PPO Select^® Saver Series III, a Preferred Provider Health Insurance Plan offers you and your family:

• 5,000,000 lifetime maximum benefit per person
• Inpatient hospital benefits and professional care
• Outpatient professional care (including office visits, X-rays, lab and diagnostic services) subject to deductible and coinsurance
• 24-hour, worldwide emergency care
• Well-child care, routine physical, vision and hearing exams
• Immunization benefits (up to age seven)
• Human organ and tissue transplant benefits ($300,000 lifetime maximum subject to $5,000,000 policy lifetime maximum)
• Office visits and emergency room visits subject to deductible and coinsurance
• Home health care, hospice and skilled nursing facility benefits (subject to limitations)
• Preventive Care - Up to maximum of $300 per person per calendar year, subject to deductible and coinsurance. This added feature allows the policyholder to receive negotiated provider discounts (when using In-Network providers) for allowable preventive care services up to $300 annual maximum.
• Physical Medicine Services - Up to $1,000 per person per calendar year (in-network and out-of-network combined)
• Ground and Air Ambulance Services - Up to $1,500 per person per calendar year (in-network and out-of-network combined)
• Any day of the month effective date except the 29th, 30th, or 31st
• Age-banded, child-only coverage
• Prescription drug plan
• Mail-order prescription drug program

Insurance Plan Details

* Texas Department of Insurance Form: PPO-SELSAVER-3-OLC-2