Health Center

Benefit Details

Sickness Benefit Limits

Excess of any other insurance

Aggregate Limit Per Sickness
$1,000
Inpatient Hospitalization limit
Subject to aggregate
1st $500 at 100%, balance at 80%
included
Semi-private room and board
included
Miscellaneous
included
Outpatient Sickness Limits at 100%
$1,000
Blanket Outpatient Sickness Benefit
$1,000
Outpatient Mental Health/Substance Abuse
$1,000
Emergency Room
$1,000
Diagnostic X-Ray and Lab
Included in Blanket Outpatient Sickness Benefit and Mental Health/Substance Abuse
Physician Office Visits
Included in Blanket Outpatient Sickness Benefit and Mental Health/Substance Abuse
Reimbursement for Prescriptions
Included in Blanket Outpatient Sickness Benefit and Mental Health/Substance Abuse
The Wellness Access Plan does not include coverage for allergy testing, acne, insomnia, and certain congenital conditions.
Not subject to Aggregate
Dental (non-injury)
$100
Wellness/preventive
$100
Mandatory Accident Benefit (per accident)
$5,000