|
This is only a summary of
coverage |
Bronze |
Silver |
Gold |
Platinum |
 |
Doctor's Office Visits |
5 visits/yr.
Plan pays $60
for each visit |
5 visits/yr.
Plan pays $80
for each visit |
5 visits/yr.
Plan pays $100
for each visit |
10 visits/yr.
Plan pays $100
for each visit |
 |
Lab Tests Ordered At Doctor Visit |
Plan pays $50
per visit up
to $250/yr. |
Plan pays $100
per visit up
to $500/yr. |
Plan pays $100
per visit up
to $600/yr. |
Plan pays $150 per visit
up to $1000/yr. |
 |
Wellness Visits |
Plan pays $100 benefit once
per year |
Plan pays $150 benefit once
per year |
Plan pays $200 benefit once per year |
Plan pays $250
benefit once per year |
 |
Daily In-Hospital Benefit |
Plan pays $100/day
up to $20,000 per
year
plus First Day Hospital Benefit |
Plan pays $300/day
up to $100,000 per year
plus First Day Hospital Benefit |
Plan pays $500/day
up to $100,000 per year
plus First Day Hospital Benefit |
Plan pays $1,000/day up to $100,000 per year
plus First Day Hospital Benefit |
|
Additional First Day Hospital Benefit |
Plan pays $1,000 once per year |
Plan pays $2,000 once per year |
Plan pays $2,000 once per year |
Plan pays $2,500 once per year |
 |
Critical Illness
Lump Sum Benefit |
$5,000 |
$7,500 |
$15,000 |
$20,000 |
| The Critical
Illness Lump Sum Benefit is paid
directly to the Insured
following the first time
diagnosis of a covered critical
illness. Critical Illness is
defined exclusively as Cancer,
Heart Attack, Stroke, End Stage
Renal Failure, or Major Organ
Transplant Surgery. For more
details, refer to the policy or contact one
of our agents. |
 |
Prescription Benefits
More details
PPO FAQ
|
Up to 80% discounts unlimited prescriptions via PPO |
Up to 80% discounts, unlimited
prescriptions. Plus plan pays $10
each
on 12 prescriptions/yr. |
Up to 80% discounts, unlimited prescriptions.
Plus plan pays
$25 each
on 12
prescriptions/yr. |
Up to 80% discounts, unlimited
prescriptions. Plus plan pays
$40 each on 12 prescriptions/yr. |
| PPO access
delivers up to 80% discounts on
generic drugs and a minimum of
14% - 16% discounts on brand
name drugs at over 60,000
pharmacies nationwide. In
addition, Walmart has agreed to
give even greater discounts
through this plan.
Click here for
more information. |
 |
Intensive Care |
Available in
Platinum Plan |
Available in
Platinum Plan |
Available in
Platinum Plan |
Plan pays $1,000
per day up to $30,000 per year |
 |
Surgery |
Available as
optional
benefit |
Available as
optional
benefit |
Up to $3,500 |
Up to $5,000 |
 |
Anesthesia |
Available as
optional
benefit |
Available as
optional
benefit |
Up to 20%
of surgery payment |
Up to 20%
of surgery payment |
 |
Off-the-Job
Accident Injury |
Actual charges up to $500 per accident
5 accidents/year |
Actual charges up to $500 per accident
5 accidents/year |
Actual charges up to $500 per accident
5 accidents/year |
Actual charges up to $500 per accident
5 accidents/year |
| THIS IS NOT
MAJOR MEDICAL INSURANCE.
It is not intended or
recommended to replace any
comprehensive health insurance
you already have or are
considering. |
Preferred Provider
Organization (PPO)
|
 |
MultiPlan PPO - Join over
40 million Americans getting best rate access at more than
900,000 healthcare providers.
You pay what their biggest
customers pay with savings
typically between 20% to 40%.
Founded in 1980, MultiPlan is
the nation's oldest and largest
supplier of independent,
network-based cost management
solutions.
Click here for
more information.
|
|
|---|
|
Optional Benefits -
you
may add these benefits to your plan
only at the time of enrollment |
 |
Dental Insurance
More details |
Access to
over 123,000 dentists through
DenteMax nationwide PPO
delivering strong discounts on
dental procedures along with
your fixed Indemnity coverage as
outlined in your Membership
Guide.
|
 |
Term
Life Insurance |
Guaranteed
issue term life insurance of
$10,000 or $20,000 is
available as an optional policy. |
|
Additional CASA Membership Benefits
|
 |
Vision
Benefits - You only pay $50
per exam, 40% savings on frames,
and receive pre-negotiated
discount pricing on lenses
through the EyeMed Advantage
Network. You join the
buying power of over 159,000
EyeMed members with negotiated
rates at LensCrafters, Pearle
Vision, JC Penny Optical, Sears
Optical, Target Optical, and
thousands of Private
Practitioners. |
 |
Lasik Eye Surgery
- Savings up to 50% off average national costs
which equates to savings of
almost $1000 per eye.
QualSight has over 65
million members and is the
largest network of
independent Ophthalmologists
operating out of 800
locations. |
 |
Chiropractic Benefits -
Savings of 30-50%
from our nationwide chiropractic
network of over 16,000
practitioners. The
Comprehensive Health Group
Chiropractic Network (CHG) is
one of the largest and most
recognized networks and serves
millions of members. |
 |
Diabetes Savings
Program - Save 25-40%
on test equipment and
supplies.
Your one-stop
shop for diabetes information, education,
cost savings, convenience and
support. |
 |
Family Legal Services -
Nationwide discount
through our
network of 20,000 attorneys on
services such as Chapter 7
Bankruptcy, traffic ticket
defense, real estate closing,
divorce, etc. Free
legal services for phone
consultations on new legal
matters, simple wills, and
advice on small claims court
issues. 40% off the usual and
customary hourly rate for
billable services. |
This
is a brief summary of
TransChoice® Plus Group
Limited Benefit Hospital
Indemnity Insurance
underwritten by Transamerica
Life Insurance Company,
Cedar Rapids, IA. Policy
Form Series CPCH0200 and
CCCH0200. Form and number
may vary by state. Not
available in all
jurisdictions. Limitations
and exclusions may apply.
Refer to the policy,
certificate and riders for
complete details.