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Health Saver Plus III
&
Health Choice Select
Health Saver Plus III
Five Deducable Options to choose from. $100, $500, $1,000, $2,500 and $5000.
Deductible is a reduction of benefits that is calculated after all in-hospital benefits have applied..
The deductible applies to all in-hospital and surgical benefits with the exception of outpatient Hospital or Ambulatory Surgical Center surgery, which is waived for the first claim incurred in a calendar year when surgery is performed under general anesthesia.
Outpatient Hospital or Ambulatory Surgery Deductible is waived for the first claim incurred in a calendar year for each covered person when surgery is performed under general anesthesia.
SURGICAL BENEFIT
The reimbursement schedule is paid based on the schedule for 1 unit and is similar to what is payable under the 2013 Medicare physician fee schedule for surgeries in the Houston area
Up to three units are available based on the total number of units selected for the plan.
Same reimbursement method applies to Inpatient Pathologist / Radiologist
OUTPATIENT BENEFITS
-$50 calendar year outpatient deductible
– 4 chiropractor visits included out of the 20 doctor visits per calendar year per insured.
Optional Riders
No Optional Riders are available, bit you can still add standalone Critical Illness, Accisent, and Dental to the HSPIII on the same app.
Healt Choice Select
First Day Hospital Confinement Reduction Option.
Reduces the First Day benefit amount for Hospital Confinement and Intensive Care. (one reduction per calendar year per covered person may apply) Four options to choose from:
- 100% – Pays 100% of the Hospital Confinement and ICU Benefit
- 80% – Pays 80% of the First Day Hospital Confinement and ICU Benefit 2nd day and thereafter pays the full benefit selected
- 50% – Pays 50% of the First Day Hospital Confinement and ICU Benefit 2nd day and thereafter pays the full benefit selected
- 20% – Pays 20% of the First Day Hospital Confinement and ICU Benefit 2nd day and thereafter pays the full benefit selected
Outpatient Hospital or Ambulatory Surgical Center Benefit pays two benefit classes: 1. Surgery performed under general anesthesia 2. Surgery performed not requiring general anesthesia
SURGICAL BENEFIT The reimbursement schedule is the Medicare RBRVS (Resource-Based Relative Value Scale) per procedure based on your providers location
Up to three units are available based on the total number of units selected for the plan.
Same reimbursement method applies to Inpatient Pathologist / Radiologist.
OUTPATIENT BENEFITS
– No calendar year outpatient deductible
– 6 chiropractor visits included out of the 20 doctor visits per calendar year per insured.
Optional Riders
Optional Critical Illness and Optional Family Term Life Available with just a click of the mouse. The applicant only needs to varify one set of questions for eVarification or telephone interview.
Example Price Comparisons – HSPIII / HCS – Most Popular Plan – NOTE: These are examples ONLY. They may not reflect acutal prices.
Calendar Year Maximum Benefit $250,000
Number of Benefit Units 2 Units
- Calendar Year Deductible 2,500 – HSPIII
- First Day Hospital Confinement 20% – HCS
Ages
Healt Saver Plus III
Healt Choice Select
Ages
Healt Saver Plus III
Healt Choice Select

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