Wise Solution Sample Plans |
Benefits |
Plan
A |
Plan
B |
Plan
C |
Daily
In-Hospital Indemnity
Benefit |
$200
per day up to max of 180 days
per confinement |
$400
per day up to max of 180 days
per confinement |
$800
per day up to max of 180 days
per confinement |
Annual
First Occurrence Hospital
Confinement Rider |
$300
first time per year |
$500
first time per year |
$1,000
first time per year |
Surgical
Benefit Rider |
up
to $2,000 per surgical schedule |
up
to $3,000 per surgical schedule |
up
to $6,000 per surgical schedule |
Anesthesia |
25%
of surgical benefit |
25%
of surgical benefit |
25%
of surgical benefit |
Outpatient
Sickness Rider |
$50
per visit, max number of visits
outlined on schedule |
$50
per visit, max number of visits
outlined on schedule |
$75
per visit, max number of visits
outlined on schedule |
Wellness
Benefit |
$75
once per person per calendar
year up to two times per family per
calendar year |
$75
once per person per calendar
year up to two times per family per
calendar year |
$75
once per person per calendar
year up to two times per family per
calendar year |
Diagnostic
Testing |
up
to $250 max per year per person
not to exceed $500 per family per
calendar year |
up
to $250 max per year per person
not to exceed $500 per family per
calendar year |
up
to $250 max per year per person
not to exceed $500 per family per
calendar year |
Accidental
Medical |
$5,000 |
$5,000 |
$5,000 |
AD&D |
$50,000 |
$50,000 |
$50,000 |
Prescription
Drug Benefit |
Discount
Plan |
Generic
$10 Co-pay
Branded drugs at discount |
Generic
$10 Co-pay
Branded drugs at discount |
Savings
Card |
Included |
Included |
Included |
| Monthly Rates |
Individual Only- $77.42
Ind & Spouse- $131.65
Ind & Children- $111.57
Ind & Family- $157.76 |
Individual Only- $126.98
Ind & Spouse- $219.30
Ind & Children- $179.88
Ind & Family- $262.85 |
Individual Only- $200.43
Ind & Spouse- $358.91
Ind & Children- $279.40
Ind & Family- $428.47 |
| Requirements |
Large Groups
(>51 eligible w/ 25 part. in Florida; >10 participants
out of Florida) |
| The plans above
are for comparable purposes. The actual plan with
each company will be determined by the Employer's
criteria. |
| Wise Benefits
does not guarantee the accuracy of this information.
Request a proposal for rates specific to each group. |
| Rates in Florida,
Pennsylvania and Tennessee will vary. |
|
|
| Wise Care benefits
are fully insured by a "A" rated carrier!
Contact us below to learn of the states this plan
is available. |
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