MINI-MED EXAMPLE No# 1 Benefit Amounts | ||
Office visits - $300 calendar year maximum per person Accident Coverage – charges incurred up to the maximum benefit per occurrence Emergency Room - $300 calendar year maximum per person for Sickness Hospital Indemnity – per day/up to 60 days per calendar year ● Intensive Care-per day/up to 30 days per calendar year ● Substance Abuse – per day/up to 30 days per calendar year ● Skilled Nursing – per day/for stays in a skilled Nursing Facility / up to a Maximum of 60 days per stay Mental Illness – per day/up to a maximum of 60 days per calendar year Life Insurance / AD&D Dependent Life ● Spouse ● Children 10-days to 6 months ● Children 6 months to19; 26 if full-time student Prescription Drug Card - $10 / $20 / $40 Generic-Brand Co-pay (Rx Discount Card with Formulary Co-pays/Non-Formulary – Discounts only) | $40 $500 $75 $100 $200 $50 $50 $50 $5,000 $2,500 $200 $1,250 | |
MINI-MED EXAMPLE II Benefit Amounts | ||
Office Visits - $360 calendar year maximum per person Wellness Care - $150 calendar year maximum per person Diagnostic Lab & X-Ray - $300 Calendar Year maximum Accident Coverage – charges incurred up to the maximum benefit per occurrence Emergency Room - $300 calendar year maximum per person for Sickness Surgical Schedule – up to a maximum of $1,500. See surgical schedule. Hospital Indemnity – per day/up to 60 days per calendar year ● Intensive Care – per day / up to 30 days per calendar year ● Substance Abuse – per day / up to 30 days per calendar year ● Skilled Nursing – per day / for stays in a skilled Nursing Facility / up to a Maximum of 60 days per stay Mental Illness – per day / up to a maximum of 60 days per calendar year Life Insurance / AD&D Dependent Life ● Spouse ● Children 10-days to 6 months ● Children 6 months to 19; 26 if full-time students Prescription Drug Card - $5 Generic Co-pay - $4,800 Calendar Year max per person ($20 co-pay oral contraceptive – Brand Discounts – Limitations/Exclusions Apply) | $60 $150 $60 $2,500 $75 $1,500 $1,000 $2,000 $500 $500 $500 $5,000 $2,500 $200 $1,250 $400/month | |
Be reminded – Mini-Med plans are for Primary Coverage with maximum per day, per person, and annual total limits. What you see is what it is. Something to help out. No catastrophic coverage. | ||
F. Darrell Lindsey | ||