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Benefits are based on a calendar yearRx Card • Walk In generic discount: 25% • Walk In brand name discount: 15% • Mail Order brand name discount: 48% • Mail Order generic discount: 60% Critical Illness Benefit $5,000 critical illness coverage on the primary insured and spouse. Not HIPAA Compliant. PPO Network Discounts The plan offers Multiplan PPO network re-pricing when network providers are used. Multiplan offers one of the largest seamless national networks. Over 500,000 providers in 50 states. Visit http://www.multiplan.com to locate a provider. The Plan has a pre-existing conditions limitation. Pre-existing conditions are not covered until the policy has been in effect for more than 12 months. A pre-existing condition is any condition you have now or had within a six month period prior to the effective date of coverage for each covered person. The Plan is HIPAA compliant. Persons who leave the plan will receive a HIPAA Certificate of Creditable Coverage. Those who enter the plan presenting a Certificate of Creditable Coverage will receive credit toward the Plan’s pre-existing conditions limitation.
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Note: HIV Health Coverage products are not available in all states and HIV Health Coverage may vary by state. For questions regarding state HIV Health Coverage, please contact us via our Inquiry form or call us at: 866.680.1982.




Benefits are based on a calendar year