are they?
3
Executive
Elite
Entrepreneur
What is the deductible for a non PPO provider?
A deductible that is twice the amount of Your Calendar Year Deductible is required for Non-PPO Providers.
What is the maximum allowance for inpatient surgeon on plan 3?
$8,000
What is the outpatient surgery facility policy year maximum?
$1,200
What is the deductible for a $10,000 payment on Accident Protector?
$500 deductible
What is the ABC Executive Excess Medical Expense Coverage Benefit maximum?
$4,000
What is the maximum out of network out of pocket for each: 80/20; 70/30; 60/40?
80/20 $4,000
70/30 $12,000
60/40 $20,000
Health and wellness -- does each plan have the same number of child immunizations or does the number increase each plan?
Same number -- 10 per child
Is Kidney Dialysis covered?
Yes. $500 daily max / $30,000 policy year max
What is the calendar year maximum for SecureDental Premium Plan?
$1,500
What is ABC Executive Blanket Group Specified Disease/Illness Insurance Benefit lifetime policy maximum?
$1,000,000
What is the difference between Health & Wellness Plus and Health and Wellness plans in Secure Advantage?
Outpatient Benefits
What is the maternity maximum we will pay in PremierMed?
$6,000
How long is the rate guaranteed for HealthAccess?
12 months
How long are premiums guaranteed for Life Protector?
Premiums are guaranteed for ten (10) years. You may keep Your Life Protector Policy beyond ten (10) years, and Your premiums will be adjusted accordingly.
ABC Executive -- how many ADD conditions will pay 100% benefit and what are they?
Loss of Life
Loss of two or more Limbs
Loss of Speech and Loss of Hearing (both ears)
Loss of Sight (both eyes)
How many maximums per insured options available?
4:
-Unlimited Lifetime Policy Maximum/Unlimited Lifetime Transplant Maximum Per Insured
-$5,000,000 Lifetime Policy Maximum/$5,000,000 Lifetime Transplant Maximum Per Insured
-$5,000,000 Lifetime Policy Maximum with a $500,000 Lifetime Transplant Maximum/$250,000 Calendar Year Maximum Per Insured
-$5,000,000 Lifetime Policy Maximum with a $500,000 Lifetime Transplant Maximum/$100,000 Calendar Year Maximum Per Insured
Does PremierMed cover cancer clinical trials?
Yes
What is the policy year maximum for prescriptions for Sickness and Accident plans?
$600
Name the illnesses that pay 100% death benefit
Life Threatening Cancer
Kidney Failure Stroke
Heart Attack Terminal Illness
Major Organ Transplant Permanent Paralysis
Does ABC Executive have a MDLive benefit?
Yes