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CriticalMed Plan®

Coverage for a set-limit of catastrophic care.

The CriticalMed Plan provides a predetermined, set-limit of catastrophic coverage. The plan can be offered as a core benefit option for uninsured employees or as a supplemental buy-up option for underinsured employees who are enrolled in a limited-benefit health insurance plan. It is not intended to replace major-medical coverage.

CriticalMed offers an option for individuals who are concerned about insurance coverage for major events. The simple and affordably priced plan is designed for individuals who are willing to self-pay their day-to-day medical expenses and forego first-dollar insurance coverage. A set-limit of catastrophic insurance coverage can be selected to best meet a person’s needs, similar to selecting the face value of a life insurance policy. Coverage limits available are $15,000, $25,000 and $50,000 per year.

In addition to the insurance benefits, members will also have access to DoctorNavigator®. The online price transparency tool helps insured individuals comparison shop for prices of physician services and prescription drugs before services are received. They will also obtain ongoing, pre-negotiated, discounted rates at network providers that range from 10-40% and helps to save money on out-of-pocket medical expenses.

For detailed plan information or to obtain a quote (click here).

Disclaimer: This is not basic health insurance or major medical coverage and is not designed as a substitute for basic health insurance or major medical coverage. This document provides only brief descriptions of the coverages available. The Policies contain reductions, limitations, exclusions and termination provisions. Full details of the coverage are contained in each Policy. If there are any conflicts between this document and the Policy, policy shall govern. Not all coverages are available in every state. Coverage may not be available in all jurisdictions and is subject to actual policy language. For broker/agent use only. Not a solicitation. DoctorNavigator and other noninsurance products and services may be provided by independent third parties.

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