Assurant Health AccessSM
Access FundamentalsSM Plan

Time Insurance Company

Office Visit

· $50 per office visit
· Limit of 4 visits per calendar year

Prescription Drugs

· $10 per generic prescription
· $25 per brand prescription
· Limit $700 per calendar all prescriptions

Allergy Shots and Immunizations

· $10 per immunization

· $10 per allergy shot

 

· Limit $100 per year all allergy shots & immunizations

Outpatient Medical Events

· Laboratory services
- $100 per surgical pathology test
- $25 per laboratory service, excluding surgical pathology

 

 

· Radiology Services

 

- $100 per mammogram

- $100 per CT scan

 

- $250 per MRI scan

- $250 per PET scan

 

 

· Physical Medicine Service
- $25 per occupational therapy, physical therapy and
   speech therapy visit
- $25 per other outpatient event not listed
- $1,000 per calendar year for all outpatient events

Surgery

Includes surgical benefits for both inpatient and outpatient
surgery paid at the scheduled benefit amount. Benefits paid
per surgery vary greatly. See surgical schedule (Form 30272)
for details.

Anesthesia

· $250 per anesthesia event

· Limit of 2 events per year

Ground & Air Ambulance

· $100 per ground transportation

· $1,000 per air transportation

 

· Limit of 2 trips per calendar year for all ambulance transportation

Emergency Room or Urgent Care

· $250 per visit
· Limit 1 visit per calendar year

Inpatient Hospital Confinement

· $2,000 per day for sickness
· $4,000 per day for injury
· $200,000 per calendar year for all inpatient confinements

Life Insurance1

· $10,000 for primary insurance ($2,000 for primary under age 18)

Lifetime Maximum

   Limit of $1 Million

Medical Questions for
    Qualifications

   Limited medical questions to qualify

Pre-existing Conditions

   Benefits available after you have been continuously insured
   under this plan for 12 months.

Value-Added Discount Card2

   Access to discounts for everyday needs

All Health Access plans are limited-benefit fixed-indemnity plans. This means they are not major medical insurance plans. Fixed-indemnity benefits are provided for hospital confinement and specified medical and surgical events. These benefits are paid in specific 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 bill.

Benefits and availability vary by state.

1 Not available in TX or VA
2 Discounts may vary or may not be available in all states.