Short
Term Major Medical Coverage
If you need temporary
health care coverage, consider our Short Term Major Medical plan. Short Term
Major Medical coverage is great for:
-
Students
who’ve recently graduated and are between coverage from parents and employer
-
Employees who
are on extended leaves of absence
-
Former employees
who are between jobs or laid off
-
People who
are leaving a group policy and want an alternative to COBRA
-
New employees
who aren’t yet eligible for group coverage
-
Early retirees
Our Short Term Major
Medical plan provides quality coverage for major hospital, medical and surgical services, with options to
suit your personal needs. You can choose:
-
From three
deductible options
-
Custom
coverage period from 30 days to six-months
-
A second
six-month policy if you still need coverage when your first policy expires
-
Single,
two-person or family coverage
Besides major medical
coverage, you’ll enjoy special programs that make this plan extra valuable like
Case
Management
and the BlueCard
Program.
Short Term Major
Medical Coverage Plan Benefits
Short Tem Major Medical Coverage
Plan Benefits |
You
Pay: |
|
Option
1 |
Option
2 |
Option
3 |
Per Person
Deductible |
$250 |
$500 |
$1,000 |
Coinsurance |
20% |
20% |
20% |
Per Person Out-of-Pocket
Maximum* |
$1,000 |
$1,500 |
$3,000 |
Per Person Lifetime Benefit
Maximum |
|
|
$1,000,000 |
Comprehensive
Major Medical
Comprehensive Major
Medical (CMM) is our most traditional coverage plan. It provides benefits for
hospital, medical/surgical and major medical services.
With CMM coverage, your
employees:
-
Have
incentives to contain costs through deductible and coinsurance provisions, which
the employees are responsible for satisfying. (Copayment amounts may be chosen
by large groups.)
-
Are
encouraged to use participating Wellmark Blue Cross and Blue Shield providers.
These providers have agreed to accept our settlement as payment in full for
covered services, once any applicable deductible, coinsurance (and/or copayment)
amounts are paid by the member.
-
Are
responsible for receiving Wellmark's written prior approval for certain
services.
Please note: This
information is only a summary of the benefits of Short Term Major Medical health
care coverage from Wellmark Blue Cross and Blue Shield of Iowa; it is to be used
for descriptive purposes only. Benefits and general provisions described herein
are subject to terms of the actual policy and benefits
certificate.
(C) 2004 Wellmark Blue Cross And Blue Shield http://www.wellmark.com/ |