Underwritten by U.S. Fire Insurance Company and/or Fairmont Premier
Insurance Company. (Note: This benefit is available for those under
the age of 65)
Description of Benefit
- The program will reimburse you $50.00 per Doctor's Office visit.
- The reimbursement will be paid for up to 10 visits per benefit year for sickness visits.
- The program will reimburse you no matter what doctor you choose, even out of network doctors. However, when you call Member Services before setting your appointment and choose to select a Participating Provider, you will also have access to the doctor's contracted reduced rates -- this will help you get the best value for your health care dollar.
Outpatient Physician Benefit: Pays $50 for treatment of a covered sickness or injury by a physician in the physician's office, clinic, urgent care facility or emergency room. The maximum number of visits is 10 per calendar year per family, 5 per calendar year for all covered dependent children combined and 5 per calendar year per covered adult except for dependent children. This benefit is not payable for routine health examinations or immunizations for covered persons aged 6 and older, for visits for mental or nervous disorders or for visits by a surgeon while confined to a hospital.
