Sickness & Accident, Hospital/Surgery
For Individuals, Families and Groups |
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| ▪ NO DEDUCTIBLE OR CO-PAYS |
| ▪ USE ANY HOSPITAL OR DOCTOR |
| ▪ HOSPITAL BENEFIT TO $1,000 PER DAY |
| ▪ INTENSIVE CARE TO $4,000 PER DAY |
| ▪ SURGERY BENEFIT TO $20,000 |
| ▪ ANESTHESIOLOGIST BENEFIT TO $4,000 |
| ▪ BENEFITS PAID DIRECTLY TO YOU |
| ▪ ISSUE AGES 0 TO 64 |
| ▪ Hospital Confinement |
| Pays the Daily Benefit of $250~$1,000 for Hospital Confinement (resident bed patient) due to a covered injury or sickness beginning with the first day up to 365 days. |
| ▪ Intensive Care Unit |
| Pays the Daily Benefit of $1,000~$4,000, up to 30 days confinement in a Hospital's Intensive Care Unit for a covered injury or sickness. |
| ▪ Surgical Plus Benefit |
| $5,000~$20,000 per Surgery. Benefit per surgery as listed in the schedule of Surgical Benefits. |
| ▪ Anesthesia |
| Pays $1,000~$4,000 scheduled expenses for administration of anesthesia of a covered injury. |
| ▪ Emergency Treatment |
| Pays $62.50~$250 for expenses incurred for emergency treatment due to an injury. |
| ▪ Emergency Ambulance |
| Pays $125~$500 for expenses incurred for ambulance services due to sickness or injury. |
*** Add $15 administration fee charged by insurance company.
**** Underwritten by AIG
Disclaimer: Every attempt has been made to make the information contained in this proposal as accurate and up-to-date As possible. To accurately reflect all required information this proposal shall be presented in its' entirely. Unless otherwise noted all amounts in this proposal are presented in dollars. Company is not responsible for any typographical errors contained in this proposal. This proposal is not intended to create a contract. |
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