Choose the Level of Benefits
You Need:
Red, White, or Blue
|
Benefits |
Red Pays |
White Pays |
Blue Pays |
|
Hospital Confinement (up to 365
days) |
$65.00/day |
$125.00/day |
$190.00/day |
|
Intensive Care Confinement* |
$65.00/day |
$125.00/day |
$190.00/day |
|
Pre-Admission Testing |
$65.00 per related
surgery |
$125.00 per related surgery |
$190.00 per related
surgery |
|
At Home Recuperation |
$40.00 for each
day you received hospital benefit |
$75.00 for each day you received
hospital benefit |
$115.00 for each
day you received hospital benefit |
|
Out Patient Surgery |
$125.00 per session |
$250.00 per session |
$375.00 per session |
|
Accident Treatment (outside of
hospital) |
$65.00 per injury |
$125.00 per injury |
$190.00 per injury |
*Pays
in addition to the Hospital Confinement Benefit
Economical
Bi-Weekly Group Premiums
Payroll Deduction
Option* is a convenient, sure way to protect yourself and your
family from the high cost of hospitalization!
|
Employee's Attained Age |
Coverage for Employee
Only |
Coverage for Employee
+1 Dependent |
Coverage for Employee
+2 or more Dependents |
|
Red |
White |
Blue |
Red |
White |
Blue |
Red |
White |
Blue |
|
Under 40 |
$4 |
$8 |
$12 |
$7 |
$14 |
$21 |
$9 |
$18 |
$27 |
|
40-44 |
$5 |
$10 |
$15 |
$10 |
$20 |
$30 |
$12 |
$24 |
$36 |
|
45-49 |
$6 |
$12 |
$18 |
$12 |
$24 |
$36 |
$14 |
$28 |
$42 |
|
50-54 |
$8 |
$16 |
$24 |
$14 |
$28 |
$42 |
$17 |
$34 |
$51 |
|
55-59 |
$9 |
$18 |
$27 |
$18 |
$36 |
$54 |
$20 |
$40 |
$60 |
|
60-64 |
$12 |
$24 |
$36 |
$23 |
$46 |
$69 |
$25 |
$50 |
$75 |
|
65-69 |
$15 |
$30 |
$45 |
$28 |
$56 |
$84 |
$30 |
$60 |
$90 |
Coverage
terminates for employee and dependents when employee reaches
attained age 70. * If you wish to apply but DO NOT wish
to pay through payroll deduction, call SHIP Administrator for
information on Monthly Check Service and Quarterly Direct Billing
Options.
Click
HERE To Go Back to the
Supplemental Health Insurance Plan |
