|
Features
|
Benefits
|
|
Preventative and Primary Care – Deductible is not applicable
|
Preventative Care For Babies/Children: (Birth to Age 18)
- Office Visits/examination
- Immunizations, Lab work & X-rays
|
100% |
Preventative Care For Adults: (Age 19 and Older)
- Routine Pap Smears, annual mammogram
- PSA For Men
- Annual Physical Examination/Health Screening
- Diagnostic lab work & X-rays
|
100% |
| Primary Care Office Visits |
All except a $10 copay per visit1 |
|
Professional Services
|
Insurer Pays After Deductible is Met
|
|
Surgery, anesthesia, radiation therapy, in-hospital doctor visits, diagnostic X-ray and lab work. |
100% |
|
Inpatient Hospital Services
|
Insurer Pays After Deductible is Met
|
| Surgery, X-rays, in-hospital doctor visits, Organ/Tissue Transplant |
100% |
| In-patient medical emergency2 |
100% |
| In-patient drugs |
100% |
|
Ambulatory and Therapeutic Services
|
Insurer Pays After Deductible is Met
|
| Ambulatory Surgical Center |
100% |
| Ambulance Service |
100% |
| Accidental Dental |
$1,000 per year, $200 per tooth |
| Acupuncture and Chiropractic Services |
100% up to $2,000 |
| Durable Medical Equipment |
100% |
| Infusion Therapy |
100% |
| Physical/Occupational Therapy |
$30/visit, 12 visits per year |
| Basic Prescription Drug Benefit |
50% of actual charges up to $500 |
|
Optional Prescription Drug Benefit
|
Insurer Waives Deductible
|
|
Subject to $3,000 Maximum Benefit per Insured Person
per Policy Period
|
80% of actual charges
|
|
Global Travel Benefits
|
Insurer Pays Without a Deductible
|
| Medical Evacuation |
Up to $100,000 |
| Repatriation of Remains |
Up to $25,000 |
| Accidental Death and Dismemberment |
$50,000 |
|
Other
|
Inpatient Benefit
|
Outpatient Benefit
|
| Mental Health |
100% up to 20 days per year |
80% up to 30 visits per year |
| Substance Abuse |
100% up to 12 days of detox |
80% up to 30 visits per year |
|
|
|
Global Citizen EXP Plan 1.2.3
|
Deductible
|
| Elite
|
$0
|
| 250
|
$250
|
| 500
|
$500
|
| 1,000
|
$1,000
|
| 2,500
|
$2,500
|
| 5,000
|
$5,000
|
| 10,000
|
$10,000
|
1. Copay waived when visiting an HTH Worldwide contracted provider.
2. Emergency room visits that do not result in inpatient admissions will be subject to a $50 penalty.
3. Out of Pocket Maximums exclude the Deductible.
|
|