Overview of BASIC PLAN Benefits |
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See any doctor or specialist – no network required! |
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Pays up to $200 per visit for outpatient doctor’s office for sickness |
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Pays up to $150 per year for an annual physical exam or screening test |
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Well Baby Care – Pays $50 per visit (up to 4 visits per year) for insured dependent child 12 months or younger |
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Pays up to $200 for Emergency Room treatment for sickness |
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Pays up to $300 for Emergency Room treatment for accidents |
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$500 Hospital Admission Benefit |
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Daily Hospital Confinement Benefits - $200 per day for sickness; $400 per day for accidents |
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Pays up to $600 per day for Intensive Care |
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Surgical & Anesthesia Benefits – Up to $3,000 based on procedure schedule |
Overview of PREMIER PLAN Benefits |
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See any doctor or access one of the national network PPO providers who have agreed to offer eligible services at a network contracted rate making your benefits go further! Visit www.providerlocator.com (Access code = KELLY) for current provider information. |
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Same benefits as the BASIC PLAN but the PREMIER PLAN offers enhanced Daily Hospital Confinement Benefits; $600 per day for sickness and $800 per day for accidents or Intensive Care. |
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Includes a Patient Concierge Service – The patient concierge will answer any questions you may have about the networks and provide you with a list of participating physicians and hospitals in your area. |
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Includes Patient Advocacy from the Karis Group. For members who find themselves with medical bills in excess of $7,500, Karis negotiators will advocate on your behalf by working with the provider and you to find a mutually agreeable solution. |
New Wellness Benefit! -- Pays up to $150 per year for annual wellness visit to your physician or screening tests.