Lifeshield National Insurance Co. Health Plans

Plan Name:

Merit STM – Guaranteed Issue

  Plan Brochure
Deductible Options: $500-$5,000
Co-Insurance Options: 80%
Out of Pocket Max Options: $5,000
Lifetime Maximum Options: $25,000 or $50,000
Doctor Office Visits: $25 Copay*
Specialists Visits: Deductible then Co-Insurance
Urgent Care Visits: Deductible then Co-Insurance
Prescriptions: Discount Card
X-Ray, Labs, Imaging: Deductible then Co-Insurance
E.R. and Hospitalization: Deductible then Co-Insurance
Application Fee: $50.00
Additional Comments:

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**

*View page 3 of Brochure – $25 Copay per visit for first 2 visits, up to $200 per coverage period.