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Member Benefits: Corporate Style Benefits

The opportunity has arrived for you to truly maintain your independence and have access to corporate style benefits!

401K Participation

You may contribute the bonuses you earn to our John Hancock 401K plan!

Life Insurance Coverage

Coverage is available to you at no cost up to $10,000.00. You may increase your death benefit at your own expense.

Elite Producer Medical Plan

The Elite Producer Program is offering you Humana Health Insurance coverage, Vision and Dental.

Coverage Details:

Coverage 1st with $500 allowance per member and 100% in-network / 70% out-of-network. Click on the below tabs for additional coverage detail.


  • In-Network Benefits
  • Physician Services
  • Preventive Care
  • Facility Services
  • Other Medical Services
  • Behavioral Health
  • Prescriptions
  • Vision
  • Dental
In-Network Benefits
In-Network
Lifetime Maximum
5 Million
First Dollar Benefit
$500 per member per calendar year
Deductible (calendar year)
$2,500 individual/ $5,000 family
Deductible Calculation for family
By member (family max applies)
Co-Insurance (after Deductible)
100%
Out of Pocket Maximum
Not Applicable
Physician Services
In-Network
Primary Care Physician
$20 copay
Specialist
$40 copay
Diagnostic Lab & X-Ray
Deductible
Urgent Care
Deductible plus $40 copay
Preventive Care (Does not reduce $500 up-front benefit allowance)
In-Network
Primary Care Physician
$20 copay
Specialist
$40 copay
Diagnostic Lab & X-Ray
100%
Pap Smear & Mammogram
100%
Prostate Screening
100%
Child immunizations to age 18
100%
Flu & pneumonia immunizations
100%
Endoscopic services (including, but not limited to colonoscopy)
Deductible
Facility Services
In-Network
In-Patient Services
Deductible plus $250 copay per confinement
Out-Patient Surgery
Deductible plus $50 copay per visit
Out-Patient Services
Deductible
Out-Patient - Advance Imaging (PET, MRI, MRA, CAT, SPECT)
Deductible
Emergency Room
Deductible plus $150 copay
Other Medical Services
In-Network
Skilled nursing facility (up to 60 days per calendar year)
Deductible
Hospice
Deductible
Home Health Care
Deductible
Physical, occupational, cognitive, speech, audiology - combined 25 visits per calendar year
Deductible
Spinal treatment
Deductible plus $40 copay
Durable medical equipment (limited to $2,500 per calendar year)
Deductible
Ambulance
Deductible
In-Network Benefits
In-Network
In-Patient Services (combined limit up to 10 days per calendar year)
Deductible plus copay per confinement
Out-Patient & therapy sessions (combined limit up to 15 visits per calendar year)
Deductible plus copay
In-Network Benefits
In-Network
Level 1
$10
Level 2
$35
Level 3
$55
Level 4 ($2,500 per member per calendar year)
25%
Mail Order (up to 90 day supply)
2.5 x copay
In-Network Benefits
Frequency
Benefit
Exam
1 per 12 months
$10 Copay
Basic Lenses
1 per 12 months
$10 Copay
Frames
1 per 24 months
up to $110 Retail
Contacts-med.nec.
1 per 24 months
$10 Copay
Contacts-elective
1 per 24 months
$100 Allowance
     
In-Network Benefits
Frequency
Benefit
Exam
1 per 12 months
up to $34
Basic Lenses
1 per 12 months
up to $125
Frames
1 per 24 months
up to $35
Contacts-med.nec.
1 per 24 months
up to $210
Contacts-elective
1 per 24 months
up to $75
     
In-Network Benefits
Voluntary
 
Employee
$7.95
 
Employee plus Spouse
$14.73
 
Employee plus Children
$15.52
 
Employee plus Family
$19.01
 
The COPAY PLAN (1A-199)
Network
Non-network
Office Visit COPAY
$10
$10
Type I Coverage*
$0 Copay's
See Schedule
Type II Coverage*
See Schedule
See Schedule
Type III Coverage*
See Schedule
See Schedule
Orthodontia
See Ortho
None
     
Annual Deductible
$50/150 - Type II&III Services
$50/150 - Type II&III Services
Annual Maximum
None
None
Type I - Waiting Period
None
None
Type II - Waiting Period
None
None
Type III - Waiting Period
None
12 Months
Orthodontia Waiting Period
None
N/A
     
Monthly Premium**
 
Employee
$15.42
 
Employee plus Spouse
$29.39
 
Employee plus Children
$24.73
 
Employee plus Family
$44.21
 

 

 

Elite Producer Overview

Understand the program and its advantages for you.

Learn More
Do you have Questions?

Call us at 800-290-7226 option 106, or request to be contacted.

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