Plan Administrator: Trawick International | AM Best Rating: A+ | Underwriter: National Mutual Insurance
|
Age and Policy Maximum |
Age(0-69):$50,000,$100,000,$250,000,$500,000 Age(70-79):$50,000,$100,000 Age(80-99):$50,000 |
|
Doctor Visit |
Usual Reasonary Customary Charges(URC) |
|
Urgent Care |
Usual Reasonary Customary Charges(URC) |
|
Hospital Room and Board |
Usual Reasonary Customary Charges(URC) |
|
Ambulance |
N/A |
|
Prescription |
Usual Reasonary Customary Charges(URC) |
Complete details are given in certificate of insurance.
NO PPO NETWORK
Pre-Existing Condition means an illness, disease, or other condition during the six (6) month period immediately prior to the Effective Date for which You: 1) exhibited symptoms that would have caused one to seek care or treatment; or 2) received or received a recommendation for a test, examination, or medical treatment; or 3) took or received a prescription for drugs or medicine. Item (3) of this definition does not apply to a condition that is treated or controlled solely through the taking of prescription drugs or medicine and remains treated or controlled without any adjustment or change in the required prescription throughout the six (6) month period before the Effective Date.
100% refund for policies cancelled prior to the effective date. All cancellations must be submitted in writing and are based on the date.
Provide the hospital or doctor with a copy of your ID card so they can bill us for the services provided to you. This shows your member ID and is how to find you in our system to verify benefits. Failure to give the correct information to the provider could result in bills getting sent to you, instead of the insurance company. All claims, regardless of submission date, must be received in our office within 90 days of treatment or they will be denied. Initial treatment must occur within 90 days of the Accident or Sickness.