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Intelicare Health
Program Overview & Retail Pricing
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500
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1000
Premium
500
Premium
1000
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Retail rates 08/08/2008 - Intelicare Health Membership Programs are available for new purchase by CHCA members in:
AL, AZ, DE, DC, HI, IL, IN,KY, MD, MI, MO, MS, ND, NE, NY, OH, OK, OR, PA, RI, SC, TN, WI, WV and WY.
Retail Rates CA (NV Pending)
Individual individual
$159.95
$189.95
$219.95
$249.95
Individual + Spouse individual-and-spouse
$269.95
$329.95
$359.95
$419.95
Individual + Children individual-and-children
$249.95
$309.95
$319.95
$379.95
Family family
$349.95
$429.95
$439.95
$519.95
 
Above amounts indicate monthly rates
Retail Rates FL, ID, ME
Individual individual
$169.95
$199.95
$229.95
$259.95
Individual + Spouse individual-and-spouse
$279.95
$339.95
$369.95
$429.95
Individual + Children individual-and-children
$249.95
$319.95
$329.95
$389.95
Family family
$359.95
$439.95
$449.95
$529.95
 
Above amounts indicate monthly rates
Retail Rates All Other States
Individual individual
$179.95
$209.95
$239.95
$269.95
Individual + Spouse individual-and-spouse
$289.95
$349.95
$379.95
$439.95
Individual + Children individual-and-children
$269.95
$329.95
$339.95
$399.95
Family family
$369.95
$449.95
$459.95
$539.95
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All above amounts indicate monthly rates
Monthly Administration Fee
$10.00
$10.00
$10.00
$10.00
One Time Processing Fee
$125.00
$125.00
$125.00
$125.00
 
The One-Time Processing Fee and
Monthly Association Fee apply to all states and plans.
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Insurance Benefits
Select
500
Select
1000
Premium
500
Premium 1000
Daily - In Hospital* - Up to:
Combined Maximum days per policy year
$500
30
$1,000
30
$500
30
$1,000
30
Initial Hospital Admission - Up to:
n/a
n/a
$250
$250
Surgery with Anesthesia Benefit
Surgery % of RBRVS - Up to:
Anesthesia as % of Covered Surgery - Up to:

50%
25%

50%
25%

80%
25%

80%
25%
Intensive Care* - Up to:
Combined Maximum days per policy year
$500
3
$1,000
3
$500
3
$1,000
3
Doctor Office Visits - Up to:
Combined Maximum visits per policy year
$50
5
$50
5
$70
5
$70
5
Preventative Test Care - Up to:
Combined Maximum tests per policy year
$50
1
$50
1
$70
1
$70
1
Emergency Care/Urgent Care - Up to:
Combined Maximum visits per policy year
n/a
$50
1
$50
1
$50
1
Diagnostic Testing & Lab Benefit - Up to:
Combined Maximum visits per policy year
$50
5
$50
5
$70
5
$70
5
Accidental Medical - Up to:
Deductible per Accident
Max. # of accidents per person/policy year
$2,500
$100
1
$2,500
$100
1
$2,500
$100
1
$2,500
$100
1
Skilled Nursing Facility - Up to:
Combined Maximum days per policy year
n/a
n/a
$100
10
$100
10
Term Life
Max Benefit (Primary Only)
n/a
n/a
$10,000
$15,000
Accidental Death & Dismemberment
Max Benefit Primary - Up to:

Max Benefit Spuse - Up to:
Max 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
*Carrier will not pay concurrently for Daily In-Hospital Confinement and Intensive Care/Critical Care features.
 
Patriot Health Florida, Inc. Program Features* - (Subject to availability)

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.

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.

Program Features
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500
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1000
Premium
500
Premium 1000
Physicians, Hospitals & Labs
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Dental
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Vision
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Hearing
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4 Tier Prescription
Check Mark
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Chiropractic Care
Check Mark
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Alternative Medicine
Check Mark
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Elder Care
Check Mark
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Check Mark
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24 Hour Nurse Hotline
Check Mark
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24 Hour Counseling Hotline
Check Mark
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*Patriot Health Florida, Inc. Program Features are not available in CA, CT, FL, ID, KS, ME, MT, NH, NV, VT and WA. Exceptions: 4-Tier Pharmacy feature is available in FL, ID and ME but is not available in CA, CT, KS, MT, NH, NV, TN, VT and WA.
24-Hour Nurse and Counseling Hotlines are available to all CHCA Members of Intelicare Programs.
 
CHCA Membership Features - (Included in All Memberships)
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 Maintenance
Toshiba
Movie Tickets
Cookies & Confections
Tradesman Referrals
Match.com
Emergency Travel Assistance®
Petsmart
 
Expedia
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Intelicare Health Membership Programs are available for new purchase by CHCA members in:
AL, AZ, DE, DC, HI, IL, IN,KY, MD, MI, MO, MS, ND, NE, NY, OH, OK, OR, PA, RI, SC, TN, WI, WV and WY.

Watch for new state availability announcements!

 

© 2007 Consumer Health Choice Association, Inc. All rights reserved

P.O. Box 15460  •  Plantation, FL 33318 • Toll Free: (866) 907-7851 •  Ph: (954) 315-5431 •  Fax: (954) 916-2601

Insurance benefits are underwritten by American Medical & Life Insurance Company