Plan Administrator: INF Healthcare I AM Best Rating : "A++" I Underwriter: CHUBB American Insurance Comapany.
|
Age and Policy Maximum |
Age (0-69)- $50,000;$1,00,000;$1,50,000 Age (70-99)- $50,000;$1,00,000 |
|
Doctor Visit |
$0 Copay for Doctors Visit & Urgent Care using MeMD Telemedicine or Age(0-69)- $50,000:-Charges up to $60 a visit, 1 visit a day, to 10 visits $100,000:-Charges Up to $100 a visit maximum, 1 visit a day, to 10 visits $150,000:-Charges Up to $125 a visit maximum, 1 visit a day, to 10 visits Age (70-99)- $50,000:-Charges up to $60 a visit, 1 visit a day, to 10 visits $100,000:-Charges Up to $100 a visit maximum, 1 visit a day, to 10 visits |
|
Urgent Care |
$0 Copay for Doctors Visit & Urgent Care using MeMD Telemedicine or Age(0-69)- $50,000:-Charges up to $60 a visit, 1 visit a day, to 10 visits $100,000:-Charges Up to $100 a visit maximum, 1 visit a day, to 10 visits $150,000:-Charges Up to $125 a visit maximum, 1 visit a day, to 10 visits Age (70-99)- $50,000:-Charges up to $60 a visit, 1 visit a day, to 10 visits $100,000:-Charges Up to $100 a visit maximum, 1 visit a day, to 10 visits |
|
Hospital Room and Board |
Age(0-69)- $50,000:- Charges up to $1,300 a day maximum Up to 30 days $1,00,000:- Charges up to $1,750 a day maximum $1,50,000:- Charges up to $1,900 a day maximum Age (70-99)- $50,000:- Charges up to $1,300 a day maximum Up to 30 days $1,00,000:- Charges up to $1,750 a day maximum |
|
Ambulance |
Age(0-69)- $50,000:- Up to $400 maximum $1,00,000:- Up to $450 maximum $1,50,000:- Up to $500 maximum Age (70-99)- $50,000:- Up to $400 maximum $1,00,000:- Up to $450 maximum |
|
Prescription |
Age(0-69)- $50,000:-Up to $100 maximum $1,00,000:-Up to $150 maximum $1,50,000:-Up to $200 maximum Age (70-99)- $1,00,000:-Up to $150 maximum $1,50,000:-Up to $200 maximum |
Complete details are given in certificate of insurance.
You may review a listing of hospitals, physicians and other medical service providers included in the PPO Network for the area where you will be receiving treatment by accessing the Internet website for INF Plans at:
https://www.firsthealthinternational.com/LocateProvider/SelectNetworkType
Complete details are given in certificate of insurance
INF Plans can be renewed up to a maximum of 12 months or 364 days, after the initial enrollment period. To extend coverage for you or your visitor.
Refund of premium, less a $25 processing fee, will be considered only if Cancellation Form is received by the INF Health Care Services prior to the effective date of coverage.
After that date, the premium is considered fully earned and non-refundable.
All cancellation requests should be submitted by completing the Cancellation Form found under 'Members Area' section of the web pages.
The form can be faxed to 408-520-4967. Policy changes can not be made under any circumstances once the policy becomes effective.
Claims may be submitted to the Claims Administrator (Administrative Concepts Inc.) by the provider of service directly or by you. Please visit our Claims section for more details. All claims must be submitted using the applicable claim form, which can be found online or requested from the Claims Administrator. Completed claim forms must be furnished to Administrative Concepts, Inc. within 90 days after the date of such loss. Failure to furnish such proof within the time required will not invalidate or reduce any claim if it was not reasonably possible to furnish proof.