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Starbridge Plans
from Wise Benefits!

Requires Groups of 80+ Eligible Employees
For Individuals, Smaller Groups or Associations - See Basic Care or Homeland

YOU MAY USE ANY DOCTOR OR ANY HOSPITAL
Premiums are not priced by individual companies but are spread over 700 Companies across America
High Turn-Over and Multi-State groups are welcome
Our Plans are Fully-Insured by Major Carriers

Your Employees may choose Level 1, 2 or 3. If offering Plan 3, a small Employer contribution is required.

BENEFITS	Level 1	Level 2	Level 3
Physician's Office Copay	$15	$10	$10
Coverage	100%	100%	100%
Outpatient Medical Benefit	$1,000 per yr.	$1,500 per yr.	$2,000 per yr.
Coverage	80%	80%	80%
Deductible	$50 per yr.	$100 per yr.	$150 per yr.
Inpatient Medical Benefit	$10,000 per year paid at 100% to a maximum of $100/day for 100 days	$25,000 per year paid at 100% to a maximum of $250/day for 100 days	$50,000 per year paid at 100% to a maximum of $500/day for 100 days
Coverage	100%	100%	100%
Deductible	None	None	None
Inpatient Surgery and Maternity Benefits Pays in addition to Inpatient Med. Benefits	N/A	$1500 Surgery & $1500 Maternity	$2500 Surgery & $2500 Maternity
Coverage	100%	100%	100%
Deductible	None	None	None
Accident Medical Benefit	$5,000 per yr.	$10,000 per yr.	$15,000 per yr.
Coverage	80%	80%	80%
Deductible	$50/Occurrence	$100/Occurrence	$150/Occurrence
Additional Limits	$2500/Occurrence Maximum	$5000/Occurrence Maximum	$5000/Occurrence Maximum
Prescription Drug Benefit	Discount Only	Discount +$300 per yr	Discount +$600 per yr
Coverage	25% average discount	25% average discount plus 100% reimbursement to $300 per yr after $15 Ded generic/$25 ded brand. Max reimbursement per prescription of $100	25% average discount plus 100% reimbursement to $600 per yr after $15 ded generic/$25 ded brand . Max reimbursement per prescription of $100
Accidental Death Benefit	$10,000	$15,000	$25,000

*Weekly Rates:**
Employee	$8.35	$15.25	$23.30
Employee + 1	$20.40	$37.65	$57.80
Family	$30.90	$57.10	$87.70

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