HEALTH CARE PLUS, New Low Rates

Health Care Plus - Monthly Premium Rates* - Eff. April 1998
 

 SINGLE

COUPLE

FAMILY

 AGE

0-64

65+

0-64

65+

0-64

65+
 PLAN A
 Extended Helth Care

 $15.

$26.

$29.

$51.

$38.

$57.
 PLAN B
 Extended Health Care &
 Dental

 $50.

$60.

$97.

$117.

$125.

$132.

 Select Plan A or B, then add any options you wish below.
 OPTION 1
 Prescription Drugs**		   $37.

NA

 $72.

NA

 $93.

NA
 OPTION 2
 Preferred Hospital**

 $8.

 $35.

 $15.

 $68.

 $18.

 $77.
 OPTION 3
 Hospital Cash

 $5.

 $23.

 $9.

 $45.

 $11.

 $51.
 OPTION 4
 Travel Health

 $5.

 $12.

 $9.

 $23.

 $10.

 $25.
To calculate your monthly premium, select Pan A or Plan B. Then add the Optional benefits you would like and sinsert the total below. For example, to calculate Plan B + Option 1 for a single person under age 65: $50 + $37 = $87 per month. 
 TOTAL
 You may have to print this form.		            
 General Notes:
 * Rates are subject to change without notice.
   Plans A and B are guaranteed issue.
  Rates are monthly.
  Optional Benefits can only be purchased in addtion to Plan A or B.
  When calculating Couple or Family use the eldest member.
** Options 1 & 2 require you to complete a medical questionnaire.
   You may be declined or accepted for these benefits based on your
   health history.

Back to: What is New
 [Who we are] [What we will do for you] [Business Insurance] [Employee Benefits]
[Financial and Estate Planing] [Personal Property Insurance] [What's New]
[The Principals] [How to contact us] [Home]
© 1998 The Regional Insurance Services Inc.