myBenefits at a Glance
The highlights below are provided as general information. Coverage for eligible costs is based on the contract detail. Select the benefit for additional coverage details.
Ambulance:
Reimbursed at 80% to a maximum of $250 per occurance.
Prescription Drugs:
Reimbursed at 80% to a maximum of $3,000 per benefit year.
Based on a
DRUG Formulary with a generic rider.
Health Practitioners:
The services of paramedical practitioners are reimbursed at 80% to a maximum of $20 per visit. Each service has an overall plan maximum of $300 per benefit year.
Medical Equipment & Supplies:
Reimbursed at 80%. A physician's prescription is required. Pre-authorization is suggested.
Dental Accident:
Reimbursed at 80% of eligible expenses to a maximum of $1,000 per accident, services must be performed within 12 months of the accident.
Dental Coverage:
Exams covered at 80% once per benefit year. Overall plan maximum of $750 per benefit year.
Accidental Death & Dismemberment:
$5,000 loss of life benefit.
Travel Insurance:
$2 million of coverage for emergencies and illnesses while traveling.
Tutorial:
After 15 days of confinement due to illness or injury.
NOTE: In the event of any discrepancy between the information herein and our contract with the insurer, the terms of the contract will apply.