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Strong Benefits! Pays up to $1,000,000 per accident and sickness with NO DAILY HOSPITAL LIMIT! |
| * |
Super-Competitive Premiums! |
| * |
Great Commissions! |
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Online App & Fax-App! |
| * |
PHCS & Multiplan Networks! |
Call 1-800-299-5567 to get started!
Covered Services:
| Catastrophic Hospital/Surgical Base Plan: |
| Inpatient: |
| Hospital Charges |
| Inpatient Surgeons' Fees and Assistant Surgeon |
| Inpatient Anesthesiologist, Pathologist, Radiologist |
| In-hospital Doctor Visits |
| Physiotherapty |
| Organ Transplants |
| Hospice Care |
| Complications of Pregnancy |
| Foreign Travel Emergency |
| Other: |
| Outpatient Surgery |
Post-Hospitalization Outpatient Therapy
(chemo, radiation, etc.) |
| Post-Hospitalization Home Health Care |
| Ambulance |
| Second Surgical Opinion |
| Mammogram |
| plus other state-mandated benefits |
| Outpatient Rider: |
| Emergency Room or other Outpatient Clinic |
| Doctor Visits |
| Administration of Anesthesia |
| Diagnostic Testing |
| Medical Supplies |
| Childhood Immunizations for children under age 6 |
Prescription Medications taken within 30 days of a
covered hospital stay |
Note: This document contains only a partial description of coverage. Please read the Outline of Coverage for
details, including limitations and exclusions.
Coverage Levels (in-network):
I. HOSPITAL/SURGICAL BASE PLAN: After calendar-year deductible is met, pays in-network covered charges at the selected Payment Rate, up to the selected Maximum Out-of-Pocket amount, then at 100% for the remainder of the calendar-year, up to $1,000,000 per accident or sickness; $2,000,000 lifetime.
| Deductible Choices: |
$750 |
$1,000 |
$1,500 |
$2,000 |
$2,500 |
$5000 |
$10,000 |
$15,000 |
| Payment Rate Choices: |
50% |
80% |
100% |
Maximum Out-of-Pocket (after Deductible) Choices:
(not applicable to 100% Payment Rate) |
$5,000 |
$10,000 |
II. OUTPATIENT RIDER: After $1,000 Calendar-year deductible is met, pays in-network covered charges at 80%, up to a calendar-year maximum of $10,000. |
SAMPLE MONTHLY BANK DRAFT PREMIUMS, NON-TOBACCO:
Male/40, Female/40, Two kids ages 2+ |
$2,500 Deductible, 50%
to $10,000 Max Out-of-Pocket |
with Outpatient Rider ($1,000 deductible, 80% to $10,000 annual benefits) |
Zip |
Area |
Premium |
| 781 |
San Antonio |
$232.93 |
| 778 |
Bryan |
$243.36 |
| 786 |
Waco |
$260.74 |
| 760 |
Fort Worth |
$274.65 |
Male/40, Female/40, Two kids ages 2+ |
$2,500 Deductible
100% COINSURANCE
|
with Outpatient Rider ($1,000 deductible, 80% to $10,000 annual benefits) |
Zip |
Area |
Premium |
| 781 |
San Antonio |
$322.58 |
| 778 |
Bryan |
$337.02 |
| 786 |
Waco |
$361.09 |
| 760 |
Fort Worth |
$380.35 |
| Outstanding Lead Program |
Highest Industry Commissions;
with advances available |
| Top Notch Agent Support and Service |
| Easy online application and quoting software |
| PC-based application/quoting software coming soon! |
HOW TO GET STARTED
Call 1-800-299-5567
www.slacins.com
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