Network Type- PPO Nationwide

 

Summary of Coverages

 

 

 

 

 

 

 

 

 

 

Diseases/Sicknesses

Doctor Office Visit

Prescription Drugs

X-Ray

Labs

Spinal Manipulation Office Visit

Emergency Room

Emergency Air/Ground Ambulance

Specialty Radiology

CAT Scan

PET Scan

MRI

Radiation Therapy

Oral Chemotherapy

IV Chemotherapy

Urgent Care Facility

Diabetes Equipment, Supplies & Training

Outpatient Medical Foods

Outpatient Surgeon Benefit

Surgery Facility

Kidney Dialysis

Hospital Room & Board

ICU Room & Board

Hospital Miscellaneous Expenses

Increased Critical Hospital Miscellaneous

Expenses for Specified 

 

Major Diseases/Sicknesses

Inpatient Surgeon Benefit

Coronary Artery By-pass

Coma

Heart Attack

Life Threatening Cancer

Stroke

Outpatient Surgeon Benefit 

 

Accidents

Doctor Office Visit

Prescription Drugs

X-Ray

Labs

Spinal Manipulation Office Visit

Emergency Room

Emergency Air/Ground Ambulance

Specialty Radiology

CAT Scan

MRI

Urgent Care Facility

Outpatient Surgeon Benefit

Surgery Facility

 

Hospital Confinement Daily Benefits

Hospital Room & Board

ICU Room & Board

Hospital Miscellaneous Expenses

Increased Critical Hospital Miscellaneous

Expenses for Bodily Injury:

Coma

Severe Burn

     

Bodily Injury

Fractures

Cuts & Punctures

Back Injuries

Burns

Sports Injuries

Head Injuries

Bone Injuries

Knee Injuries

Ligament & Tendon Injuries