
Discount
Medical Plan
Highlights:
The
BeniCard "opens the door" to provider networks so that you can obtain "wholesale" prices for doctors,
dentist, hospital and other provider services. This means our
cardholders enjoy the same "wholesale" rates for their doctor and
hospital provider services, along with contract pricing on prescription,
dental, vision and hearing services.
Three Discount Plans Available:
-
Dental,
Prescription, Vision, Hearing, and Diabetic Plan
-
Doctor,
Hospital, Chiropractic, Emergency Travel, Prescription, Diabetic,
and More
-
Complete
care: Plan 1 and Plan 2 combined at a discounted rate
Provider Benefit summaries:
In addition to
the non-insurance discount medical benefits:
Two Accident Insurance Plans
Available:
-
Accident Expense
-
Accidental Death, Dismemberment and loss of sight, speech and
hearing benefit
Medical -
Physicians, Hospitals, and Clinics
>>
More than 450,000 providers nationwide
>>
Save 5% to 40% on your medical bills
With access to a network of
thousands of medical facilities and physicians nationwide, members can
save on medical services. Members who have no health insurance can save
money on all visits to a participating provider. Members who do have
health insurance can save on services not covered, such as routine
office visits and cosmetic surgery. With savings of 5% to 40%,
members can save hundreds or even thousands of dollars a year.
Participating providers are
screened by a team of professionals and must pass strict criteria prior
to joining the network. All providers are licensed and credentialed.
There is no paperwork to compile. There is no limit to the number of
visits to your provider.
Simply make an appointment with
a participating provider from the list in your membership kit or contact
a member services representative at the toll free number provided on
your ID card for the name of a
provider in your area.
Present your identification card
and the "Dear Doctor" letter included in your membership kit to the
receptionist when you arrive at the participating physician's office.
For services performed by the
physician, you will pay the reduced fee at the time of your visit.
For services performed in the
hospital, (only if "Hospital" is on your identification card), you will
receive a billing statement detailing your savings and the amount you
must pay within 30 days of service.
Remember, this is not an
insurance plan and there will be no reimbursement to you or to the
participating provider. You are fully responsible for paying the
provider directly for services rendered.
This
plan is provided through one of the largest provider networks in the
nation. The network is available throughout the United States and
providers are continually being added to meet your member needs.
Dental
>>
More than 24,000 providers nationwide
>>
Save 10% to 50% on your dental bills
Members will save on almost all
dental care expenses through one of the largest, independent network of
dental providers nationwide. Simply present the membership card to any
one of the more than 24,000 providers (including specialists, where
available) to receive discounted rates on dental procedures.
The discount program is designed
to save money not only on routine and preventive care, but also on more
extensive treatments such as fillings, crowns, root canals, dentures,
bridges, oral surgery and more! Even orthodontics and cosmetic dentistry
services are discounted. Save 10%-50% on dental care expenses.
When visiting a participating
dental office, members must present their membership cards prior to
treatment to be assured that the proper discounts will be applied.
Provider lists and fees may change at any time.

Save on:
•
Orthodontics (braces)
•
Dentures
•
Cosmetic dentistry
•
Crowns
•
Extractions
•
Fillings
•
Oral surgery
•
Most other services
•
Periodontist
Note: The discount card is not
insurance. The card may be used to supplement a traditional dental
indemnity plan that does not require you to see a specific dentist. The
card cannot be used with any other discount, PPO, HMO, or other man-
aged care plan.
Prescription Plan
>>
More than 45,000 pharmacies nationwide
>>
Save up to 50% on your prescriptions
The Prescription Drug Program links
most of the largest pharmacy chains into a common and consistent
discount program. Through an agreement with one of the nation's premier
drug management organizations, members can obtain discounts of up to 50%
on drug prices through a national network of more than 45,000
pharmacies.
Here's How it Works: Take your
membership card with you to a participating pharmacy. Show your
membership card to the pharmacist. The pharmacist will enter the
information on your membership card into the on-line computer system,
and you will be immediately eligible for the special negotiated price.
Your actual cost will be the contract price or the pharmacy's usual
charge that day, whichever is lower. As a member you will receive
discounts on many brand name and generic prescription drugs.
Some major chain participants
include: Wal-Mart, Walgreens, Target Pharmacy, Rite Aid, K Mart, The Medicine
Shoppe, Eckerd, CVS ...and many other National and local pharmacies
Vision Plan
>>
More than 13,000 providers nationwide
>>
Save 20-60% on eyeglasses
As a program member, you'll save 20%
to 60% on eyeglasses, contact lenses and other retail eyewear items. You
can use your program identification card at any local participating
optical service provider from our nationwide network of more than 13,000
eye care professionals.
There is no limit to the number of
times you may take advantage of your discount during the year, and even
optometric exam fees are reduced at some locations.
EYEGLASSES All frames, lenses, and
specialty items such as tint, scratch-resistant coatings, and
ultraviolet protection are available at reduced prices for program
members.
REPLACEMENT CONTACT LENSES You can
save 10% to 40% by ordering your replacement contact lenses by mail (you
must have a valid doctor's contact lens prescription). Most major brands
of soft contact lenses are available, including disposable,
torics, bifocals, and gas permeable lenses. Most orders are received in 7
to 14 days. To receive a quote on your replacement contact lenses, just
call your consumer helper.
LOW PRICE GUARANTEE If you find a
lower price anywhere else on the exact same pair of prescription
eyeglasses purchased at a participating location within 30 days, the
difference will be cheerfully refunded.
Hearing Plan
Beltone, the most recognized name
in hearing health care, is offering to our enrollees and their immediate
family members (grandparents, parents, spouse and children) a new value
added benefit at absolutely no cost to you!
Beltone will offer these benefits
through their North American Hearing Care Network of over 1,300 preferred
providers.

>> Free Hearing Screening
>> 15% discount
-
Off the retail price of any
Beltone Hearing Aid with over 70 models to choose from.
-
All hearing aid technologies
available; state of the art digital hearing aids, programmable and
analog aids.
>> BelCare™ Member Satisfaction Plan
-
A standardized customer service
program that ensures you consistent delivery of service regardless
of the Beltone location.
-
BelCare™ is a commitment from
Beltone hearing care practitioners that ensures your experience is
professional, comfortable and worry-free.
>> Lifetime Care Program
>> Warranty and Lost, Stolen or
Damaged Protection Coverage
Chiropractic Plan
>>
More than 7,000 providers nationwide
>>
Save 20-40%
Your program chiropractic care
benefits emphasize regular preventive maintenance "wellness" care.

Use your program membership card to
get special rates from a nationwide network of more than 7,000
participating Doctors of Chiropractic across the U.S.
Your Program benefits include:
• 40% savings on all diagnostic
services
• 20% savings on all other services
• Savings on X-rays (if necessary)
• Unlimited access to care
Go to your chiropractor when you
want, as often as you need—it's up to you. There is no limit on the
number of eligible visits. Simply pay your chiropractor your special
discounted rate when you receive your care.
This plan cannot be used in
conjunction with any other discount program.
Travel Assistance
As a member, you receive the
following benefits through the Travel Assistance Program when traveling
more than one hundred (100) miles from your permanent residence. The
following is a summary description only of the program's services. The
master document provides complete details of services and conditions.
Lifeguard Emergency Travel is the
program provider of these Travel Assist services. Members have access to
the following services provided Lifeguard's Assistance Provider has been
contacted first.
Emergency
Evacuation/Repatriation. If a member suffers an illness or injury
while traveling over 100 miles away from home, and cannot be treated by
a local medical facility, the member is transported by the most
appropriate means to the nearest hospital capable of providing necessary
treatment.
Transportation
of Escort. If the member needs emergency evacuation by air
ambulance or repatriation by covered commercial airline, transportation
will be provided to the member's spouse, other family member or
companion to accompany the member in flight, subject to space
availability with priority given to the medical equipment and personnel.
Family
Visitation. If a member is traveling alone and is expected to be
hospitalized for more than 7 days, the spouse or another family member
will be flown in to be with the member. Also, expenses for
accommodations and transportation during their stay, up to $100.00 per
day for 10 days, are provided.
Minor Children
Return/Escort. If a member requires emergency evacuation,
hospitalization for over 24-hours, or in the event of death, and the
minor children are left unattended, transportation home is furnished for
them.
Vehicle Return.
The Travel Assist Provider will return the member's vehicle home and
bear the cost up to $1,000.00 when illness, injury or death requires
emergency evacuation or repatriation and the member is unable to drive
the vehicle.
24-hour
Information Service. Helpful information before and during travel
is available to the member. The multilingual staff is prepared to assist
and coordinate the management of a wide variety of travel related
situations. Services include information on required documents,
immunization requirements, State Department Travel Advisory warnings,
weather and hazard information about foreign locations and more.
Medical
Monitoring. If a member needs to be medically monitored, the
Travel Assist Provider's duty physician will monitor the case, while
acting as a liaison between the member, the local treating physician and
the family physician as needed.
Medical
Referral. The Travel Assist Provider will arrange referrals to a
local doctor or hospital, when a member needs help in locating a doctor
or hospital while traveling.
Guarantee of
Medical Expenses. If a member needs help for overseas claims, the
Travel Assist Provider will assist in arranging for a payment or
guarantee of payment based upon confirmed personal resources.
Insurance
Coordination. If a member needs help for overseas claims, the
Travel Assist Provider will assist in coordinating the claims procedure
with the appropriate insurance program.
Lost
Documentation Service. If a member needs help to replace lost or
stolen travel documents (i.e., passport, baggage, tickets, credit cards,
etc.), the Travel Assist Provider will advise and assist where possible
in their replacement.
Legal
Assistance. If a member needs help finding a local attorney or
embassy, arranging bail, cash advances, or coordination of payment for
legal services from available resources of the traveler, the Travel
Assist Provider will arrange referrals.
Emergency
Delivery of Prescription Items. If a member needs prescription
medication or lenses not available locally, the Travel Assist Provider
will organize the delivery of the prescribed item when possible and
legally permissible, to the member upon written authorization of the
prescribing physician.
Emergency Cash
Transfer and Advances. The Travel Assist Provider will assist in
arranging for emergency cash advances and transfers through additional
sources including hotels, banks, Western Union, etc., if a member needs
cash as a result of loss or theft based upon confirmed personal
resources. Limit of $500 per transaction.
Not Available in NY
or FL
Emergency Rescue
In the event a participant suffers
from a certified injury as a result of an accident that requires
emergency medical transportation by helicopter in accordance with local
EMS protocols, the plan will reimburse the participant or their provider
up to a maximum of $4,000.00 per occurrence*. Reimbursement includes
expenses incurred from the cost of medically necessary or life
threatening helicopter transportation from the scene of an accident to
the nearest medical facility capable of treating the injuries or from
one medical facility to another medical facility. Claims for medically
necessary transports from one medical facility to another medical
facility are subject to review by Lifeguard's Medical Officer.

Provisions:
• One benefit will be payable per
occurrence
• Benefit is in excess of all other
valid collectable insurance
• Coverage is worldwide
• Transportation by helicopter only
Vitamins and Nutritional
Supplements
There are many positive health
benefits that can result from a regimen of vitamin supplements. Many
people consider a vitamin and mineral supplement program to be an
important part of their overall health strategy. Members can obtain a
wide range of vitamins and mineral supplements through our mail order
program at savings of 25% to 50% below suggested catalog prices.
Vitamins are provided by a nationally recognized manufacturer which
sells only through health food stores.
Medical Equipment
The medical supplies and equipment
benefit offers a broad selection of products and has long-standing
relationships with most major manufactures. This ensures that you will
receive the product that best meets your needs at savings of 5% to 15%.
Some of the products that are available to you include ambulatory aids
such as walkers; canes and crutches; blood pressure devices; diabetic
supplies including gluecometers and test strips; orthopedic products
such as braces, supports and collars; aids for daily living; respiratory
products including nebulizers and allergy products and many, many more.
Accident Insurance Programs
Accident insurance provides a peace of mind when the uneventful
situation arises. Wouldn't it be nice to have insurance which protects
you for accident situations. Affordable accident protection from
Guarantee Trust Life is simple to acquire and nice to have....
Accident
Expense:
Accident Expense Covered Charges:
-
Hospital Room
and Board
-
Doctor’s fees,
visits, surgery
-
Inpatient and
Outpatient
-
Hospital
Emergency care
-
X-ray and
laboratory
-
Prescription
Drug expenses
-
Dental
treatment for injury
|
ACCIDENT
EXPENSE BENEFIT (AE) |
|
| |
Basic Plan |
Premier Plan |
|
Maximum Benefit Amount, Per Injury |
$5,000 |
$7,500 |
|
Deductible, Per Injury |
$100 |
$100 |
|
Insured Percent (After deductible is met
insurance company pays) |
100% |
100% |
|
Initial Treatment Period |
12 weeks |
12 weeks |
|
Benefit Period |
52 weeks |
52 weeks |
|
CAXXSOB201 |
|
|
|
|
|
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Accidental Death, Dismemberment and loss of sight, speech and hearing
benefit
Accidental Death
and Dismemberment Covered Charges:
-
Loss of life
-
Loss of hands
and/or feet
-
Loss of Sight,
Speech, and/or Hearing
|
ACCIDENTAL DEATH,
DISMEMBERMENT AND LOSS OF SIGHT, SPEECH AND HEARING BENEFIT |
| |
Basic Plan |
Premier Plan |
|
Loss of Life |
$10,000 |
$25,000 |
|
Loss of Both Hands |
$10,000 |
$25,000 |
|
Loss of Both Feet |
$10,000 |
$25,000 |
|
Loss of the Entire Sight of Both Eyes |
$10,000 |
$25,000 |
|
Loss of One Hand and One Foot |
$10,000 |
$25,000 |
|
Loss of Speech and Hearing |
$10,000 |
$25,000 |
|
Loss of One Hand or One Foot and Entire Sight of One Eye |
$10,000 |
$25,000 |
|
Loss of One Hand or One Foot |
$5,000 |
$12,500 |
|
Loss of Entire Sight of One Eye |
$5,000 |
$12,500 |
|
Loss of Speech or Hearing |
$2,500 |
$6,250 |
|
CAXXADDSOB201 |
|
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