STATEWIDE
Temporary Major Medical

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BENEFITS COVERAGES
 

 

Covered Benefits  
(Benefit Period=Calendar Year)  
   
Lifetime Maximum $1,000,000.00
   
Deductible (Choice) $100 to  $5000 per policy
  1 per person
   
Doctor Office Visits 80% after deductible
All miscellaneous 80% after deductible
   
Preventive & Wellness n/a
   
Prescription Drug Discount Rx Card
   
Pregnancy Care N/A
   
Out-of-Pocket Maximum $1,000 plus deductible
   
   
Emergency Room $50 (waived if admitted)
   
Ambulatory Surgical Center 80% after deductible
   
Inpatient Hospital 80% after deductible
   
   

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Last Updated on 11/9/99
By Neil S. Williamson, Clu
Email: neil@ghpla.com