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Retail rates 08/08/2008 - Intelicare Health Membership Programs are available for new purchase by CHCA members in:
AL, AZ, DE, DC, HI, IL, IN,KY, MD, MI, MO, MS, ND, NE, NY, OH, OK, OR, PA, RI, SC, TN, WI, WV and WY. |
Individual  |
$144.95 |
$129.95 |
Individual
+ 1  |
$249.95 |
$204.95 |
Family  |
$319.95 |
$249.95 |
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Above amounts indicate
monthly rates |
Individual |
$154.95 |
$139.95 |
Individual
+ 1 |
$259.95 |
$214.95 |
Family |
$329.95 |
$259.95 |
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Above amounts indicate
monthly rates |
Individual |
$164.95 |
$149.95 |
Individual
+ 1 |
$269.95 |
$224.95 |
Family |
$339.95 |
$269.95 |
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All above amounts indicate
monthly rates
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Monthly Administration Fee |
$10.00 |
$10.00 |
One
Time Processing Fee |
$125.00 |
$125.00 |
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The
One-Time Processing Fee and Monthly Association Fee apply
to all states and plans. |
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Daily -
In Hospital*
Combined Maximum days per policy year |
$350
60 |
$700
60 |
Surgery
with Anesthesia Benefit** - Up To:
Surgery % of RBRVS
Anesthesia as % of Covered Surgery |
$2,000
50%
20% |
n/a
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Intensive Care*
Combined Maximum days per policy year |
$700
10 |
n/a |
Doctor Office Visits
Maximum visits per policy year
Note: One of these visits may be used for preventative care services. |
$50
5 |
$30
7 |
Preventative Test Care
Maximum tests per policy year |
$50
1 |
n/a |
Diagnostic
Testing & Lab Benefit:
Maximum visits per policy year
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$50
5 |
n/a |
Mental Health
In-Patient Per Day
Maximum days per policy year
Out-Patient Per Visit:
Maximum days per policy year |
n/a |
$30
30
$30
20
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Accidental Medical - Up to:
Deductible per Accident
Payment at |
$5,000
$100
80% |
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Accidental Death & Dismemberment
Maximum Benefit Member - Up to:
Maximum Benefit Spouse - Up to:
Maximum Benefit Dependent - Up to: |
$10,000
$5,000
$2,500 |
$25,000
$12,500
$6,250 |
*Carrier will not pay concurrently for Daily In-Hospital Confinement and Intensive Care/Critical Care features.
**In some states Surgery with Anesthesia Benefit may be based upon a surgical schedule as shown in your cerificate schedule.
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(Subject to availability) |
This discount program is not a health insurance policy and is not intended as a substitute for insurance. The program provides for discounts on health services from participating providers, and the range of the discounts will vary depending on the type of provider and the health services received. The program does not make payments to providers of health care services. Members are required to pay for all health care services at the time the services are performed, but will receive a discount from contracted providers. This program is administered by Patriot Health Florida, Inc., at 160 Eileen Way, Syosset, NY, 11791 at 866.907.7851 and is offered to members of Consumer Health Choice Association, located at 8201 Peters Road Suite 1000, Plantation, FL 33324.
To obtain additional information and an up-to-date list of contracted providers by name, city, state, and specialty in your service area, you may call customer service at 800-290-3869.Program administrators have no liability for providing or guaranteeing service or for the quality of service rendered. Participating providers are subject to change without notice and are not available in all areas. Note: This contract is not protected by any state Life and Health Guarantee Association.
Program administrators have no liability for providing or guaranteeing service or for the quality of service rendered.
Participating providers are subject to change without notice and are not available in all areas. Note: This contract is
not protected by any state Life and Health Guarantee Association. |
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Physicians, Hospitals & Labs |
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Dental |
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Vision |
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Hearing |
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4 Tier Prescription* |
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Chiropractic Care |
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Alternative Medicine |
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Elder Care |
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24 Hour Nurse Hotline* |
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24 Hour Counseling Hotline* |
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*Patriot Health Florida, Inc. Program Features are not available in CA, CT, FL, ID, KS, ME, MT, NH, NV, OK, VT and WA.
Exceptions: 4-Tier Pharmacy feature is not considered a discount medical plan and is available in FL, is also available in ID and ME but is not available in CA, CT, KS, MT, NH, NV, OK, TN, VT and WA.
24-Hour Nurse and Counseling Hotlines are service programs available to all CHCA Members of Intelicare Programs.
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Fitness Centers |
Amusement Parks |
Vitamins & Supplements |
Floral Arrangements |
Identity Theft Guardian |
Moving & Storage |
Durable Medical Equipment & Supplies |
Car Rentals |
Medical Records Software Plus |
Magazine Subscriptions |
Legal Assistance |
KB-Toys |
Financial Planning |
Free Gaming and Social Media |
Hotels |
Luggage Online |
Roadside Assistance Emergency Access |
Overstock.com |
Auto Maintenance |
Personalization Mall |
Movie Tickets |
Toshiba |
Tradesman Referrals |
Cookies & Confections |
Emergency Travel Assistance® |
Match.com |
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Petsmart |
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Expedia |
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