Shared Maximum Benefit Option
Most of our plans are composed of benefits that each pay a fixed amount up to a per person, per calendar year maximum for each individual benefit.
The benefits included in these Shared Maximum Benefits still pay a fixed payment for covered events, and participants have the flexibility of deciding how they will use the benefits under the maximum set for the policy. This can range from $10,000 to $100,000.
Policyholders also have the option to add benefits with individual maximums, provided the benefit isn’t already included in the plan’s preselected benefits. Even though there are two benefit options, there’s only one total premium amount for this plan.
EXAMPLE OF A SHARED MAXIMUM OPTION
- With additional benefits subject to individual maximums.
|BENEFITS SHARING (a $10,000 per person, per calendar year maximum)|
|Doctors 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|
|ADDITIONAL BENEFITS (with individual per person, per calendar year, maximum)|
|Preventive Care||$75 per visit, $150 pp/pcy max. |
|Emergency Room||$75 per visit, $150 pp/pcy max.|
For more information, please refer to the flyer given 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.