Limited Medical
Insurance Benefits
- Guaranteed Issue for members 18 through 64
- $1,000,000 Lifetime Maximum per Covered Person
- U.S. Citizenship not required, only U.S. residency for 12 consecutive months
- In-Hospital Daily Indemnity - Choice of $500, $750, $1,000 or $1,500 per day
- Surgery, Anesthesia, Lab, X-Ray, Wellness, Emergency Room and Ambulance
benefits - Doctor Office Visits - $50 per visit benefit *
- Doctors Office Wellness Visit - $50
- $2,000 Accidental Injury Medical Benefit
- $10,000 Accidental Death and Dismemberment
Insured Benefits Provided By:
United States Fire Insurance Company , part of Crum & Forster group, Rated “A” by A.M. Best Reports
States Available:
All states except: AK, CT, KS, MD, ME, NJ, NY, VT
Policy Limits Per Covered Person:
Maximum Yearly Limit N/A
N/A Lifetime Maximum$1,000,000
$1,000,000 Waiting Periods
Accidental InjuriesNoneSickness30 Days Pre-existing Conditions Provision:
Applies to the In-Hospital Daily Benefit, Surgery and Anesthesia benefits only. Conditions existing up to 12 months prior to effective date of coverage are not covered for 12 months following effective date of coverage.12/12
12/12Inpatient Hospital Indemnity:
Maximum Amount Per Day $750Maximum Days Per Policy Year 31Surgery:
Inpatient Hospital$1,500Outpatient Facility$750Maximum allowable Surgeries Per Policy Year1Anesthesia:
Inpatient Hospital $225Outpatient Facility $150Maximum Per Policy Year 1Doctor Office Visits (Injury or Sickness):
Maximum Per Visit$50Maximum Visits Per Policy Year 5Doctor Office Visit (Wellness):
Maximum Per Visit$50Maximum Visits Per Policy Year 1Diagnostics X-rays, Labs:
Maximum Per Visit$50Maximum Visits Per Policy Year 5Emergency Room Visits:
Maximum Per Visit$50Maximum Visits Per Policy Year1Ambulance:
Maximum Per Visit$50Maximum Visits Per Policy Year1Accidental Injury:
Maximum Benefit Amount Per Injury$2000Maximum Number of Injuries Per Year 2Deductible per Accident $250Medical treatment and supplies per injury.Accidental Death and Dismemberment
Principal Amount $10,000Beechstreet PPO Network Providers:
Health Essential also provides access to one of the nationals largest Preferred Provider Organizations. Beech Street Corporation has over 50 years of reliable service in the healthcare industry and has a network of over 400,000 respected doctors, 3,800 hospitals and over 52,000 ancillary network providers. Beech Street provides cost containment Network Services, URAC accredited and NCQA certified Clinical Services, and healthcare financial Specialty Services. More information about Beech Street can be found at www.beechstreet.com
Vision Discounts:
EyeBenefits Members receive significant SAVINGS on routine eye exams, eyewear, contact lenses and LASIK procedures. For your convenience, the EyeBenefits Provider Network consists of over 12,000 optical and LASIK locations nationwide. The EyeBenefits Provider Network includes most National and Regional optical chain locations such as EyeMasters, JCPenney Optical, LensCrafters, Pearle Vision, Sears Optical and Target Optical.
Advanced Benefits four tier prescription discount drug card:
Pay up to $10, $20 or $50 for formulary or Generic drugs and generous discounts for Brand Name drugs. The card is accepted at over 43,000 pharmacies throughout the United States. The network includes pharmacy chains as well as thousands of independent pharmacies throughout the country.
Cost:
$125 / Month Plus a $25 Enrollment Fee
Annual Cost: $1500 + $25 Enrollment Fee = $1525
Printable Brochure
If you are interested in speaking with a Trustway TEAM Advisor about rates and products for Primary Health Insurance that covers athletic injuries please complete the information below:
Name:
Phone:
Email:
School:
State:
Approximate # of Students Needing Coverage:
For Additional Products and Services offered by Trustway T.E.A.M. Services please proceed to the right hand column.
Thank you for the opportunity for us to be a part of your health care team and we look forward to working with you.
