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General Information: Index | Built-in Features | Exclusions & Limitations | Locate Providers | Electronic Application
Benefit Schedules: MaxPlan | CoreMed | OneDeductible HSA
Arizona Health Insurance > Assurant Health/Time Insurance Company > OneDeductible Benefits
Quote & Apply - Electronic Application
| Plan Design Unless otherwise noted, all deductibles, maximums and benefit amounts are applied per person and are reset each January 1. | |
| Select an underlined deductible and you'll receive a 24-month rate guarantee—with the option to extend it to 36 months! | Standard choices |
| Deductible Amount you pay toward covered expenses before the plan pays benefits |
Individual: $1,100, $1,600, $2,100, $2,850, 3,750 or $5,000 Family: $2,200, $3,200, $4,200, $5,700, $7,500 or $10,000 |
| Benefit Percentage Percentage of covered expenses the plan pays after the deductible |
100%, 80% or 50% |
| Coinsurance Percentage of covered expenses you pay after the deductible |
0%, 20% or 50% |
| Coinsurance Out-Of-Pocket Maximum After this maximum is met, the plan pays 100% of covered expenses |
$0 to $2,500 depending on coinsurance (Family coinsurance out-of-pocket maximum is two times the coinsurance out-of-pocket maximum and is met collectively by two or more persons) |
| Outpatient Services Maximum Annual maximum amount paid by the plan |
None—the plan pays benefits to the lifetime benefit maximum |
| Lifetime Benefit Maximum The total maximum amount the plan pays |
$3 million or $8 million |
| Outpatient Benefits: Subject to the selected deductible and coinsurance unless otherwise noted. | |
| Prescription Drugs | Covered |
| Preventive Services | Benefits for preventive services, as for all covered services, are subject to deductible and coinsurance unless otherwise noted. |
| Mammograms, Pap tests and PSA screening | Covered—with no special limits |
| Other covered preventive services | Up to $1,000 in benefits • Optional First-Dollar Preventive Services Benefit—, click here and view "Office Visit Copay" |
| Office Visits | Covered |
| Diagnostic Imaging and Laboratory Services | Covered |
| Outpatient Hospital, Surgical Center or Urgent Care Facility | Covered |
| Professional Ground and Air Ambulance | Covered |
| Emergency Room | Covered • $75 emergency room fee—waived if admitted to the hospital |
| Health Care Practitioner Services | Covered |
| Outpatient Physical Medicine | Up to $3,000 in benefits |
| Home Health Care | Up to 160 hours |
| Inpatient Benefits Benefits: Subject to the selected deductible and coinsurance unless otherwise noted. | |
| Inpatient Hospital | Covered |
| Inpatient Rehabilitation Facility | Up to 90 days |
| Subacute Rehabilitation and Skilled Nursing Facilities | Up to 90 days |
| Transplants | Covered • Kidney, cornea and skin transplants have no special limits • Transplants such as bone marrow, heart, liver and lung have no special limits when performed at a designated transplant provider • Up to $10,000 toward travel expenses to a designated transplant provider • Up to $10,000 toward donor expenses • For transplants other than kidney, cornea or skin that are not performed at a designated provider, the lifetime benefit maximum is $100,000 per person |
| Behavioral Health and Substance Abuse | Inpatient and outpatient benefits are paid at 50% up to $2,500 • Coinsurance does not apply to the out-of-pocket maximum |
The amount of benefits depends upon the plan components selected, and the premium varies with the amount of benefits.
Non-network provisions may apply.
Ready to enroll? Get a quote and Quote & Apply.
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