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| Monthly
Rate Single Single + 1 Family |
$109.95 $164.95 $214.95 |
$134.95 $224.95 $274.95 |
$174.95 $284.95 $354.95 |
$194.95 $334.95 $394.95 |
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| Monthly Administration Fee (All States) | $10.00 |
$10.00 |
$10.00 |
$10.00 |
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| 4-Tier Prescription Upgrade Option - With Diabetic Supply Program | ||||||
| Single Single + 1 Family |
$20.00 $25.00 $30.00 |
$20.00 $25.00 $30.00 |
$20.00 $25.00 $30.00 |
$20.00 $25.00 $30.00 |
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| Association Insurance Benefits | ||||||
| Policy
Limits Lifetime Maximum - Up To: |
$1,000,000.00 |
$1,000,000.00 |
$1,000,000.00 |
$1,000,000.00 |
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| Waiting
Periods Accidental Injuries Sickness |
NONE 30 Days |
NONE 30 Days |
NONE 30 Days |
NONE 30 Days |
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Pre-Existing
Conditions: 6/12 Only applies to
Hospital semi private room, Hospital ICU/CCU, Surgery and Anesthesia Benefits.
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on Benefit to view more detailed Information |
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| Hospital
Benefits
- Combined Maximum days per year = Maximum days combined for both Semi-Private Room & ICU / CCU Benefits. |
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| Hospital (Semi-Private Room) |
$250 / day
$100 / day
$50 / day 31 days |
$500 / day
$350 / day
$250 / day 31 days |
$750 / day
$500 / day
$250 / day 31 days |
$1,000 / day
$750 / day
$500 / day 31 days |
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| Hospital
(ICU / CCU) |
$500 / day
$200 / day
$100 / day
31 days |
$1,000 / day
$700 / day
$500 / day
31 days |
$1,500 / day
$1,000 / day
$500 / day
31 days |
$2,000 / day
$1,500 / day
$1,000 / day
31 days |
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Surgery |
$500
$250
1 |
$1,000
$500
1 |
$1,500
$750
1 |
$2,000
$1,000
1 |
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Anesthesia |
$100
$50
1 |
$200
$100
1 |
$300
$150
1 |
$400
$200
1 |
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Doctor
Office Visits (Injury
or Illness) |
$50
5 |
$50
5 |
$50
5 |
$50
5 |
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| Doctor
Office Visits (Wellness) Maximum Benefit per visit - Up to: Maximum visits per year |
$50
1
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$50
1
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$50
1
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$50
1
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Diagnostics
X-rays, Labs. |
$50
5 |
$50
5 |
$50
5 |
$50
5 |
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| Ambulance
- (Ground or Air) Maximum Benefit per Trip - Up to: Maximum Ground or Air Trips per year |
N/A
N/A
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N/A
N/A
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$50
1
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$50
1
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| Emergency
Room Visits |
N/A
N/A |
N/A
N/A |
N/A
N/A |
$50
1 |
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Accidental
Injury |
$2,000
2 $100 |
$2,000
2
$100 |
$2,000
2
$100 |
$2,000
2
$100 |
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| Accidental
Death & Dismemberment Principal Amt. Covered Primary - Up to: Covered Spouse - Up to: Covered Dependant - Up to: |
$10,000 $ 5,000 $ 2,500 |
$10,000 $ 5,000 $ 2,500 |
$10,000 $ 5,000 $ 2,500 |
$10,000 $ 5,000 $ 2,500 |
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Note:
Insurance benefits are assignable and are payable up to the outlined allowable
maximum limit. |
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on Benefit to view more detailed Information |
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| Association Membership Benefits | ||||||
| 24-Hr. Nurse Hotline |  |
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| 24-Hr. Counseling Hotline | |
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| Fitness Membership | |
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| Vitamins & Supplements | |
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| National Retail Pharmacy | |
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| Mail Order Pharmacy Prescription Savings | |
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| Durable Medical Equipment & Supplies | |
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| Medical
Records Software Plus |
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| Legal Program | |
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| Financial Planning | |
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| ID Theft Guardian | |
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| Moving & Storage | |
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| Tradesman Referrals | |
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| Roadside Assistance Emergency Access® | |
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| Auto Maintenance | |
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| Car Rentals | |
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| Floral Arrangements | |
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| Hotels | |
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| Amusement Parks | |
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| Movie Tickets | |
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| Magazine Subscriptions | |
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Click
on Benefit to view more detailed Information |
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