We invite you to become part of our member network, which acknowledges
our mission for quality and affordable medical coverage. Whether you
need a family health care plan, or an individual health care plan, we can meet your
health care coverage needs.
PSN
- PREFERRED SAVINGS NETWORK (PSN not available in all areas)
Our unique network was designed to meet the specific
needs of the uninsured and underinsured consumer. We
negotiate contracts with providers on a national basis
at fixed and/or daily per diem rates. In some cases
rates are as low as $30 for doctor's visits. As a result,
this empowers our members with the information and knowledge
they need to make the right decisions that make sense
for their specific needs. Provider nominations are encouraged!
The Preferred Savings Network allows our members up
to 80% savings on rates and services
available in their area.
BENEFIT
FEATURES: UP TO 80% SAVINGS
•
Primary Care Office Visits - at Fixed Rates
• Specialist Office Visits - at Fixed Rates
• Patient Advocacy Program - Included
100%
Guaranteed Acceptance
Important Features:
Save
up to 80% off on the following:
Inpatient Services
Outpatient Services
•
NO DEDUCTIBLES
• NO CLAIM FORMS
• NO WAITING PERIODS
• NO LIMITATIONS on USAGE
• NO AGE RESTRICTIONS
• NO QUALIFICATIONS
* Example of savings on claims repriced with HealthCare
Advantage. Actual savings may vary according to the
individual physician, hospital and/or locality. This
plan is not available in all states. Discounts on services
are not available where prohibited by law.
*Examples of savings on claims filed with HealthCare
Advantage. Actual savings may vary by physician and/or
locality.
*The PSN- Preferred Savings Network is not insurance.
Discounts on prices are not available where prohibited
by law.
THIS
PLAN IS NOT INSURANCE AND YOU ARE RESPONSIBLE FOR PAYING THE REPRICED
BILL.
Save
up to 80% on the Following Surgical Procedures:
NSN
- NATIONAL SAVINGS NETWORK (NSN not available in all areas)
HealthCare Advantage allows members access
to the same networks that large employers have been
enjoying for years with savings up to 50% off
usual and customary charges. Receive quality medicine
and healthcare services through our network of over
400,000 providers.
Important Features:
Save
up to 80% off on the following:
Inpatient Services
Outpatient Services
•
NO DEDUCTIBLES
• NO CLAIM FORMS
• NO WAITING PERIODS
• NO LIMITATIONS on USAGE
• NO AGE RESTRICTIONS
• NO QUALIFICATIONS
•
Doctor Office Visits
• Specialists
• Laboratory Work
• X-Rays
• Diagnostic Testing
• Any and all Therapies
• Dialysis
• Cosmetic Surgery
100% Guaranteed Acceptance
And any other Medical Necessity Not Listed
Examples of NSN
Savings*
Medical Services
Reg.Pr
Member
Savings $
Savings %
Office Surgery
Initial Neurological Work-Up
Colonoscopy (Out patient)
Laser Eye Surgery (Out patient)
Hospital Out Patient
Surgery 2 Day in Hospital Stay
Check-Up
Office Visit - Internist
$570
$650
$900
$3,000
$2,200
$10,400
$300
$275
$200
$420
$600
$1,800
$650
$5,300
$230
$175
$370
$230
$300
$1,200
$1,550
$5,100
$70
$100
65%
35%
33%
40%
70%
49%
23%
18%
*The above services are only a sample of medical procedures
available. Prices and savings are subject to change
and vary by state and medical procedure.The NSN- National
Savings Network is a Medical Discount Savings Plan designed
to provide our members access to savings on physicians,
specialists, inpatient and outpatient medical services.
This NSN-National Savings Network is not insurance.
Discounts on services are not available where prohibited
by law.
In order to maximize your savings for medical
services needed, take advantage and consult with one
of our Health Benefits Specialists. They are highly
trained and understand the inner workings of the healthcare
system. Best of all, they are focused on helping each
and every member. Through this program, a member will
receive the following:
PATIENT
ADVOCACY
In order to maximize your savings for medical
services needed, take advantage and consult with one of
our Health Benefits Specialists. They are highly trained
and understand the inner workings of the healthcare system.
Best of all, they are focused on helping each and every
member. Through this program, a member will receive the
following:
MEDICAL SERVICES
Cost management, medical
service options, coordination of services, and what to
expect prior to receiving services.
COSTS
& PAYMENT
Knowledge
of estimated costs prior to services, payment options
and medical financing.
LOCATING
PROVIDERS
Determine
the best rates available in your area, provider services
offered, and qualifications.
For
more information contact our Health Benefits Specialists
at 1-800-454-1722.
ACCIDENT
MEDICAL BENEFIT*
Accidents occur daily. One in Four will suffer some type
of bodily injury every year that requires medical attention.
In the event of an accident, you can have peace of mind
that you and your family members have protection.
Important Features:
COVERED EXPENSES:
Inpatient
Services
•
Up to $5,000* per Accidental Injury
• $100 Deductible
• 24 Hour Coverage / 7 Days a Week
• Any Doctor, Hospital or Medical Facility
• Worldwide Protection
•
Hospital or Surgical Center Care • Doctor's Medical Treatment
• X-Rays & Lab Work
• Ambulance Service
• Prescription Drugs
AND
ANY OTHER SERVICES OR SUPPLIES NEEDED
*Amount
is per Accidental Injury and will vary depending on member’s
specific plan.
In the event of a tragic accident in which death or dismemberment
occurs, you have peace of mind that you and your
family members have protection in the time of need.
Important Features:
BENEFIT FEATURES:
Inpatient Services
• 24 Hours a Day / 365 Days a Year
• Worldwide Accident Protection
• On and Off the Job Coverage
• Paid in addition to Any Other Insurance
• $ 25,000 Principal
Sum*
Member, Spouse, & Children
*The principal sum in this example is paid for member
and spouse up to age 70 & children up to age 18.
If you become totally disabled,unable to perform the
substantial and material duties of your regular
job and are under the care of a doctor, after
a 14 day period you’ll receive:
BENEFIT FEATURES:
$200
per week
Up to 26 Week Payout
*This
benefit amount is paid to the primary member only.
MEDICAL AIR TRANSPORT
SERVICE BENEFIT*
Suppose you were involved in an accident miles away from
a medical facility equipped and staffed to treat your
case? Unexpected emergencies like these take place
every day; and dealing with them is extremely stressful
and complicated.The solution is a unique service providing
air medical transport within the contiguous U.S. and
within Alaska and Hawaii. Following a medical emergency,
a medically equipped and staffed air ambulance can
rush you or a family member to an appropriate medical
center when determined medically necessary by your
attending physician and the Medical Director.
BENEFIT FEATURES:
•
Transportation for a companion to accompany the covered
patient
• Transport of organs for transplant procedures
• Transportation for a member of the patient's family
to attend to minor children left
unattended more than 100 miles from home due to
parental accident/illness
• Vehicle return service if the patient is transported
by air to a medical facility as a result
of an out-of-town accident/illness
• Return of mortal remains if death occurs more than
100 miles from home
THE AVERAGE VALUE OF EMERGENCY AIR LIFT
SERVICE IS $16,000
*This benefit is provided to HealthCare Advantage members
by a blanket group Accident Expense policy issued to
HealthCare Advantage by an A+ rated insurance company.
Certain terms and conditions apply and benefits are
subject to the exclusions and limitations. See your
member handbook for more details.
RADIOGRAPHS
Intraoral Complete
Intraoral Periapical - Single first film
Intraoral Periapical - Each additional film
Intraoral - Occlusal film
Extraoral - Single film
Extraoral - Each additional film
Bitewing - First film
Bitewing - Two films
Bitewing - Four films
Bitewing - Each additional film
$ 18
$ 16
$ 18
$ 40
$ 8
$ 5
$ 12
$ 18
$ 8
$ 10
$ 15
$ 20
$ 4
RADIOGRAPHS (CONTINUED)
Posterior - Anterior or lateral skull
& facial bone survey film
Panoramic film
PALLIATIVE TREATMENT
Palliative (emergency) treatment of
dental pain - Minor procedures
Fillings (sedatives)
*Member
cost and scheduled benefits are subject to change
without notice.
Discounts on professional services are not available
where prohibited by law.
Our prescription drug plan at more than
50,000 locations will save you and your family
on prescriptions through a national retail walk-in
program. As a member, you are always assured the lowest
possible price each and every time you use the plan
with savings up to 40% or more.
Important Features:
PARTICIPATING
PHARMACIES
•
Lowest price on drugs at
time of purchase.
• NO DEDUCTIBLES
• NO CLAIM FORMS
• NO WAITING PERIODS
• NO AGE RESTRICTIONS
