| AIG Essential Health Plan BEST
UPSELL |
|
| |
Individual |
Yearly |
Family |
Yearly |
| Monthly Premium |
$34.90 |
$418.80 |
$54.90 |
$658.80 |
|
| Who's Covered (Children up to 19 yrs old) |
Primary Insured |
Prim Ins/Spouse/Kids |
|
|
| Percentage Covered |
100% |
100%/50%/20% |
|
|
| # Doctor Visits Yrs 1-3 (Paid @ $50) |
6 |
$300.00 |
10 |
$500.00 |
|
| # Doctor Visits Yrs 4+ (Paid @ $50) |
8 |
$400.00 |
13 |
$650.00 |
|
| ER Treatment Minimum Benefit |
4 |
$200.00 |
6 |
$300.00 |
|
| ER Treatment Minimum Benefit |
$400 |
$400 |
|
|
| ER Treatment Maximum Benefit |
$886 |
$886 |
|
|
| Covered Accident Hosp. Overnight Stay for Minimum |
$400 |
$400 |
|
|
| Covered Accident Hosp. Overnight Stay for Maximum |
$1,048 |
$1,048 |
|
|
| Covered Illness Hosp. Overnight Stay for Minimum |
$200 |
$200 |
|
|
| Covered Illness Hosp. Overnight Stay for Maximum |
$524 |
$524 |
|
|
| Lump Sum In-Hospital 30 Minimum Benefit |
$10,000 |
$10,000 |
|
|
| Lump Sum In-Hospital 60 Minimum Benefit |
$15,000 |
$15,000 |
|
|
| Ambulance for Covered Accident Only Minimum |
$200 |
$200 |
|
|
| Ambulance for Covered Accident Only Maximum |
$524 |
$524 |
|
|
| AIG Essential Health Plan BEST |
|
| |
Individual |
Yearly |
Family |
Yearly |
| Monthly Premium |
$29.95 |
$359.40 |
$45.95 |
$551.40 |
|
| Who's Covered (Children up to 19 yrs old) |
Primary Insured |
Prim Ins/Spouse/Kids |
|
|
| Percentage Covered |
100% |
100%/50%/20% |
|
|
| # Doctor Visits Yrs 1-3 (Paid @ $50) |
3 |
$150.00 |
5 |
$250.00 |
|
| # Doctor Visits Yrs 4+ (Paid @ $50) |
5 |
$250.00 |
8 |
$400.00 |
|
| ER Treatment Minimum Benefit |
4 |
$200.00 |
6 |
$300.00 |
|
| ER Treatment Minimum Benefit |
$300 |
$300 |
|
|
| ER Treatment Maximum Benefit |
$786 |
$786 |
|
|
| Covered Accident Hosp. Overnight Stay for Minimum |
$400 |
$400 |
|
|
| Covered Accident Hosp. Overnight Stay for Maximum |
$1,048 |
$1,048 |
|
|
| Covered Illness Hosp. Overnight Stay for Minimum |
$200 |
$200 |
|
|
| Covered Illness Hosp. Overnight Stay for Maximum |
$524 |
$524 |
|
|
| Lump Sum In-Hospital 30 Minimum Benefit |
$5,000 |
$5,000 |
|
|
| Lump Sum In-Hospital 60 Minimum Benefit |
$10,000 |
$10,000 |
|
|
| Ambulance for Covered Accident Only Minimum |
$200 |
$200 |
|
|
| Ambulance for Covered Accident Only Maximum |
$524 |
$524 |
|
|
| AIG Essential Health Plan BETTER UPSELL |
|
| |
Individual |
Yearly |
Family |
Yearly |
| Monthly Premium |
$29.90 |
$358.80 |
$48.90 |
$586.80 |
|
| Who's Covered (Children up to 19 yrs old) |
Primary Insured |
Prim Ins/Spouse/Kids |
|
|
| Percentage Covered |
100% |
100%/50%/20% |
|
|
| # Doctor Visits Yrs 1-3 (Paid @ $50) |
5 |
$250.00 |
9 |
$450.00 |
|
| # Doctor Visits Yrs 4+ (Paid @ $50) |
7 |
$350.00 |
11 |
$550.00 |
|
| ER Treatment Minimum Benefit |
4 |
$200.00 |
6 |
$300.00 |
|
| ER Treatment Minimum Benefit |
$300 |
$300 |
|
|
| ER Treatment Maximum Benefit |
$624 |
$624 |
|
|
| Covered Accident Hosp. Overnight Stay for Minimum |
$200 |
$200 |
|
|
| Covered Accident Hosp. Overnight Stay for Maximum |
$524 |
$524 |
|
|
| Covered Illness Hosp. Overnight Stay for Minimum |
$200 |
$200 |
|
|
| Covered Illness Hosp. Overnight Stay for Maximum |
$524 |
$524 |
|
|
| Lump Sum In-Hospital 30 Minimum Benefit |
$10,000 |
$10,000 |
|
|
| Lump Sum In-Hospital 60 Minimum Benefit |
$15,000 |
$15,000 |
|
|
| Ambulance for Covered Accident Only Minimum |
$200 |
$200 |
|
|
| Ambulance for Covered Accident Only Maximum |
$524 |
$524 |
|
|
| AIG Essential Health Plan BETTER |
|
| |
Individual |
Yearly |
Family |
Yearly |
| Monthly Premium |
$24.95 |
299.40 |
$39.95 |
$479.40 |
|
| Who's Covered (Children up to 19 yrs old) |
Primary Insured |
Prim Ins/Spouse/Kids |
|
|
| Percentage Covered |
100% |
100%/50%/20% |
|
|
| # Doctor Visits Yrs 1-3 (Paid @ $50) |
2 |
$100.00 |
4 |
$200.00 |
|
| # Doctor Visits Yrs 4+ (Paid @ $50) |
4 |
$200.00 |
6 |
$300.00 |
|
| ER Treatment Minimum Benefit |
4 |
$200.00 |
6 |
$300.00 |
|
| ER Treatment Minimum Benefit |
$200 |
$200 |
|
|
| ER Treatment Maximum Benefit |
$524 |
$524 |
|
|
| Covered Accident Hosp. Overnight Stay for Minimum |
$200 |
$200 |
|
|
| Covered Accident Hosp. Overnight Stay for Maximum |
$524 |
$524 |
|
|
| Covered Illness Hosp. Overnight Stay for Minimum |
$200 |
$200 |
|
|
| Covered Illness Hosp. Overnight Stay for Maximum |
$524 |
$524 |
|
|
| Lump Sum In-Hospital 30 Minimum Benefit |
$5,000 |
$5,000 |
|
|
| Lump Sum In-Hospital 60 Minimum Benefit |
$10,000 |
$10,000 |
|
|
| Ambulance for Covered Accident Only Minimum |
$200 |
$200 |
|
|
| Ambulance for Covered Accident Only Maximum |
$524 |
$524 |
|
|
|
|
|
|
|
| *Benefits increase quarterly over 10 years to reach
maximum benefit. |
|
|
|
|
| *Illness is paid after a minimum of 2
consecutive nights stayed in hospital and retro to 1st day. |
|
|
|
|
|
|
|
| Amacore Health Network Discount Plan: Up to 55% off 'In-Network' Pharmacies, Doctors, Dentists, and Eye Care and Vision. *Also includes 24 Hr Nurse Hotline* |
|
Insurance underwritten by National Union Fire Insurance Company of Pittsburgh, Pa., a Pennsylvania insurance company, with its principal place of business at 70 Pine Street, New York, NY 10270. Is currently authorized to transact business in all states and the District of Columbia. NAIC No. 19445. This is only a brief description of the coverage(s) available under policy series A30293NUFIC (in CO, FL & OR) A30329NUFIC and C11695DBG. The Policy will contain reductions, limitations, exclusions and termination provisions. Full details of coverage are contained in the Policy. If there is any conflict between the contents of this document and the Policy, the Policy will govern in all cases. Coverage may not be available in all states.
Essential Health Discount Plan provides discounts at certain health care providers for medical services. This plan does not make payments directly to the providers of medical services. The plan member is obligated to pay for all health care service but will receive a discount from those health care providers who have contracted with this discount plan organization. It is the member's responsibility to confirm with Member Services that a provider is an active participant of the program prior to seeing that provider. Discount Medical Provider Organization: MedNet Benefits Inc., 428 E. Thunderbird Road, #645, Phoenix, AZ 85022. Discount Services may not be available in all states. Please call to verify availability in your home state. This is a non-insurance discount service provided by Lifeguard Benefit Services. National Union assumes no responsibility or liability for the services provided by Third Parties.
