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Shared Maximum Benefit Option

Most of our plans are composed of benefits that pay a fixed amount up to a per person, per calendar year maximum for each individual benefit. There's another type of plan available — one where a predetermined set of benefits share one calendar year maximum.

  

The benefits included in these Shared Maximum Benefits still provide a fixed payment for covered claims. Participants enjoy the flexibility of deciding which benefits they'd like to use under the maximum set for the policy which can range from $10,000 to $100,000. 
 
Policyholders also have the option of including benefits with individual maximums, providing the additional benefit isn’t already part of the shared maximum plan. Even though there are two benefit options, there is just one premium amount for this plan design.
 
Talk to your Select Benefits rep to find out if Shared Maximum Plans are available in your state.  
 
SHARED MAXIMUM OPTION  EXAMPLE (a $10,000 per person, per calendar year maximum)   ​
​​Doctor's Office Visit Benefit ​$55 per visit​
Outpatient Diagnostic X-Ray & Lab
Class A - $300 per procedure
Class B - $55 per procedure
Class C - $10 per procedure​
Hospital Inpatient Admission ​$900 per admission​
Surgical Benefit (Schedule C) ​Included​
Surgical Anesthesia Benefit ​$375 per surgery
 
ADDITIONAL BENEFITS WITH INDIVIDUAL PP/POLICY MAXIMUMS  ​
​​Preventive Care Benefit ​$75 per visit​/$150 pp/pcy*
Emergency Room Benefit
$75 per visit/$150 pp/pcy*
Accident Benefit ​$50 per visit/$150 pp/pcy*

  * pp/pcy = per person/per calendar year

 

For more information on the Shared Maximum Benefit option, please refer to the flyer we give to participants, "A guide to using your shared maximum coverage."

 

Select Benefits insurance policies are not a replacement for a major medical policy or other comprehensive coverage. They are designed to provide benefits at a preselected, fixed-dollar amount. Coverage may be subject to exclusions, limitations, reductions, and termination of benefit provisions. Select Benefits policies are insured by Symetra Life Insurance Company located at 777 108th Avenue NE, Suite 1200, Bellevue, WA 98004, and are not available in all U.S. states or any U.S. territory.

 

Copyright © 2004 - Symetra Life Insurance Company, 777 108th Ave NE, Suite 1200, Bellevue, WA 98004. All rights reserved. Symetra® is a registered service mark of Symetra Life Insurance Company.
Customers may access their account information from this site. Other information in this site may be pending approval for use in states with website filing requirements.