Benefits/Coverage

All Supplemental Plans (Cancer, Heart, Accident, Life)

This is a brief description of benefits - refer to your policies for complete details.

Cancer Plan

  1. First-Occurrence Express Payment: $10,000. 
  2. Reconstructive Breast Surgery: Actual Charges. 
  3. Hospital Daily Room: $200 per day, 1-30 days. $400 per day, 31 + days.                          
  4. Radiation and Chemotherapy (injected by medical personnel): $250 per day.
  5. Chemotherapy (self-administered): $250 per drug. 
  6. Comfort Drugs (outpatient): Up to $100 per month.   
  7. Bone Marrow Transplant: $5,000.
  8. Stem Cell Transplant: $1,250.
  9. Skilled Nursing Facility: Up to $100 per day, limited to number of days hospital confined.
  10. Hospice: Up to $100 per day, 1 – 60 days. Up to $50 per day, 61+ days.
  11. Second and third surgical opinion: Up to $225 per opinion. 
  12. Surgery: Up to $7,500.
  13. Anesthesia: Up to $1,875. 
  14. Blood and Plasma: Actual Charges. 
  15. Wigs and Hairpieces: Up to $250.
  16. Ambulance: $200. 
  17. Inpatient Drugs and Diagnostic Testing: Up to $40 per day.
  18. Attending Physician: Up to $30 per day. 
  19. Prosthetics: (surgical) up to $2,000, (non-surgical) up to $250. 
  20. Transportation: Up to $1,500 coach-class plane, train, bus or 40 cents per mile personal auto. 
  21. Family Member Lodging: Up to $60 per day. 

Heart Plan

  1. Heart Transplant: Up to $100,000.   
  2. Hospital Daily Room: $200 per day. 1-90 days. $600 per day, 91 + days.             
  3. Private Nurse: Up to $100 per day. 
  4. Skilled Nursing Facility: Up to $100 per day. 
  5. Surgery: Up to $3,600. 
  6. Anesthesia: Up to $900.   
  7. Blood and Plasma: $40 per unit. 
  8. Ambulance: Up to $100. 
  9. Inpatient Drugs and Medicine: Up to $30 per day. 
  10. Attending Physician: Up to $30 per day. 
  11. Electrocardiogram: Up to $200 per period of confinement. 
  12. Oxygen: Up to $200 per period of confinement. 
  13. Transportation: Up to $1,000. 
  14. Family Member Lodging: Up to $50 per day.       

 

Accident Plan

  1. Physician Office Visits: $50 
  2. Emergency Room: $500, Child $350 
  3. Hospital Daily Room: $500 per day 
  4. Intensive Care: $1,000 per day 
  5. Ambulance: Ground $250/Air $1,500 
  6. Blood and Plasma: $200 
  7. Physical Therapy: $50 per visit. 
  8. Medical Imaging CT, MRI and EGG exams: $200 
  9. Medical Appliances/Crutches/ Wheelchair/Walker: $125 
  10. Prosthetic Devices: $750 
  11. Transportation: up to $600 
  12. Family Lodging/Hotel/Motel: $125 per night 
  13. Lacerations: up to $400 
  14. Burns: up to $1,200 
  15. Injuries requiring surgery: up to $1,200 
  16. Dislocations: up to 3,000 
  17. Fractures: up to $3,200 
  18. Dismemberment: up to $10,000 
  19. Paralysis: up to $12,500 
  20. Accidental Death Life Insurance: Primary Insured $75,000, Spouse if on policy $75,000, Children if on policy $12,500   
  21. If Accidental Death from Motorized vehicle or pedestrian: $125,00 (Insured or Spouse if on policy), $31,250 (Children if on policy). 
  22. If Accidental Death from Common Carrier: $150,000 (Insured or Spouse if on policy), $37,500 (Children if on policy) 

 

Life Express

LIFE EXPRESS       :

 (Age)        $25,000       $50,000        $100,000

(18-50)      $15.00         $30.00            $55.00

51                20.00            35.00              65.00

52                21.00            37.00              68.00

53                23.00            40.00              76.00

54                25.00            44.00              83.00

55                27.00            48.00              90.00

56                29.00            52.00              97.00

57                31.00            56.00              104.00

58                33.00            60.00              111.00

59                35.00            64.00              117.00

60                37.00            68.00              124.00

61                39.00            72.00              141.00

62                44.00            81.00              157.00

63                49.00            90.00              174.00

64                52.00            98.00              190.00

65                55.00            105.00            205.00

66                62.00            120.00            235.00

67                71.00            138.00            270.00

68                76.00            147.00            290.00

69                81.00            157.00            310.00

70               92.00             178.00             349.00

Child Life Express

         $15k   $30k    $50k

(0-4)    6.41   11.83    19.04 

(5-9)    7.65    14.30    23.17

(10-14) 8.73    16.45   26.75

(15-17)11.13   21.25   34.75

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