Our Premier and Select package designs each feature a variety of both inpatient
as well as outpatient benefits, including surgery. CentralChoice benefits
can be paid to any hospital or doctor and when MultiPlan providers are used additional
savings through negotiated discounts may be available.
Benefit
Premier Choice
Select Choice
Enhanced Supplement
Essential Supplement
Maximum Benefit/Year*
Daily Room Benefit
$500
$400
$100
$50
$182,500
Riders
Indemnity (CUL-HRLS)
Paid to an insured upon first hospital confinement each year.
$1,000
$1,000
$500
$100
$1,000
First Hospital Confinement
(CUL-HRFHC(2)) Based on duration of first hospital
confinement.
$10,000
over 6 days
$10,000
over 6 days
$5,000
over 6 days
$5,000
over 6 days
$10,000
Intensive Care Unit
(CUL-HRICU and CHRICU14-LA) Limited to 20 days per confinement
$2,500 per day
$2,000 per day
$1,000 per day
$500 per day
$60,000
Private Duty Nurse (CUL-HRPN) Limited
to 30 days per confinement.
$250 per day
$250 per day
$250 per day
$250 per day
$7,500 per confinement
Surgery (CHPHISS14 and CHPHISS14-LA
) Per day when confined and a covered surgical event takes place. Maximum of 5 days
per confinement
$3,000per day
$2,000per day
$1,000per day
$1,000per day
$15,000per confinement
Anesthesia Benefit Daily benefit
amount paid for each day that a surgical benefit is paid for inpatient surgery
$600per day
$400per day
$200per day
$200per day
$3,000per confinement
Emergency Accident**
(CUL-HREA) Limited to 4 different covered injuries per calendar year per insured.
$250per accident
$250per accident
$250per accident
$250per accident
$1,000
Specified Injury Rider
(CUL-HRSI) Not in GA & NC
See rider for specific amounts.
$25 - $2,000 Depending on injury
$25 - $2,000 Depending on injury
$25 - $2,000 Depending on injury
$25 - $2,000 Depending on injury
To a maximum of $2,000
per injury
Outpatient Sickness**
(CHPHIOS14 and CHPHIOS14-LA)
$100
per sickness
Limit 4 different sickness per year **
$75
per sickness
Limit 4 different sickness per year **
$50
per sickness
Limit 4 different sickness per year **
$25
per sickness
Limit 4 different sickness per year **
$400
MultiPlan PPO Network
Included
Included
X
X
Physicians are available anytime, anywhere for personalized, secure, Web or phone-base consultation that includes diagnosis And treatment of medical issues.
Members can use 24/7 Physician Consultations:
For common, acute conditions that can be treated
Without a face-to-face visit. From anywhere - at home, at work or on the road. After hours - during the evening, on weekends or Holidays.
When they cannot reach their primary care Physician.
Product Highlights:
Offers a fast, affordable alternative for minor
Medical problems and health issues. All physicians are licensed, board certified and based in the U.S.
Visit Fee is $0.00
For more information go to
Online: www.teladoc.com
Mobile App (App Store and Google Play):
www.teladoc.com/mobile
or call
1-800-Teladoc (832-2362)
Helps policyholders save on out-of-pocket Expenses, in finding doctors, assists in searching and comparing facilities, providers, and prescription costs, as well as many other services. Karis360 offers 3 services
To policyholders.
Karis Healthcare Navigator
Provides each member a personal, expert advisor to address healthcare-related questions and concerns.
Services include, but are not limited to: physician and healthcare facility searches, prescription cost search, health cost estimates, alternative medicine, laboratory and imaging services, elder care solutions, appointment scheduling.
Karis Surgery Saver
Helps members when a non-emergency surgical procedure is being considered. Specialized Advisors provide cost, quality and availability comparison of up to 5 facilities in the area.
Karis Bill Negotiator
Works directly with healthcare providers to help reduce out-of-pocket expenses.
Negotiates directly with providers and collection agencies to try and reduce medical bill balances. Works with providers to develop payment plans.
For more information go to
www.thekarisgroup.com
855-399-4457
Karis360 is not insurance and does not provide funds to pay
for bills. This is a best-efforts service and results cannot be
Guaranteed.
* For the Premier Plan, per calendar year per insured
person, unless otherwise specified.
** Insured categories are the insured person, the insured
person’s spouse, and/or all of the insured person’s dependent children. Maximum
total of 4 different sicknesses per year for all dependent children, not per child.