Plan Highlights

PPO Select^® Saver Series III, a Preferred Provider Health Insurance Plan, provides:

$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 29^th, 30^th, or 31^st
Age-banded, child-only coverage
Prescription drug plan
Mail-order prescription drug program