Medical Plans

Please Call 1-800-243-8751 with any questions or to enroll.

  Silver Gold Platinum
Hospital Indemnity Plan

Click on the individual plan feature headers to view the program details!
Please note that indemnity plan benefits are payable on an up to the maximum limit basis.
Individual
$99.00
Per Month
Individual
$149.00
Per Month
Individual
$179.00
Per Month
Doctor Visits


$25 per visit

Limit 5 visits per year
$50 per visit

Limit 5 visits per year
$50 per visit

Limit 5 visits per year
Daily In-Hospital Benefit

Private or Semi-Private Room


$300 per day

31 day maximum
$500 per day

31 day maximum
$1000 per day

31 day maximum

Intensive Care/Cardiac Unit Benefit

$600 per day

31 day maximum
$1000 per day

31 day maximum
$1500 per day

31 day maximum

Surgery Benefit

In-Patient and Out-Patient

N/A One surgery per year up to $500 One surgery per year up to $1000

Anesthesia

In-Patient and Out-Patient

N/A up to 25% of the surgery amount to a maximum of $125 per year up to 25% of the surgery amount to a maximum of $250 per year
Accident Coverage

Accident Coverage provided by Markel Insurance Company. Benefits are paid up to the maximum listed. Accident Coverage benefit may be used in conjunction with Emergency Room benefit when applicable. Click on Benefit Summary for Details
$5,000 per accident

(subject to $100
deductible)
$5,000 per accident

(subject to $100
deductible)
$5,000 per accident

(subject to $100
deductible)

Accidental Death & Dismemberment Benefit

Accidental Death and Dismemberment Insurance benefits paid up to the maximum listed 

$5000 Primary

$2500 Spouse

$1250 Children

$10,000 Primary

$5000 Spouse

$2500 Children

$25,000 Primary

$12,500 Spouse

$5000 Children

Prescription Benefit

Prescription benefit good at most pharmacies nationwide. Subject to $50 calendar year deductible. Annual maximum benefit is $2500 individual or $5000 for a family

See CAREMARK RxSavingsPlus Discount Prescription Program $15 generic prescriptions
$15 generic prescriptions

Pre-Existing Conditions

12/12
30 day waiting period
for sickness
12/12
30 day waiting period
for sickness
12/12
30 day waiting period
for sickness
Maximum Policy Benefits

Accidental Death and Dismemberment as well as the Accident Insurance Benefits are paid in addition to the Maximum Policy Benefits

Policy Year $20,000
Policy Lifetime $250,000

Policy Year $20,000
Policy Lifetime $250,000
Policy Year $20,000
Policy Lifetime $250,000
Consumer Benefits of America
Membership Discount Benefits
Click Benefit Description to View Details
Silver Gold Platinum
CAREMARK RXSavingPlus
Select your prescription drugs from a Preferred List and pay just $10, $20 or $40 for brand names and generics at over 50,000 participating pharmacies. Plus, negotiated discounts on many prescription drugs not on the Preferred Drug List.
See prescription benefit above   See prescription benefit above
Patient Advocacy
Personal trained advocates dedicated to help you locate healthcare providers and specialists AND help you eliminate the hassles typically encountered when dealing with the healthcare system.
Physician Program
Take advantage of up to 40% off at over 400,000 participating practitioner locations.


BeechStreet Network


BeechStreet Network

BeechStreet Network
Hospital Discounts
Enjoy substantial savings on medical bills at over 3,800 hospitals and over 52,000 specialty care facilities.

BeechStreet Network

BeechStreet Network

BeechStreet Network
Dental
Visit any of the over 62,000 available dental practices nationwide as often as necessary, while saving up to 50% on everything from general dentistry and cleaning to root canals, crowns and orthodontia.

Aetna Dental Network

Aetna Dental Network

Aetna Dental Network

Vision
As a program member, you'll save 20% to 60% on eyeglasses, contact lenses and other retail eyewear items. Choose from over 13,000 eye care professionals nationwide.

Coast to Coast Vision

Coast to Coast Vision

Coast to Coast Vision

Hearing
Members receive quality hearing care at over 2,000 audiologists nationwide.

HearUSA

HearUSA

HearUSA

Chiropractic
Visit any of the over 7,000 participating chiropractors as often as necessary and enjoy savings from 20% to 40% off normal rates.

UHS Chiropractic Network

UHS Chiropractic Network

UHS Chiropractic Network

24hr Nurse Hotline
Registered Nurses are on call 24-hours a day via a toll-free number 7 days a week to provide members with advice about a wide range of issues.

Insurance benefits underwritten by Fairmont Premier Insurance company and/or Fairmont Specialty Insurance Company.

GetInsured.com
2110 Newmarket Parkway, Suite 200 Marietta, GA 30067 • T: 1-800-243-8751 F: (770)321-8559 • e-mail: sales@pfgbenefits.com
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