AFFORDABLE CHOICE PLAN COMPARISON CONTINUED Surgical and Hospitalization Benefits PLAN 1 PLAN 2
Ground and Air Ambulance Limit of 2 daily benefits per calendar year for all ambulance transportation (per day) Allergy Shots and Immunization (child only) (per day allergy shots/immunizations)
Ground: $500 Air: $1,500
$10 per day
$25 per day
$1,000/day 31 days/Confinement
$2,250/day 31 days/Confinement
ICU Confinement
Health Care Practitioner Visit during Confinement
$50/day ; 1 day per year
$50/day ; 2 day per year
Hospital Benefits
$1,000,000 Calendar Year Limit
Allergy Shots and Immunization
$100 Calendar Year Maximum
Lifetime Maximum
$5,000,000
The plans shown above are limited benefit fixed-indemnity plans and benefits are per Covered Person. This is not a major medical insurance plan. Fixed-indemnity benefits are provided for hospital confinement and specified medical and surgical events. These benefits are paid in daily amounts for covered events without regard to the costs of services rendered. This plan does not provide expense reimbursement for charges based on your health care provider’s statement.
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