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The Cruiser
$101-147 per month
$1,500 annual deductible
Plan Benefits (In Network)
Office Visits
Pay $40 per visit.
Go as much as you want, but stay in our network.
Other Professional Services
Pay $0 after you meet your annual deductible.
Preventive Care
Pay $0 after you meet your annual deductible.
Overnight Hospital Stays
Pay $0 after you meet your annual deductible.
If You Don't Stay Overnight
Pay $0 after you meet your annual deductible.
Physical/Occupational Therapy, Acupuncture/Acupressure.
Pay $0 after you meet your annual deductible.
12 visit maximum per year—in
& out of network combined.
Emergencies (In Network)
Emergency Room
Pay $150 for each visit.
Eyes (In Network)
We'll pay $50 for routine eye exam, eye glasses,
or contact lenses.
Teeth (In Network)
$25 deductible per year
$500 annual maximum
Preventive & Diagnostic
Pay $0
Minor Restorative
Pay 20% after you meet your deductible.
Rx (In Network)
Generic prescription drugs
Pharmacy: $10 for 30-day supply from the pharmacy.
Mail Order: $20 for up to 60-day supply.
In Network
In Network
Annual Deductible
Stay in the network and the most you'll pay
for covered services in a year is your annual
deductible amount of $1,500. So if you bite
it big, you won't wipe out your savings.
Out of Network
Out of Network
Annual Out of Pocket (OOP)
Go out of the network and the most you'll
pay for covered services per year is $15,000,
plus your deductibles amounts or more if they
charge more than we allow. Yeah, so staying
in the network's probably a good idea.
Medical Plan
Dental Plan Details
Written Plan Description |
Curb
Jumper
$78-$116 per month
$3,000 annual deductible
Plan Benefits (In Network)
Office Visits
Pay $40 per visit.
Go as much as you want, but stay in our network.
Other Professional Services
Pay $0 after you meet your annual deductible.
Preventive Care
Pay $0 after you meet your annual deductible.
Overnight Hospital Stays
Pay $0 after you meet your annual deductible.
If You Don't Stay Overnight
Pay $0 after you meet your annual deductible.
Physical/Occupational Therapy, Acupuncture/Acupressure
Pay $0 after you meet your annual deductible.
12 visit maximum per year—in
& out of network combined.
Emergencies (In Network)
Emergency Room
Pay $150 for each visit.
Eyes (In Network)
We'll pay $50 for routine eye exam, eye glasses,
or contact lenses.
Teeth (In Network)
$25 deductible per year
$500 annual maximum
Preventive and Diagnostic.
Pay $0.
Minor Restorative
Pay 20% after you meet your deductible.
Rx (In Network)
Generic prescription drugs.
Pharmacy: $10 for 30-day supply from the pharmacy.
Mail Order: $20 for up to a 60-day supply.
In Network
In Network
Annual Deductible
Stay in the network and the most you'll pay
for covered services in a year is your annual
deductible amount of $3,000 . So if you bite
it big, you won't wipe out your savings.
Out of Network
Out of Network
Annual Out of Pocket (OOP)
Go out of the network and the most you'll
pay for covered services per year is $15,000,
plus your deductible amounts or more if they
charge more than we allow. Yeah, so staying
in the network's probably a good idea.
Medical Plan
Dental Plan Details
Written Plan Description |
Gravity Bender
$68-$103 per month
$5,000 annual deductible
Plan Benefits (In Network)
Office Visits
Pay $40 per visit.
Go as much as you want, but stay in our network.
Other Professional Services
Pay $0 after you meet your annual deductible.
Preventive Care
Pay $0 after you meet your annual deductible.
Overnight Hospital Stays
Pay $0 after you meet your annual deductible.
If You Don't Stay Overnight
Pay $0 after you meet your annual deductible.
Physical/Occupational Therapy, Acupuncture/Acupressure
Pay $0 after you meet your annual deductible.
12 visit maximum per year—in
& out of network combined.
Emergencies (In Network)
Emergency Room
Pay $150 for each visit.
Eyes (In Network)
We'll pay $50 for routine eye exam, eye glasses
or contact lenses.
Teeth (In Network)
$25 deductible per year
$500 annual maximum
Preventive & Diagnostic
Pay $0.
Minor Restorative
Pay 20% after you meet your deductible.
Rx (In Network)
Generic prescription drugs
Pharmacy: $10 for 30-day supply from the pharmacy
Mail Order: $20 for up to a 60-day supply
In Network
In Network
Annual Deductible
Stay in the network and the most you'll pay
for covered services in a year is your annual
deductible amount of $5000. So if you bite
it big, you won't wipe out your savings.
Out of Network
Out of Network
Annual Out of Pocket (OOP)
Go out of the network and the most you'll
pay for covered services per year is $15,000,
plus your deductible amounts or more if they
charge more than we allow. Yeah, so staying
in the network's probably a good idea.
Medical Plan
Dental Plan Details
Written Plan Description |
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What's up with Sound?
You're a smart one—you've
probably figured out that Sound is health
insurance coverage created especially
for the young and healthy likes of you.
"Why would someone so young and
healthy need health insurance?"
you may ask. Same reason everyone does.
No one likes to think about it, but
let's face it, something might happen
to you. And of course, making sure all
the good stuff you've got stays that
way is just a smart thing to do.
What's our rep?
Even though
the particular kind of coverage we're
offering is new, we're backed by the
UniCare Life & Health Insurance
Company—UniCare is
a WellPoint company. WellPoint Inc.
is the largest health benefits company
in the nation—and
their mission is to improve the health
of the people they serve
How Much You Could Save*
Sure, paying for health insurance
is a pain. But not having it can
hurt a lot more. See how much not
being covered could cost you. And
remember, if you're covered and
stay in our network, the most
you'll pay is $1,500, $3,000 or
$5,000, depending on the plan
you select, plus your monthly
payment. *Figures based on third
quarter 2005 averages from UniCare’s
claims database.
You have to spend a day in the
hospital.
Average day in hospital
$5,858
You need to be flown to the hospital.
Air ambulance
$6,919
You need to be driven to the hospital.
Ambulance ride
$667
Your appendix burst.
Care and surgery for appendicitis
(5 days in hospital)
$22,215
Your knee just popped.
Knee surgery
$28,863
You landed wrong. Really wrong.
Fractured ankle, compound fracture
of tibia and fibula (7 days in
hospital, surgery)
$52,156 |
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Copay
– The amount you pay for a
doctor visit or other medical services
such as an Emergency
Room visit or generic prescription
drug.
Deductible –
Depending on the Sound plan you
choose, your deductible each year
will be
$1,500, $3,000 or $5,000 –
that’s how much you have to
pay before UniCare starts paying
for
certain services outlined in your
policy booklet. Your monthly premium
payments do not count
toward your deductible. You also
have a separate $25 deductible for
dental benefits. In some
cases, like when you go to the doctor’s
office, your deductible is waived.
Emergency – The sudden onset
of a medical condition with symptoms
so severe that not being
treated immediately could result
in one or more of the following:
Placing your health in serious jeopardy
Causing serious disfigurement
Serious impairment to bodily functions
Serious and permanent dysfunction
of any organ or any other part of
you
In-Network/Out-of-Network –
UniCare has negotiated with more
than 25,000 PPO doctors and
over 500 hospitals to provide you
with quality care and services at
a much lower,
in-network cost to you. Services
from providers who have not contracted
with UniCare will cost
you more because they charge out-of-network
rates. In other words, staying in-network
saves you
money.
Mail Order Service –
If you take a prescription medication
regularly, you can save a lot of
time by
getting it through the mail. No
more waiting in line at the pharmacy
every month. Just check out
PrecisionRX at precisionrx.com for
more information or call them at
(866) 274-6826.
Office Visit –
Routine physical exams, preventive
care and covered professional services,
lab
work, X-ray, etc. that you receive
in your doctor’s office during
your office visit.
Other Professional Services
– X-rays, blood tests,
anesthesia, etc. received separately
from
professional services covered under
your office visit.
Out-of-Pocket Maximum (OOP)
– Your annual OOP
in-network is the most you’ll
have to pay for
in-network covered services within
a calendar year, then UniCare pays
the rest. This amount
varies depending on the plan you
choose ($1,500, $3,000 or $5,000).
Basically, meet your
deductible – and you’ve
reached your in-network OOP. If
you go out-of-network, your annual
OOP
is $15,000 plus deductibles.
Participating Pharmacy
– To pay the lowest possible
costs for your prescriptions you
should have
them filled at a participating pharmacy.
In addition to all those doctors
and hospitals, UniCare
has a network of over 4,000 participating
pharmacies in Texas and access to
over 63,000
nationwide.
Policy Booklet
– A booklet with detailed
information about your plan benefits
that will be mailed
to you after you enroll in a Sound
plan.
Premium –
The payments you pay each month
for Sound coverage.
PPO – PPO
stands for “Preferred Provider
Organization.” The UniCare
PPO network is made up
of more than 25,000 doctors and
over 500 hospitals that they’ve
negotiated with to provide you
with services at a much lower cost
to you.
*Refer to the policy booklet for
a complete list of definitions,
benefits, exclusions and limitations,
and preservice and utilization review. |
Remember
: The Sound Health
plans do not include maternity benefits.
Provider Finder is
your online resource for finding doctors,
hospitals and other health professionals
that participate in your current plan
or a different Blue Cross plan. Follow
the step-by-step instructions to find
providers that match your custom search
criteria. Provider
Finder
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UniCare Life & Health
Insurance Company—UniCare
is a WellPoint company. WellPoint Inc. |
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Copyright © 2005 Oleg Skurskiy Authorized
Independent Agent, CA License 0E50389 |
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