Assurant Health Access

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Assurant Health Access

Assurant Health
Time Insurance HSA

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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