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World
Insurance offers an excellent Health Savings Account (HSA)
plan. An HSA is a savings accounts that is coupled
with a World Insurance high-deductible health plan.
You can deposit tax-deductible money into the HSA and use
it to pay health care expenses throughout the year that aren't
covered by your World Insurance plan
Before
HSA legislation went into place, the majority of our business
with World Insurance was their catastrophic Value Advantage
plans. Since HSAs went into effect, World's HD
Advantage plan is often a very good option, particularly
for those over age 55.
If you
are looking for an inexpensive catastrophic plan,
the World Insurance Value
Advantage plan is a good option, but it is not HSA
compatible.
World
Insurance HD Advantage Brochure 
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| World
Insurance HD Advantage plans at a glance: |
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Lifetime
Maximum for all plans - Choice of $2 million with option
to increase to $5 million
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PPO
Individual
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HD
Advantage
100
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$1,500
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0%
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$1,500
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$2,700
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0%
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$2,700
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$5,250
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0%
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$5,250
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$3,000
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20%
of next $7,500
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$4,500
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$5,400
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20%
of next $18,750
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$9,150
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$10,500
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20%
of next $18,750
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$14,250
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HD
Advantage
80
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$1,500
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20%
of next $5,000
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$2,500
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$2,700
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20%
of next $12,500
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$5,400
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$3,000
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40%
of next $7,500
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$6,000
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$5,400
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40%
of next $18,750
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$12,900
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$1,500
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50%
of next $3,000
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$3,000
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$2,700
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50%
of next $5,000
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$5,400
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$3,000
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70%
of next $4,500
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$6,150
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$5,400
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70%
of next $7,500
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$10,650
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PPO
Families
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HD
Advantage
100
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$3,000
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0%
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$3,000
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$5,450
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0%
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$5,450
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$10,500
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0%
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$10,500
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$6,000
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20%
of next $18,750
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$9,750
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$10,900
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20%
of next $37,500
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$18,400
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$21,000
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20%
of next $37,500
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$28,500
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HD
Advantage
80
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$3,000
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20%
of next $12,500
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$5,600
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$5,450
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20%
of next $25,000
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$10,450
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$6,000
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40%
of next $18,750
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$13,500
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$10,900
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40%
of next $37,500
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$25,900
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$3,000
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50%
of next $7,000
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$6,500
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$5,450
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50%
of next $10,000
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$10,450
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$6,000
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70%
of next $10,500
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$13,350
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$10,900
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70%
of next $15,000
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$21,400
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Traditional
Individual
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HD
Advantage
100
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$1,500
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0%
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$1,500
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$2,700
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0%
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$2,700
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$5,250
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0%
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$5,250
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HD
Advantage
80
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$1,500
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20%
of next $5,000
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$2,500
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$2,700
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20%
of next $12,500
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$5,200
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Traditional
Families
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HD
Advantage
100
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$3,000
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0%
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$3,000
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$5,450
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0%
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$5,450
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$10,500
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0%
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$10,500
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HD
Advantage
80
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$3,000
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20%
of next $12,500
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$5,600
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$5,450
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20%
of next $25,000
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$10,450
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Note:
Please run an instant quote
for exact deductibles in your area.
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Additional
coverage information for basic plans
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Subject
to deductible and coinsurance |
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Limited
benefit, unless optional benefit is chosen
(2) |
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$100
access fee if visit is for an illness and
patient is not admitted directly into hospital
as inpatient, then subject to deductible and
coinsurance |
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Not
covered, unless optional benefit is chosen
(2) |
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Limited
benefit for inpatient only, unless optional
benefit is chosen (2) |
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Not
included, unless optional benefit is chosen
(2) (not available on
Traditional plans) |
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Not
included, unless optional benefit is chosen
(2) |
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- Each
calendar year, includes deductible.
- See
optional Comprehensive HSA Benefits below.
- 50
Plan not available in Georgia.
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Additional
coverage information for plans with optional Comprehensive
HSA Benefit
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Subject
to deductible and coinsurance |
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Subject
to deductible and coinsurance |
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$100
access fee if visit is for an illness and
patient is not admitted directly into hospital
as inpatient, then subject to deductible and
coinsurance |
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Subject
to deductible and coinsurance
for medical services provided by a physician |
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Subject
to deductible and coinsurance for prescription
drugs or medicines for a covered illness or
injury when prescribed by a physician and
dispensed by a licensed pharmacist |
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Maximum
of $150 first dollar coverage for wellness
benefits per covered person, per calender
year. Eligibility starts for each covered
person 12 months after plan is effective for
that covered individual. |
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Subject
to deductible and coinsurance; $100,000 lifetime
maximum |
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This
is a basic limited plan unless the optional Comprehensive
HSA Benefit is selected. Please note that expenses
from non-PPO providers are subject to the usual and customary
charge limitation described in the World
Insurance brochure. Generally speaking, the usual
and customary charge is the amount World would expect
most physicians to charge for a particular medical procedure,
service or supply. Each year refers to calendar year.
This
information is presented only as a very brief overview of
some of the benefits of this plan, and is intended only
for general education. The amount of benefits provided
depends on the plan selected. Premium will vary with the
type of benefits selected. These plans contain exclusions
from and limitations of coverage. Please see the product
brochure for more complete information, as well as information
about terms of renew ability, preexisting conditions, out-of-network
penalties, and notification requirements. Plans are
subject to health underwriting. To be considered for
reimbursement, expenses must qualify as covered expenses.
Expenses are also subject to reasonable and customary limits,
unless you use a network, and all other policy provisions,
including determinations of medical necessity.
Coverage
Synopsis:
World
Insurance HD Advantage
With
this plan, the deductible only needs to be met once per
family per year. After you have met your deductible,
the plan pays 100% of all covered expenses, up to either
$2 or $5 million per person. There is also an option
for 50% of 80% coverage, with a co-insurance limit of $10,000.
Routine doctor visits and out patient prescription drugs
are not covered by this plan, even after the deductible
has been met, unless the Comprehensive HSA Benefit
rider is included.
Foreign
travel is also covered for 60 days, with a $100,000 lifetime
limit.
This
plan qualifies as HSA-eligible. Combining a
Health Savings Account with any the World High Deductible
Health Plan allows you to make tax-deductible contributions,
pay medical expenses with pre-tax dollars, and earn tax-deferred
interest. This account works much like an IRA, except
you may use your tax-free savings for qualified medical
expenses your health plan does not cover, such as your deductible,
contact lenses, or most types of alternative medicine (see
the qualified medical expenses).
If you do not use these funds, they simply accumulate, with
interest, for distribution upon your retirement.

Optional
Riders:
Comprehensive
HSA Benefit
The
HD Advantage program does not cover outpatient doctor visits
or prescription drugs unless this optional rider is added.
This optional benefit cannot be added to your
policy after you apply for coverage. It provides the
following additional benefits.
- Rx
Benefits - subject to deductible and coinsurance.
Prescription drugs or medicines for a covered illness
or injury when prescribed by a physician and dispensed
by a licensed pharmacist.
- Physician
Office Visit Benefits - subject to deductible and
coinsurance for medical services provided by a physician.
- Outpatient
Services - subject to deductible and coinsurance.
Services include, but are not limited to, physical,
occupational, speech and manipulative therapy, and diagnostic
testing.
- Wellness
Benefits - a maximum of $150 first dollar coverage
for wellness benefits per covered person, per calendar
year. Eligibility starts for each covered person
12 months after the plan is effective for that covered
individual.
Maximum
Benefit Option
Your
HD Advantage policy/certificate's lifetime coverage
maximum is $2 million per covered person. The Maximum
Benefit Option increases the lifetime maximum to $5 million.
It also increases the per-organ transplant maximum from
$500,000 to $1,000,000 at nationwide Centers of Excellence,
facilities that specialize in specific types of transplants
and can provide you with quality care on a cost efficient
basis.
Term
Life Benefit Option
The
Term Life Benefit Rider provides you and/or your spouse
with annually renewable term life insurance coverage in
benefit amounts of $10,000, $25,000 or $50,000. Plus,
you also have the option of converting your term-life policy
to a World whole life policy. (Note:
Not available in Georgia, Ohio and Oklahoma.)
Outpatient
Accident Benefit Option
With
the Outpatient Accident Benefit Rider, your plan pays 100
percent of expenses for a covered injury, not to exceed
the amount you choose ($500, $1,000, $1,500, $2,000, $2,500,
$3,000 or $5,000) per calendar year for treatment of injuries
on an outpatient basis, with no deductible or coinsurance.
Additional benefits are subject to your deductible and coinsurance.
(Note: Not all levels are available in all states)
Expenses
covered under this rider include:
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Services, supplies, and physician's care;
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X-ray and laboratory tests; and
- Treatment
or services received in a hospital emergency room,
urgent care center, physician's office, or ambulatory
surgical center or facility.
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Rates:
This
High Deductible Health Plan comes with an initial 18 month
rate guarantee.
Preferred
rates without riders are available on our instant
quote page. The quoted rates are for the $5
million maximum benefit, and do not include optional benefits
such as term life, supplemental accident, maternity, and
Rx riders. They also do not include $7.50/month dues
for membership in the National Consumer Alliance Association
(NCA), which endorses these plans and gives members access
to valuable products and services.
If you
are not replacing current coverage, you will be issued a
policy with standard rates, approximately 8% higher than
preferred rates.
Please
contact us for rates on the
optional benefits. Rates depend on gender, smoking
status, zip code, and health status.
The
premium can be paid via quarterly, semi-annual, or annual
billing, or a monthly bank draft or credit card. The
bank draft will occur on the premium due date each month.
The initial premium can be paid with a check or credit card.
The
following chart shows when you can expect payment to be
deducted from your credit card:
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App
Effective Date
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Credit
Card Charged
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1st
of the month
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1st
of month
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2nd
- 5th of month
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5th
of month
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6th
- 10th of month
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10th
of month
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11th
- 15th of month
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15th
of month
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16th
- 20th of month
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20th
of month
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21th
- 28th of month
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25th
of month
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PPO
Network:
World
Insurance recently signed an agreement with Great-West Healthcare,
a division of Great-West Life & Annuity Insurance Company.
Having access to the PPO network can mean substantial discounts
in what you pay for your health care, even before
you meet your deductible. Great-West
Healthcare operates a substantial multi-state (national)
healthcare network that includes more than 4,200 hospitals
and 530,000 providers. It provides network and other
services to more than 2 million people.
Find
a Doctor
In addition
to the Great West Health Network, a choice of networks are
available in the following ZIP codes:
- AR
zip 716: AMCO, PHCS
- FL
zips 321, 326, 327, 328, 330-334, 344, and 347: Beechstreet,
PHCS, Southcare
- GA
zips 304, 310, 312-317, and 398: Southcare, Healthcare
Preferred, Multiplan, Novanet, and PHCS
- IL
zips 610, 611,613-616, 618, 619, 624-627, 628 and 629:
FirstHealth, HealthLink, PHCS
- MO
zip 658: Beechstreet, HealthLink, Healthcare Preferred,
PHCS, an Southcare
- PA
zips 155, 157, 159, 161,162, 173, 174, 180, 181, 185-187,
195, and 196: FirstHealth, HealthLink, and PHCS
- TN
zips 377-379: Multiplan, PHCS, TN Healthcare
- TX
zips 760-762, 764, 769, 788, 790-792, 797-799, 885: HealthSmart,
PHCS
- VA
zips 228, 229, 245: Alliance, PHCS, OneNet

Underwriting:
Underwriting
of your application with World Insurance normally takes
two to four weeks, though if medical records are ordered
it could take longer. World's underwriting seems fairly
lenient compared to many other companies, and often accept
applicants who may have been turned down by other companies.
It is
standard practice for them to request a Blood Pressure Inquiry
if you are currently being treated for or have recently
discontinued treatment for high blood pressure. Certain
conditions may be waivered with a temporary rider (usually
for one to twos years), or an indefinite rider.

Effective
dates:
The
earliest your coverage can go into effect is ten days after
you have signed your application. You may request
an effective date any time between 10 and 60 days after
you sign your application.
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 World Insurance
that your coverage has been approved and is in force.

HSA Administrator:
Your
health savings account is totally separate from your health
insurance, and you may use any approved bank or trustee
as your HSA administrator. We recommend that you choose
one from our HSA administrator
page, where you can compare rates and features.

About
World Insurance:
World
Insurance was founded in 1903 in Omaha, Nebraska,
as the World Accident Association. The company began
hiring agents in 1925 and became World Insurance Company
in 1929. The first general agency was established
in Colorado in 1938. In 1943, World mutualized and
was authorized to sell life insurance as well as accident
and sickness policies.
By the
late 1950s, World was licensed in 45 states with 500 agents
nationwide. The company's product portfolio included
a wide variety of individual hospital, life and disability
policies.
Today,
World is licensed in 46 states and the District of Columbia.
More than 11,200 general agents and agents represent the
company.
World
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
World agent.
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"The
service and support have been top notch"
I
chose your company because your web site was very informative
and answered all my questions about the benefits of an HSA
plan / account. The service and support I received
from your company (Fred) has been top notch. Very
fast responses to emails. Your web based business
model and great follow-up set you apart in my mind.
Keep up the good work.
Greg
Kreitner
Attorney
Muscatine, IA
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