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Assurant
Health Access
Assurant's
Health Access plan is a non-traditional form of insurance called
a fixed-indemnity plan. Unlike a traditional health insurance plan, a fixed-indemnity
plan pays only a set amount of cash when you receive a particular service,
regardless of what your provider charges you. You also have the option of
having Assurant pay your doctors directly. Some examples of payment amounts
are:
Service | You
receive... | Office
Visit* | $50
per visit, maximum of 4 per year | Prescription
Drugs | $10
for generics and $25 for brand name, maximum of $750 |
Allergy
Shots and Immunizations | $10
per allergy shot or immunizations, maximum of $100 per year |
Outpatient
Medical Events | Lab
Services - $25 per laboratory service and $100 per surgical pathology test Radiology
Services - $100 per mammogram or CT scan, $250 per MRI/PET scan, and $50 per
any other radiological services Physical
Medicine Services - $25 per occupational therapy, physical therapy, or speech
therapy visit $25
for any outpatient services not listed Maximum
of $1000 per year for outpatient services | Surgery | Includes
surgical benefits for both inpatient and outpatient surgery paid at the scheduled
benefit amount. Benefits paid per surgery vary greatly. See surgical schedule
for details. | Anesthesia** | $200
per anesthesia event, maximum of 2 per year | Ground
and Air Ambulance | $100
per ground transportation and $1000 for air transportation, no more than 2 trips
per year | Emergency
Room or Urgent Care*** | $250
per visit, no more than 1 visit per year | Inpatient
Hospital Confinement | $2000
per day for sickness or $4000 per day for injury, with a maximum of $200,000
per year | Lifetime
Maximum | $1
million | Value-Added
Discount Card**** | Discounts
on everyday needs | Optional
Life Insurance | Up
to $10000 for the primary insured |
*IL residents
receive a maximum of $200 per year
**IL residents receive a maximum of $400 per year
***IL residents receive a maximum of $250 per year
**** Discount cards may vary and not be available in every state Assurant
Health Access fixed-indemnity plan is not designed to cover things
such as maintenance care and therapies, cosmetic services and procedures,
reproductive-related procedures or concerns, quality of life concerns, over
the counter or foreign drugs, or any pre-existing conditions during the first
12 months of coverage.
Rates:
Online quotes
are available in most states by clicking here.
Please contact us via email for
rates on the optional benefits. All rates depend on gender, smoking status,
zip code, and health status. The
premium can be paid via quarterly, semi-annual, or annual billing or credit
card payment. Premiums can be paid monthly via bank draft, or by credit card
in AZ, CT, KS, NC, and OH. There is a one-time $20 application fee, which
is refunded if the application is declined or not accepted. The initial premium
can be paid with a check or credit card. Initial
Monthly Premium: Unlike most companies, Time Insurance will allow you to submit
an application on a C.O.D. basis. What this means is that you may submit your
application without submitting the first month's premium, which would not
be due until your application has been approved. At that time, you will instantly
be billed for your first month's coverage. At times, depending upon your requested
effective date, your first bill may be for two month's coverage, as you will
be billed for the period of time that you have been covered prior to receiving
your approval (if applicable), as well as the full premium for the next month
of coverage.
PPO
Network:
While the
Assurant Health Access plan is a fixed-indemnity product that allows you to
use any provider and still receive the same level of benefits, providers may
provide additional discounts on your total bill if they are in-network. Please
visit the Time
Insurance PPO Network for complete information. In most areas, Time uses
the Private Health Care Systems (PHCS) network. Having access to the PPO network
can mean substantial discounts in what you pay for your health care, even
before you meet your deductible. See details on the participating
providers in that network.
Underwriting:
If you are
in good health, Assurant has the quickest underwriting in the industry. About
25 percent of our applications go through the Express Yes
approval, and you can print out your insurance card today. Just apply
online, and if you answer “no” to all 17 questions and the
electronic check of your Medical Information Bureau and Rx record comes back
clean, you will be approved immediately. Seventy-five
percent of the remaining apps are approved within 48 hours. If medical records
are needed, then it may take significantly longer while the underwriter waits
for the physician to send the records. Certain
conditions may be wavered with a temporary rider (usually for one to two years),
or an indefinite rider. If pre-existing conditions are disclosed on the application
they will not be determined to be pre-existing and will be considered for
coverage. It
is standard practice to request a Blood Pressure Inquiry on all applicants
who are currently being treated for or who have recently discontinued treatment
for high blood pressure.
Effective dates:
Time Insurance
coverage can go into effect as quickly as one day, though you risk being declined
if claims are submitted before the underwriting process is completed. You
may request an effective date any time between the day after you sign the
application and 45 days later, with the exception being that an application
cannot become effective the 29, 30 or 31 of any month. Please
note, if you are requesting an effective date of less than 21 days from the
time you complete the application, you may not receive notification of your
approval until after your effective date. If you have claims during this period,
they will be eligible for coverage if submitted after you have been approved.
Also note that you will be billed starting on your requested effective date,
even if you have not yet been notified that you have been approved. This is
very good for someone who does not have any present coverage and would like
for their benefits to begin right away. For those who are already covered,
it is suggested that you maintain your current coverage in force until you
have received notice from either HSA for America
or directly from Time Insurance
that your coverage has been approved and is in force.
About Time Insurance:
Time
Insurance, formerly known as Fortis Health,
is an Assurant Health member company, Milwaukee, WI.
Time Insurance, in business for more than a century, serves
more than 1 million members. For
more than 110 years, Time Insurance
has maintained a solid reputation for high quality products, financial stability
and a commitment to the health insurance industry. The company offers Individual
Medical and Small Group plans, which include Health Savings Accounts, Health
Reimbursement Arrangements, comprehensive major medical plans as well as a
lower cost major medical plan. The company is also the number one seller of
temporary health
insurance (Short Term) in the United States. Time
Insurance has been assigned a rating of A
(Excellent) from the A.M.
Best Company, an independent insurance rating organization. HSA
for America is an independent authorized Time Insurance
agent.
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