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CATASTROPHIC MEDICAL AND HEALTH INSURANCE COVERAGE FLORIDA

This Catastrophic Medical Insurance is designed to provide
benefits for high cost hospital confinements

If you're looking for afforadable individual health insurance plans in Florida and want health insurance coverage that picks up the slack when it comes to major medical concerns, a catastrophic medical insurance might be just what you need. Catastrophic medical insurance is designed to protect you from ruinous medical costs while encouraging you to shop wisely for routine health care. My Health Coverage provides solution to all your medical and health insurance problems in Florida.

Catastrophic Medical Insurance Covers a Wide Range of Care:

Hospitals
Same Day Surgery Facility
Home Health Care
In-Hospital Doctor Visits
Surgery
Assistant Surgeon
Organ Transplants
Blood, Blood Plasma and Derivatives
Anesthesia
Hospice
Mammograms/PAP Smear
Second Surgical Opinion
Ambulance
Childhood Immunizations
Outpatient therapy
Prostate Screening
Texas resident benefits (refer to outline of coverage for details)
Plan Design: Indemnity or Preferred Provider Option
Issue Ages: 0-63 ½

Maximum Lifetime Benefit Per Covered Person:

  • $5,000,000
  • $1,000,000 for each Injury or Sickness
Coinsurance Options: 100% or 80%
Stop-Loss Amounts: $5,000 or $10,000 (With coinsurance options 80%)
Calendar Year Cash Deductibles: $750; $1,500; $2,000; $2,500; $5,000; $10,000 or $15,000

Special Deductible Features:

  • No more than 3 Cash Deductible Amounts per family per Calendar Year
  • Only one Cash Deductible Amount must be met when two or more Covered Persons are injured in the same accident.
After You have met Your Cash Deductible and Your selected coinsurance is less than 100%, the plan pays 80% up to Your selected Stop Loss Amount. Once You have met this limit the plan pays 100% of the additional Eligible Expenses during the remainder of the Calendar Year.

SLA-COPT06-TX Outpatient Doctor Rider

  • After the Calendar Year Cash Deductible Amount of $1,000 has been met this rider will pay 80% of the Reasonable and Customary Charges up to $10,000 per Covered Person per Calendar Year for Eligible Expenses incurred on an Outpatient basis. Eligible Expenses include.

SLA-OPRx06-TX Outpatient Prescription Drug Rider

  • When selected, this Rider adds an outpatient Prescription Drug benefit to the Policy. After You meet the Prescription Drug Calendar Year Deductible Amount and co-payment, We pay the remaining Prescription Drug Eligible Expenses at the selected coinsurance. We do not cover Outpatient Prescription Drugs unless the optional Outpatient Drug Rider is in effect.
pdf Catastrophic.pdf
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