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Summary of Benefits
Limitations and Exlusions
Categories & Rates
FAQs
Who We Are
Enrollment Form
Schedule of Benefits

Disclaimer:

THIS IS NOT BASIC HEALTH INSURANCE. THIS OFFER INCLUDES DISCOUNTS AND/OR SERVICES PLUS ADDED LIMITED BENEFITS INDEMNITY INSURANCE. NONE OF THESE, INDIVIDUALLY OR IN COMBINATION ARE A SUBSTITUTE FOR BASIC HEALTH COVERAGE, MAJOR MEDICAL INSURANCE OR ANY OTHER MEDICAL EXPENSE REIMBURSEMENT INSURANCE PLAN. NOT Available in AK, CT, FL, KY, LA, ME, NJ, NY, OR, VT

US Life

Limited Insurance Benefits

The following is a summary of limited insurance benefits.
See Categories and Rates for the amount of benefits according to plan number.

Daily Hospital Confinement Benefit:

If you are under age 65, it pays you the amount listed per day, according to plan number, for up to (180) days if you have to be admitted and stay in a hospital to be treated for a covered injury or sickness.

Intensive Care Unit Benefit:

If you are under age 65, it pays you the amount listed per day, according to plan number, for up to (180) days if you are confined to an intensive care unit in a hospital to be treated for a covered injury or sickness.

Doctor Visit Benefit:

If you are under age 65, it pays you the amount listed per visit, according to plan number, to a doctor's office to be diagnosed or treated for a covered injury or sickness.

Inpatient/Outpatient Surgical Benefit:

If you are under age 65, it pays for medically necessary treatment of an injury or sickness according to plan number, surgical schedule and the description of coverage provided in your membership materials. The maximum amount payable for all surgical procedures performed in a calendar year for a covered person is $20,000.

Ambulance Benefit:

If you are under age 65, it pays the benefit amount per transport, according to plan number, for a maximun of 3 transports per person per year

           

All benefits provided by this insurance are subject to the terms, definitions, conditions, exclusions and limitations, of the group policy. To obtain more information about this insurance, please call 1-800-XXX-XXXX and ask to speak to a license agent. All members of the (XXXXX) Program are enrolled into the (XXXXXgroupname). to be eligible to receive these benefits. These insurance benefits are underwritten by The United States Life Insurance Company in the Cith of New Your, under Group AD&D & Medical Care Insurance Policy (Form #G-19000) issued to (InsertxxxxxGroup). The underwriting risks, financial and contractual obligations and support functions associated with the products issued by The United States Life Insurance Company in the City of New Your are its responsibility. Coverage becomes effective on the date provided in your membership materials.
Underwritten by United States Life Insurance Company, Home Office, New York City, NY.