Reside

Plan Detail

Plan Administrator: Seven Corners | AM Best Rating: A "Excellent" | Underwriter: Lloyd's of London

Benefits


SCHEDULE OF BENEFITS

Benefit Treatment Received Inside The United States And Canada Treatment Received Outside The United States And Canada
Lifetime Maximum US $500,000  US $5,000,000 
Deductible Options, per person per injury/sickness $70, $100, $150, $250, $500, $1000
 After the per injury/sickness deductible, the program will pay up to the amount listed below for each injury/sickness.
INPATIENT
Private or semi-private room, per day (maximum of 240 consecutive days)  US $600 US $900
Intensive car, room, per day (maximum of 180 consecutive days)  US $1,500 US $2,000
Surgical Treatment US $3,000 US $5,000
Anesthetist’s Charges US $600 US $1,000
Assistant Surgeon US $600 US $1,000
Physician’s Non-Surgical/Urgent Care Visit US $60/visit, max 10 US $75/visit, max 10
Laboratory Tests and X-rays US $450 US $600
Prescription Medication US $100 US $125
Chemotherapy and Radiation therapy US $1,000 US $1,250
Organ Transplant US $100,000 US $130,000
Durable Medical Equipment US $100 US $200
MATERNITY
Normal and complicated child delivery maximum, including pre- and postnatal care which is reimbursed according to the limits shown within this Schedule of Benefits. Waiting period of 364 days before maternity benefit begins. US $2,500 per pregnancy US $4,000 per pregnancy
Professional service related to hospitalization, per day US $200 US $250
OUTPATIENT
Surgical Treatment US $3,000 US $5,000
Anesthetist’s Charges US $600 US $1,000
Assistant Surgeon US $600 US $1,000
Physician’s Non-Surgical/Urgent Care Visit US $60/visit, max 10 US $75/visit, max 10
Hospital Emergency Room (all expenses incurred therein) US $350 US $500
Prescription Medication US $100 US $125
Chemotherapy and Radiation Therapy US $1,000 US $1,250
Laboratory Tests and X-rays US $450 US $600
OTHER TREATMENT
Dental treatment for Injury to sound, natural teeth US $500 US $500
Psychiatrist US $60/visit, max 10 US $75/visit, max 10
Endoscopy (i.e. Gastroscopy, Colonoscopy, Cystoscopy) US $450 US $600
Various Scans (i.e. MRI, CAT, Echocardiography) US $450 US $600
Chiropractors US $60/visit, max 3 US $75/visit, max 3
Physiotherapy US $60/visit, max 10 US $75/visit, max 10
Well Child Care (not subject to deductible) 180-day waiting period, under age 19 US $60/visit, max 2 US $75/visit, max 2
Preventative Benefit (females and males, age 19 and over) for checkups, routine physical exams, female preventative exams and mammograms,  (not subject to deductible) 180-day waiting period US $60/visit, max 1 US $75/visit, max 1
NEWBORN COVERAGE
Lifetime maximum for the first 31 days after birth, per limits as stated in the Certificate of Coverage US $5,000 US $10,000
TRANSPORTATION
Local ground ambulance US $1,500 US $2,000
Emergency Evacuation, when adequate medical facilities or treatment is not available locally (pre-approval required) US $25,000 US $50,000
Return of Mortal Remains US $20,000 US $25,000
ACCIDENTAL DEATH & DISMEMBERMENT
24 Hour Accidental Death and Dismemberment
- Insured and Spouse
- Dependent Children
Principal Sum
US $10,000
US $2,000
Principal Sum
US $10,000
US $2,000
Common Carrier Accidental Death and Dismemberment
- Insured and Spouse
- Dependent Children
US $40,000
US $8,000
US $40,000
US $8,000