National General Health Plans

Plan Name:

Standard Issue

Guaranteed Issue

  Plan Brochure Plan Brochure
Deductible Options: $1,000-$5,000 $3,500-$5,000
Co-Insurance Options: 50%, 70%, 80%, or 100% 80% or 90%
Out of Pocket Max Options: $2,500-$8,750 $10,000
Lifetime Maximum Options: $250,000 or $1 Million $100,000
Doctor Office Visits: $50 Copay* $50 Copay*
Specialists Visits: Deductible then Co-Insurance Deductible then Co-Insurance
Urgent Care Visits: $50 Copay – Unlimited Visits $50 Copay – Unlimited Visits
Prescriptions: N/A N/A
X-Ray, Labs, Imaging: Deductible then Co-Insurance Deductible then Co-Insurance
E.R. and Hospitalization: Deductible then Co-Insurance** Deductible then Co-Insurance**
Application Fee: $35.00 $35.00
Additional Comments:

*

**

*View page 3 of Brochure -Three office visits per coverage term.

**View page 3 of Brochure -Additional $250 E.R. access fee applies unless admitted to a hospital.

*View page 3 of Brochure -Two office visits per coverage term.

**View page 3 of Brochure -Additional $250 E.R. access fee applies unless admitted to a hospital.