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Standard Security Life Personal PPO
Health Insurance plans are provided by the
Independence Holding Group
an insurance organization that is comprised of
theIndependence
Holding Company
(NYSE: IHC) and its operating subsidiaries
and affiliates. With more than $1.3 billion
in assets, the
IHC Group
serves more than one million customers
through its operating companies, which
include three A- (Excellent) A.M. Best-rated
insurance carriers, third-party
administrators, managing general
underwriters and marketing organizations.
The
IHC Group
has been providing life, health and
stop-loss solutions for over 25
years. http://www.ihcgroup.com/
is the insurer for health, dental, life,
accidental death and dismemberment benefits
described in the Personal Health Plans brochure below.
Standard Security Life Insurance Company of
New York,
a member of the
IHC
Group, is rated A-(Excellent) by A.M. Best
Company, a widely recognized rating agency
that rates insurance companies on their
relative financial strength and ability to
meet their obligations to their insured's.
Standard Security Life Insurance Company of
New York
was founded in 1958, and is domiciled in the
State of New York, and headquartered in New
York City. It is licensed in all 50 states,
the District of Columbia, the Virgin
Islands, and Puerto Rico.
Personal Health Plans provide high and low
deductible plans with unlimited"first
dollar"
outpatient doctor office visit co pays. Each visit will
cost only a $40 co pay. A "first
dollar" benefit is defined as "a benefit you
receive without paying your calendar year health plan
deductible first e.g. outpatient doctor
office visit co pays, outpatient prescription drug co
pays, outpatient preventative care". They also
provide very competitively priced
HSA
qualified HDHP's
with 100% and
80% "co- insurance" options to choose
from.
With 100%, 80/20, 70/30 and 50/50
co-insurance plans
discount drug cards are included at no additional cost. Also
available for an additional premium on all plans is an outpatient
"first dollar"co pay prescription drug
card. With this option added, Generic prescription drugs
will be covered with no deductible required. Brand name
drugs will be covered for a $50 co pay after a separate
calendar year $500 or $1,000 outpatient brand name
prescription drug deductible is satisfied.
Personal Health Plans now
include
the new mandates under the PPACA (Patient Protection & Affordable
Care Act) that went in to effect on September 23rd, 2010.
They are as follows:
No lifetime limits on overall plan benefits, and
no lifetime limit on the dollar value of specific
"essential benefits."
Annual limits on essential benefits, only until
1/1/14.
Rescission only for fraud or intentional
misrepresentation of material facts.
(This was law before the PPACA).
Coverage of preventive health services and
immunizations without cost sharing. Including the
following
Covered
Preventive Services for Adults:
Abdominal Aortic Aneurysm one-time screening
for men of specified ages who have ever smoked
Alcohol Misuse screening and counseling
Aspirin use for men and women of certain
ages
Blood Pressure screening for all adults
Cholesterol screening for adults of certain
ages or at higher risk
Colorectal Cancer screening for adults over
50
Depression screening for adults
Type 2 Diabetes screening for adults with
high blood pressure
Diet counseling for adults at higher risk
for chronic disease
HIV screening for all adults at higher risk
Immunization vaccines for adults--doses,
recommended ages, and recommended populations
vary:
Hepatitis A
Hepatitis B
Herpes Zoster
Human Papillomavirus
Influenza
Measles, Mumps, Rubella
Meningococcal
Pneumococcal
Tetanus, Diphtheria, Pertussis
Varicella
Obesity screening and counseling for all
adults
Sexually Transmitted Infection (STI)
prevention counseling for adults at higher risk
Tobacco Use screening for all adults and
cessation interventions for tobacco users
Syphilis screening for all adults at higher
risk
Covered
Preventive Services for Women, Including Pregnant
Women:
Anemia screening on a routine basis for
pregnant women
Bacteriuria urinary tract or other infection
screening for pregnant women
BRCA counseling about genetic testing for
women at higher risk
Breast Cancer Mammography screenings every 1
to 2 years for women over 40
Breast Cancer Chemoprevention counseling for
women at higher risk
Breast Feeding interventions to support and
promote breast feeding
Cervical Cancer screening for sexually
active women
Chlamydia Infection screening for younger
women and other women at higher risk
Folic Acid supplements for women who may
become pregnant
Gonorrhea screening for all women at higher
risk
Hepatitis B screening for pregnant women at
their first prenatal visit
Osteoporosis screening for women over age 60
depending on risk factors
Rh Incompatibility screening for all
pregnant women and follow-up testing for women
at higher risk
Tobacco Use screening and interventions for
all women, and expanded counseling for pregnant
tobacco users
Syphilis screening for all pregnant women or
other women at increased risk
Covered
Preventive Services for Children:
Alcohol and Drug Use assessments for
adolescents
Autism screening for children at 18 and 24
months
Behavioral assessments for children of all
ages
Cervical Dysplasia screening for sexually
active females
Congenital Hypothyroidism screening for
newborns
Developmental screening for children under
age 3, and surveillance throughout childhood
Dyslipidemia screening for children at
higher risk of lipid disorders
Fluoride Chemoprevention supplements for
children without fluoride in their water source
Gonorrhea preventive medication for the eyes
of all newborns
Hearing screening for all newborns
Height, Weight and Body Mass Index
measurements for children
Hematocrit or Hemoglobin screening for
children
Hemoglobinopathies or sickle cell screening
for newborns
HIV screening for adolescents at higher risk
Immunization vaccines for children from
birth - age 18 doses, recommended ages, and
recommended populations vary:
Diphtheria, Tetanus, Pertussis
Haemophilus influenzae type b
Hepatitis A
Hepatitis B
Human Papillomavirus
Inactivated Poliovirus
Influenza
Measles, Mumps, Rubella
Meningococcal
Pneumococcal
Rotavirus
Varicella
Iron supplements for children ages 6 to 12
months at risk for anemia
Lead screening for children at risk of
exposure
Medical History for all children throughout
development
Obesity screening and counseling
Oral Health risk assessment for young
children
Phenylketonuria (PKU) screening for this
genetic disorder in newborns
Sexually Transmitted Infection (STI)
prevention counseling for adolescents at higher
risk
Tuberculin testing for children at higher
risk of tuberculosis
Vision screening for all children
Dependent coverage extended to adult children to
age 26.
Prohibition of pre-existing exclusions for
individuals under 19.
Optional unlimited $40 doctor office sick
visits co pays with the traditional plans.
PPACA Mandated Preventative Care benefits included.
Discount drug card included with all plans
Available Generic prescription card with $30 co
pays and no deductible required on Traditional (non HSA
qualified) plans.
Available Brand Name prescription card with $50 co pays
and $500 or $1,000 calendar year deductible on
Traditional (non HSA qualified) plans. Non Formulary
Brand Name prescription drugs will be covered for a $75
co pay with this option.
100%, 80/20, 70/30 or 50/50 co-insurance plans
to choose from with the traditional plans.
Optional A.M.E pays you $5,000 or up to $10,000 per accident in the E.R. (see
WBA "Accident Shield" link
below)
Controlled pre-existing conditions such as
hypertension and high cholesterol are covered from day
one with no waiting period on all plans.
World Care Individual Dental Insurance plan (
PDF format)
Since accidental injuries are far
more likely to occur than major medical illnesses (most especially
when you have active children) many families are choosing to
purchase supplemental accident expense plans. These plans pay you a
cash benefit of $2,500, $5,000, $7,500 or $10,000 when an accidental
injury occurs. This cash can then be used to pay your health
insurance plan deductible. Supplemental Accident Expense plans are
also a great way to save money because you can choose a higher
deductible than you would normally choose knowing that you will not
have to pay that deductible if an accidental injury occurs to any
member of your family. Click below for more information:
Supplemental Accident Expense plans can also be coupled with Critical
Illness plans. In fact, Supplemental Accident Expense plans are often
cheaper when coupled with Critical Illness plans. Why consider Critical
Illness coverage?
Approximately
1.2 MILLION people
suffer heart attacks each year.
Approximately
780,000 people suffer
strokes each year.
More than
1.4 MILLION new cancer cases were estimated for diagnosis in 2007
alone. Between 1994 and 2004, the death rate declined approximately 31%
for heart attacks and almost 24% for strokes. (Source: American Heart
Association, Heart and Stroke Statistical Update, 2008.) The possibility
of surviving a Critical Illness before age 65 is almost twice as great
as dying. (Source: National Center for Health Statistics.)
WOULDN’T A CHECK BE BETTER
THAN A GET WELL CARD? Critical Illness benefits are paid directly to
you. You choose how to spend the benefit at a time when you and your
family may need extra cash the most. For example:
Home Health Care
Cost of Caregivers
Lost Income of Self or Spouse
Daily Living Expenses
Co Pays, Deductibles & Co-Insurance
Non -Covered "Experimental Treatments
Housekeeping or Child Care Expense
Maintenance of Your Family's Quality of Life
American Financial Resources Inc. (www.gafri.com)
A subsidiary of American Financial Group Inc. (www.afginc.com)
has introduced a new Supplement Accident Expense plan that
also includes Critical Illness coverage and it's extremely
well priced. Adding this product to any health insurance
plan would not only alleviate the worry of paying your
health plan deductible if you or a family member where to
suffer an accidental injury but it will also provide you a
much larger cash benefit (up to $50,000) if you or a family
member where to contract a critical illnesses such as life
threatening Cancer, Stroke, Kidney failure, Major Organ
Transplant, Muscular Dystrophy, Multiple Sclerosis or if you
suffer a Heart Attack. For more information about this
unique and affordable plan click the brochure below. For a
free quote, please
contact us and we will send
you quotes via email. Or call us toll free @ (866) 724 7123.