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SureHealth Plus
Plus
100
Plus
350
Plus
500
Plus
750
Insurance Features
(Click Here for Description of Insurance Features)
Expressed on a Per Member, Per Policy Year (Excluding AD&D)
Daily In-Hospital* - Up to:
Combined Maximum days per policy year
$100
60
$350
60
$500
60
$750
60
Surgery with Anesthesia Benefit* - Up to:
Surgery as % of RBRVS
Anesthesia as % surgery benefit
$1,000
50%
20%
$2,000
50%
20%
$3,000
50%
20%
$4,000
50%
20%
Intensive Care/Critical Care* - Up to:
Combined Maximum dyas per policy year
$200
10
$700
10
$1,000
10
$1,500
10
Doctor Office Visits - Up to:
Combined Maximum visits per policy year
$50
5
$50
5
$50
5
$50
5
Preventative test Care - Up to:
Combined Maximum visits per policy year
$50
1
$50
1
$50
1
$50
1
Emergency Care/Urgent Care - Up to:
Combined Maximum visits per policy year
N/A
N/A
N/A
$50
1
Ambulance
N/A
N/A
$50
$50
Diagnostic Testing & Lab Benefit
Combined Maximum visits per policy year
$50
5
$50
5
$50
5
$50
5
Accident Benefit - Up to:
 Annual Deductible
Coinsurance
$5,000
$100
80%
$5,000
$100
80%
$5,000
$100
80%
$5,000
$100
80%
Accidental Death & Dismemberment (AD&D)
Maximum Benefit Primary - Up to:
Maximum Benefit Spouse - Up to:
Maximum Benefit Dependant - Up to:

$10,000
$5,000
$2,500

$10,000
$5,000
$2,500

$10,000
$5,000
$2,500

$10,000
$5,000
$2,500
*Daily In-Hospital, Surgery with Anesthesia and Intensive Care subject to 12/12 for preexisting conditions.
Carrier will not pay Concurrently for Daily In-Hospital and Intensive/Critical Care.
Patriot Health Florida, Inc. Program Features**
(Click Here for Description of Patriot Health Program Features)

This discount program is not a health insurance policy and is not intended as a substitute for insurance. The program provides for discounts on health services from participating providers, and the range of the discounts will vary depending on the type of provider and the health services received.  The program does not make payments to providers of health care services.  Members are required to pay for all health care services at the time the services are performed, but will receive a discount from contracted providers.  This program is administered by Patriot Health Florida, Inc., at 160 Eileen Way, Syosset, NY, 11791 at 866.907.7851 and is offered to members of Consumer Health Choice Association, located at 8201 Peters Road Suite 1000, Plantation, FL 33324.

To obtain additional information and an up-to-date list of contracted providers by name, city, state, and specialty in your service area, you may call customer service at 800-290-3869.Program administrators have no liability for providing or guaranteeing service or for the quality of service rendered.  Participating providers are subject to change without notice and are not available in all areas.  Note:  This contract is not protected by any state Life and Health Guarantee Association. 
SureHealth Plus
100
350
500
750
4 Tier Prescription*** - Agelity
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Physicians, Hospitals & Labs
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Dental
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Vision
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Hearing
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Chiropractic Care
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Alternative Medicine
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Elder Care
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24 Hour Nurse Hotline**
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24 Hour Counseling Hotline**
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**Patriot Health Florida, Inc. Program features are not available in AK, CA, CT, FL, ID, KS, ME, MT, NH, NV, OK, VT and WA.
Exceptions: 4-Tier Pharmacy feature is not considered a discount medical plan and is available in FL, is also available in ID and ME but is not available in AK, CA, CT, KS, MT, NH, NV, OK, TN, VT and WA.

(2) 24 Hour Nurse Hotline and 24 Hour Counseling Hotline are service programs available to all members.

***Agelity 4-Tier is standard/Catalyst 4-Tier made available through Optional Upgrade.
 
CHCA Membership Features also Included in all SureHealth Programs
(Click Here for Description of Membership Features)
CHCA Lifestyle Membership Features*
CHCA Free Membership Features
Fitness Centers
Amusement Parks
Vitamins & Supplements
Floral Arrangements
Identity Theft Guardian
Moving & Storage
Durable Medical Equipment & Supplies
Car Rentals
Medical Records Software Plus
Magazine Subscriptions
Legal Assistance
KB-Toys
Financial Planning
Luggage Online
Hotels
Overstock.com
Roadside Assistance Emergency Access
Personalization Mall
Auto Maintenence
Toshiba
Movie Tickets
Cookies & Confections
Tradesman Referrals
Match.com
Emergency Travel Assistance®**
Petsmart
 
Expedia
*CHCA Lifestyle Features are not available in NC. **Emergency Travel Assistance is not available in CA, FL or NY.

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SureHealth transition programs are not available in: CT, KS, MN, MT, NH, SD, VT and WA

Please refer to the effective date on your new membership ID card(s), as of the date shown,
Insurance benefits are underwritten by American Medical & Life Insurance Company.
Exclusively Distributed by Oxonia Insurance Group, Inc. d/b/a/ Oxonia Insurance agency in CA, MI, NY, and VA.

© 2005-2006 All rights reserved, Oxonia Insurance Group, Inc. d/b/a/ Oxonia Insurance agency in CA, MI, NY, and VA.
P.O. Box 15398 • Plantation, FL 33318 • Toll Free: (800) 337.1421 • Fax: (954) 315.6325