Complete Care Plus Template

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Complete Care Plus Template

  1. 1. Complete Care Plus Dental, Vision, Prescription, Accidental Medical, Disability Income Protection, AD&D, Medical Air Travel Asst, And Consumer Services Guaranteed Acceptance!
  2. 2. Member Benefits <ul><li>Accidental Medical up to $5000 per occurrence per family member </li></ul><ul><li>Disability Income Protection $500 per month 30 day elimination period </li></ul><ul><li>Accidental Death & Dismemberment $10,000 </li></ul><ul><li>Multi Tired Dental Plan </li></ul><ul><li>Vision </li></ul><ul><li>Tiered Prescription $10 and $20 co-pay </li></ul><ul><li>Medical Air Travel Assistance up to $100,000 </li></ul><ul><li>24 Hr Roadside assistance </li></ul><ul><li>24 Hour Nurse Hotline </li></ul><ul><li>Gift Card Program! </li></ul><ul><li>Carperks Buying program! </li></ul><ul><li>And Much More! </li></ul>
  3. 3. Multi Tiered Dental Plan <ul><li>No waiting periods </li></ul><ul><li>No pre existing limitations </li></ul><ul><li>No co-pays </li></ul><ul><li>No deductible </li></ul><ul><li>No claim forms </li></ul><ul><li>Immediate access to benefits </li></ul><ul><li>Free exams </li></ul><ul><li>Free X-rays </li></ul><ul><li>Guaranteed Acceptance! </li></ul>
  4. 4. Multi Tiered Dental Plan <ul><li>By using the Preferred Providers (tier one dentist) clients receive Free Exams and Free X-rays (unlimited ). All other services are available immediately at a set fee schedule from the provider. By having a fixed pricing plan, consumers know exactly what there out of pocket is for any procedure. The payment goes directly to the dentist with No claim forms, co-pays, or deductibles . For example , a Root Canal average price range of $900-$1200 will cost $268 . That’s with No waiting period or pre-existing condition limitations . In comparison to a typical PPO style plan. Root Canal, same cost $900-$1200. Waiting period typically 12-18 months and benefits usually paid at 50% after a $50-$100 deductible . So after waiting at least a year to have the procedure done the client would pay between $500-$700. Even Orthodontia is covered right away , cost of child up to age 16yrs is $2951 start to finish! </li></ul>
  5. 5. Multi Tiered Dental Plan <ul><li>There are approximately 16,000 providers in tier one. There’s an additional 17,000 providers in tier 2, combined you have access to over 30,000 providers nationwide. The only difference between tier 1 and tier 2 providers is they don’t provide the free exam and x-rays, the fee schedule remains the same. Providers can be searched with the following link, http://locator.memberproviders.com/locator.aspx?searchtype=1&subsearch=0 </li></ul><ul><li>In the event there are no tier one or two providers available a third tier of providers is available. They again do not provide the free services but the fee schedule is plus or minus approximately 5%. This network is part of the Aetna Dental network and has over 90,000 providers nation wide. You can search for tier three providers with the following link. http://uhp.a1dentallookup.com/ </li></ul><ul><li>A sample fee schedule is provided for you in the next slide. </li></ul><ul><li>For questions or help with locating providers </li></ul><ul><li>Consumers can call 800-292-3797 </li></ul>
  6. 6. Sample fee schedule Tier three
  7. 7. Tiered Vision Plan <ul><li>Vision Benefits are accessed through two providers ECI (eye care international) and QVN (quality vision network) Both networks have tier 1 and tier 2 providers. With ECI tier one providers allow 1 Free exam per year with purchase of glasses, if required (no charge if not required). With QVN one Free exam per year with purchase of glasses, if required (if not required there will be a $25 charge). You can search for providers with the following link, this will also indicate which tier the providers participate in. </li></ul><ul><li>http:// locator.memberproviders.com/locator.aspx?searchtype=2&subsearch=0 </li></ul><ul><li>Tier 2 providers from both ECI and QVN will give 10-50% off all services, but no free exams. For questions or help with locating providers Consumers can call 800-292-3797 </li></ul>
  8. 8. Tiered Vision Plan <ul><li>In addition clients will receive special pricing for contacts, lenses, frames, and sunglasses at www.coastalcontacts.com They just enter the coupon code QVN and they will instantly receive an additional 10-30% off some of the lowest prices available anywhere . They have designer glasses starting at just $38 . This will give clients substantial savings on eye wear, not available at any retail outlet. Designer sunglasses like Gucci, Kate Spade, Ray Ban, Oakley , from $74 to $99. </li></ul>
  9. 9. 3 Tiered Prescription Plan <ul><li>This Drug program is accepted at over 50,000 participating providers nationwide , including ALL the national chains! </li></ul><ul><li>Simply present your card at the pharmacy and pay a MAXIMUM of $10 for tier one drugs and a $20 for tier two. There are over 3100 drugs in tier one and some are as low as $4. More than 6000 medications are covered in tier 1 and 2 combined. The third tier has more than 20,000 medications available at special negotiated rates for our clients. The average discount in the third tier is 48% off of the retail price . So no matter what medication you clients are taking, they will see substantial savings. </li></ul>
  10. 10. Accidental Medical Insurance <ul><li>Covers unpaid medical expenses up to $5000 for each family member per occurrence , due to injuries and accidents! Perfect for people with high deductible health plans or no health insurance at all. Especially valuable for families! </li></ul><ul><li>The plan will cover necessary treatment by a physician, nurse, dentist, hospital both in and outpatient, emergency room, ambulance, drugs, diagnostic test, x-rays, durable medical equipment, and more. You can use ANY Doctor ANY Hospital, Pays directly to the client , only a $100 deductible applies. </li></ul><ul><li>Use any doctor, hospital, or emergency room. Pays directly to you unless you assign to a provider </li></ul>
  11. 11. Accidental Medical Insurance <ul><li>Example of claim. Bike accident falls and breaks leg. </li></ul><ul><li>Ambulance $1000 </li></ul><ul><li>Emergency Room $1200 </li></ul><ul><li>Doctor and nurse charges $500 </li></ul><ul><li>Medication in ER $250 </li></ul><ul><li>Prescription $90 </li></ul><ul><li>Material charge (casting) $400 </li></ul><ul><li>Crutches $75 </li></ul><ul><li>Follow up doctor visit $150 </li></ul><ul><li>Cast Removal $300 </li></ul><ul><li>Total = $3965.00 </li></ul><ul><li>Client receives check for $3865.00 </li></ul>
  12. 12. Disability Income Insurance <ul><li>Benefit pays $125/ Week </li></ul><ul><li>$500 per month </li></ul><ul><li>Benefits are paid up to 180 days </li></ul><ul><li>Only! 30 day elimination period </li></ul><ul><li>Helps maintain financial stability in times of need. This benefit is for the Primary Applicant Only. </li></ul>
  13. 13. Accidental Death & Dismemberment <ul><li>If you are injured in a covered accident and the injury causes death or dismemberment within 365 days, the insured or the beneficiaries will receive $10,000 . This benefit covers the Entire family ! </li></ul>
  14. 14. Medical Air Travel Assistance <ul><li>As a member, you have access to a worldwide network of medical and travel assistance personnel whenever you travel. Travel Assistance and Emergency Medical Evacuation Services are available when you are traveling over 100 miles away from home and you are faced with a serious injury or illness or a travel related emergency. This benefit is sold by travel agents for $50-$75 per trip. To access benefits call 888-965-9500 </li></ul>
  15. 15. Medical Air Travel Assistance <ul><li>Emergency Medical Evacuation </li></ul><ul><li>Medically Necessary Repatriation </li></ul><ul><li>Transportation of Mortal Remains </li></ul><ul><li>Transportation of Escort </li></ul><ul><li>Family Visitation </li></ul><ul><li>Minor Child or Children Return/Escort </li></ul><ul><li>Vehicle Return </li></ul><ul><li>24 Hour Information Service </li></ul><ul><li>Medical Monitoring </li></ul><ul><li>Medical Referral </li></ul><ul><li>Guarantee of Medical Expenses </li></ul><ul><li>Insurance Coordination </li></ul><ul><li>Lost Document Service </li></ul><ul><li>Legal Assistance </li></ul><ul><li>Emergency Delivery of Prescription Items </li></ul><ul><li>Emergency Cash Transfers and Advances </li></ul><ul><li>Language Assistance </li></ul>
  16. 16. Consumer Services <ul><li>24-Hour Nurse Hotline </li></ul><ul><li>ITC-50 Discount Hotel Program </li></ul><ul><li>Association Travel Club </li></ul><ul><li>Savers Club Book </li></ul><ul><li>24 hour Roadside Assistance </li></ul><ul><li>Carperks Buying Network </li></ul><ul><li>Gift Card Program </li></ul><ul><li>Vitamin Discount </li></ul><ul><li>HopTheShops.com </li></ul><ul><li>Office Supplies Discounts </li></ul><ul><li>UPS Express Delivery Services </li></ul><ul><li>DHL Express Overnight Delivery Services </li></ul><ul><li>Customized Web Services </li></ul><ul><li>ADP Payroll Processing </li></ul>
  17. 17. 24-Hour Nurse Hotline <ul><li>In an effort to assist our members to become more informed about their healthcare, the Association is pleased to offer a telephone service that allows members to ask questions and receive information about their health, illnesses and medications. </li></ul><ul><li>Members have unlimited access to registered nurses via a toll-free number 24 hours a day, 365 days a year. These nurses are specially trained to offer prompt, confidential medical counseling to help members make informed decisions about their health and the medical care they receive. However, our nurses do not diagnose or provide treatment. </li></ul><ul><li>The services include: </li></ul><ul><li>Toll-free, confidential availability to registered nurses 24 hours a day at 1-800-982-2401 </li></ul>
  18. 18. 24-Hour Nurse Hotline <ul><li>Access to a library of audio tapes on over 700 health topics found in the Nurse Helpline Booklet. Please call Member Services at 1-866-215-1376 to request a booklet </li></ul><ul><li>Information about self care techniques for common symptoms. </li></ul><ul><li>Explanations on what to expect during a medical test </li></ul><ul><li>Help from a registered nurse who can answer questions regarding: - Diagnostic and surgical procedures </li></ul><ul><li>A recently diagnosed medical condition </li></ul><ul><li>Prescription and over the counter medication information </li></ul>
  19. 19. ITC-50 Hotel Program <ul><li>Whether you plan to stay at a hotel, a motel or a resort for a night, a week or more, your association membership qualifies you for International Travel Card (ITC-50) savings. </li></ul><ul><li>ITC-50 saves you 50% off the regular non-discounted room rate at participating hotels ITC-50 has made special arrangements with over 4,400 hotels and motels throughout the United States and abroad, ranging from first-class properties to family-style and budget motels. You’ll still enjoy the same quality service and accommodations as those paying regular room rates. </li></ul><ul><li>Here’s How the Discount Hotel Program Works: </li></ul><ul><li>Order your ITC-50 Discount Hotel Directory. Simply complete and send the ITC-50 Discount Hotel Directory Request Form . </li></ul><ul><li>Select a participating hotel and call to make your reservations. Call the number listed in the directory to make your reservation (you must make your reservation directly with the specific property, not through a travel agency). Tell the reservationist that you are an ITC-50 member. </li></ul><ul><li>Show your association member card with the ITC-50 logo on it when you check into the hotel. Your membership and ITC-50 savings will be verified when you check into the hotel or motel. </li></ul><ul><li>Enjoy immediate savings. The rate you pay will be 50% of a non-discounted room rate or the regular published “rack rate,” subject to availability. </li></ul><ul><li>Participating hotels include: Doubletree, Marriot Suites and Hotels, Fairfield Inn, Ramada Inn, Hilton, Red Roof Inn, Sheraton, Hyatt, Wyndham, and many more! </li></ul>
  20. 20. Savers Club® Book <ul><li>Everyday savings are right at your fingertips! With your membership, you can get a free copy of our popular Savers Club® Book, containing thousands of discount offers. Use it across the country or close to home. </li></ul><ul><li>By using your book, you can: </li></ul><ul><li>Save at the country’s most popular theme parks and recreation destinations. </li></ul><ul><li>Save at the box office. Get reduced ticket prices at the nation’s largest movie theatre chains. </li></ul><ul><li>Save up to 50% off the rack room rates at more than 4,400 participating hotels, motels, and inns worldwide. </li></ul><ul><li>Save on retail services like floral, automotive, health and beauty, dining and shopping. </li></ul><ul><li>Receiving Your Savers Club® Book is Easy Simply fill in and mail the order form . Once you receive the current year’s book, you can order next year’s edition by using the re-order form located in the book or by calling 1-800-251-2311. </li></ul>
  21. 21. 24-Hour Roadside Assistance <ul><li>Association Members can gain peace of mind on the road by registering for Emergency Roadside assistance. Once registered, you will receive emergency roadside assistance membership materials including membership cards that will enable you and your family to get assistance from a participating service provider whenever car troubles arise. </li></ul><ul><li>You will be covered for the first $50 per occurrence for each covered emergency expense, including towing, flat tire assistance, battery service and lock-out service. </li></ul><ul><li>You are responsible for paying providers directly for any charges over $50 per occurrence and for any non-covered expenses. Payment is required at the time services are rendered. To be eligible for coverage, you must register in advance of using the service and receive your roadside assistance membership cards. Only one service call for the same cause will be covered during any seven-day period. </li></ul><ul><li>To register, simply call Member Services at 1-866-215-1376 . Road America will send you a membership kit detailing the services of the program. </li></ul>
  22. 22. Gift Card Program <ul><li>Enjoy the convenience of buying a gift without any worries or hassles. Perfect for a friend, relative, or the person who has everything, gift cards make great presents and can be used most any time. With this valuable savings benefit, you can purchase gift cards worth $25 while enjoying a discount off the face value of each card. Discounted Gift Cards are available for well-known clothing boutiques, department stores, restaurants and more. You’ll enjoy savings on gift cards from participating merchants nationwide!* </li></ul><ul><li>*Gift card/gift certificate purchases limited to a total of 500 cards annually. Participating merchants may change at any time without notice. </li></ul>

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