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 guaranteed issue, covers office visits, wellness, hospital, ICU, surgical, accident, emergency

What is covered?

Core Health Insurance covers specific items included in the description of benefits. For the most up-to-date information that applies in your specific state, see the "description of benefits" page after you receive an online price quote.

The listing below is a generic listing of coverage in effect at the time of publication meant for illustrative purposes only.

Doctor's Office Visits: You will have coverage up to the amount shown in the benefit schedule of the plan you select, for a medically necessary doctor visit due to a covered injury or sickness, visits will also be for newborn well-care and routine health examinations and immunizations for children aged 5 and under. Limited to 10 visits per person per policy year (effective with policies issued June 1, 2011 or later).

Wellness Visits: You will have coverage up to the amount shown in the benefit schedule of the plan you select, for a routine health examination. Limited to 1 visit per person per policy year.

Basic Diagnostic Testing: You will have coverage up to the amount shown in the benefit schedule of the plan you select, for x-rays, laboratory and other diagnostic tests, ordered or performed by a doctor that are medically necessary due to a covered injury or sickness. Limited to 5 sittings per person per policy year.

Advanced Diagnostic Studies: You will have coverage up to the amount shown in the benefit schedule of the plan you select, for medically necessary EEG’s, EKG’s, CT Scan’s and MRI’s.

Emergency Room: You will have coverage up to the amount shown in the benefit schedule of the plan you select, for medical treatment received by a doctor in a hospital emergency room for a medical emergency due to a covered injury or sickness. Limited to 1 visit per person per policy year.

Accident Medical Expense Benefit: You will have coverage up to the amount shown in the benefit schedule of the plan you select, for an accidental Injury that requires Medically Necessary care. Initial treatment for the Injury must be received within 30-days of the date of the Injury. Limited to 1 treatment per person per policy year and subject to a $100 deductible.

Hospital (First Day Admission): After the first 12 months that the policy is in force, you will have coverage up to the amount shown in the benefit schedule of the plan you select.

Hospital (Standard): After the first 12 months that the policy is in force, you will have coverage up to the amount shown in the benefit schedule of the plan you select, for standard, board, miscellaneous medical hospital charges, and general nursing services for each day you are confined to a hospital due to a covered injury or sickness. This benefit is paid in lieu of a benefit payable for intensive care/cardiac care confinement.

Intensive Care/Cardiac Care Unit: After the first 12 months that the policy is in force, you will have coverage up to the amount shown in the benefit schedule of the plan you select, for each day you are confined to a hospital in an intensive care or cardiac care unit due to a covered injury or sickness. This benefit is paid in lieu of a benefit payable for a standard hospital room.

Maximum Benefit for ALL First Day Admission, Hospital and Intensive Care/Cardiac Care Unit Confinements is 31 days per person per policy year.

Surgery: After the first 12 months that the policy is in force, you will have coverage up to the amount shown in the benefit schedule of the plan you select, for surgery performed while confined to a hospital or in an outpatient surgery facility resulting from a covered injury or sickness. Limited to 1 surgery (inpatient or outpatient) per person per policy year.

Anesthesia: After the first 12 months that the policy is in force, when a covered surgical procedure is performed, you will have coverage up to the amount shown in the benefit schedule of the Plan you select, for anesthesia and its administration during the surgery. Limited to 1 (inpatient or outpatient) per person per policy year.

Accidental Death & Dismemberment: You or your beneficiary will be paid, up to the amount shown in the benefit schedule of the plan you select, ranging from $625 to $10,000, for a covered Injury that results in accidental death. Dismemberment is paid as a percentage of the amount shown in the benefit schedule, please see dismemberment table for specific benefits and limits.

Coverage details may vary from state to state and may change over time. See your own policy for details. 

 

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OTHER NEW COVERAGE OPTIONS:: Obamacare supplement insurance, and high deductible insurance from United States Fire Insurance Company as well as a new telemedicine plan also administered by SASID are available to help lower the high out-of-pocket expense of Affordable Care Act policies. Read more information, get rates and enroll online.



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This is limited benefit medical insurance that does not cover all medical costs.
 
Available in Alabama, Arizona, Arkansas, California, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Louisiana, Mississippi, New Mexico, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin and Wyoming.

Details of coverage may vary by state.

Multiplan limited benefit network
Preferred provider network (PPO) medical service providers are listed at Multiplan Limited Benefit Plan Network.

Contact the Core Health Insurance administrator's office directly for all verification, billing and claim questions at (800) 279-2290. If no answer, leave a detailed call-back message.

NEW! Core Dental Insurance is now available with medical insurance or as a stand-alone coverage. Either way, we think you will agree this is the best dental insurance available to individuals and families.

Have a question about eligibility or enrollment for any health insurance plan? E-mail OnlineNavigator for a fast response.

Members are now eligible for expanded personal support with Obamacare issues. More information at www.FreedomBenefits.net

Association of United Internet Consumers
rated A "Excellent" by A.M. Best Company

CORE HEALTH INSURANCE IS A SUPPLEMENTAL INSURANCE AND IS NOT A REPLACEMENT FOR OBAMACARE. This insurance is not intended to help members or their employers comply with the provisions of the Affordable Care Act commonly known as the "individual mandate" and does not offer the provisions known as "minimum essential coverage" and will not satisfy the individual responsibility requirements of section 5000A of the Code. Questions about compliance with the Affordable Care Act may be directed to the free consumer assistance program at www.OnlineNavigator.org. Members of the Association of United Internet Consumers (AUIC) have access to this insurance, online discount programs including discount prescription drugs, and educational materials. As a member of AUIC, you are eligible for exclusive rates and plans. AUIC membership is available at time of insurance enrollment. This web site is independently owned and managed by Tony Novak operating under the trademarks "Freedom Benefits", "OnlineAdviser" and "OnlineNavigator" at P.O. Box 333, Newport NJ 08345.Telephone (800) 609-0683, Email tnovak@wealthmanagement.us.com.  Opinions expressed are the sole responsibility of the author and do not represent the opinion of any other person, company or entity mentioned. Tony Novak is not an agent, broker, producer or navigator for any federal or state health insurance exchange but may provide uncompensated advice, reviews and referrals to these official resources. Novak is compensated as an accountant, adviser, affiliate consultant, marketer, reviewer, endorser, producer, lead generator or referrer to some of the commercial companies listed on this site. Information is from sources believed to be reliable but cannot be guaranteed. "Core Health Insurance" is a brand owned by SASid, not related to the operator of this web site but marketed under a producer license agreement.