Benefits
click the benefits below for
more details |
Command
Basic
|
Command
Pro
|
Command
Elite
|
|
Doctor Office Visits >>
|
$75 per visit,
3
visits per person per policy year
|
$75 per visit,
3
visits per person per policy year
|
$100 per visit,
5
visits per person per policy year
|
|
Preventative Test Benefit >> |
$100 per test,
1
per person per policy year
|
$150 per test,
1
per person per policy year
|
$150 per test,
1
per person per policy year
|
|
Emergency Room / Urgent Care Visits >> |
Not Available |
Not Available |
$100 per visit,
2 per
person per policy year
|
|
Diag. Testing, X-Ray & Lab Benefit >>
|
$100 per visit,
3
visits per person per policy year
|
$150 per visit,
3
visits per person per policy year
|
$300 per visit,
3
visits per person per policy year
|
|
Hospital Admission >> |
Not Available |
Not Available |
$1,000 per Admission |
|
Daily Hospital Confinement >> |
$750 per day,
60
days per person per policy year
|
$1,000 per day,
60
days per person per policy year
|
$1,000 per day,
100
days per person per policy year
|
|
Hospital Intensive Care
Unit Confinement Benefit >> |
$500 per day,
3
days per person per policy year
|
$1,000 per day,
5
days per person per policy year
|
$2,000 per day,
15
days per person per policy year
|
|
*Surgery
with Anesthesia Benefit >> |
80% of Medicare’s RBRVS allowance.
No annual limit.
Surgery benefit is
only paid if anesthesia was used.
*Surgery in GA, MD, TX and WI are paid from a
filed and approved schedule.
|
80%
of Medicare’s RBRVS allowance.
No annual limit.
Surgery benefit is only paid if anesthesia was used.
*Surgery in GA, MD, TX and WI are paid from a
filed and approved schedule.
|
100% of Medicare’s RBRVS allowance.
No annual limit.
Surgery benefit is
only paid if anesthesia was used.
*Surgery in GA, MD, TX and WI are paid from a
filed and approved schedule.
|
|
Anesthesia Benefit >>
|
20% of surgical allowance
|
20% of surgical allowance
|
20% of surgical allowance
|
|
Ambulance
Service >> |
Not Available |
Not Available |
Covered Services are paid at $300 per trip, per
illness/accident |
|
Maternity Care
>> |
Charges incurred for
maternity care, including hospital, surgical or medical care
to the same extent that coverage is provided for sickness |
Charges incurred for maternity care, including hospital,
surgical or medical care to the same extent that coverage is
provided for sickness |
Charges incurred for maternity care,
including hospital, surgical or medical care to the same
extent that coverage is provided for sickness |
|
Accident Medical Benefit >>
|
$2,500/yr
80%
coinsurance
($100 deductible)
|
$5,000/yr
80% coinsurance
($100 deductible)
|
$5,000/yr
80% coinsurance
($100 deductible)
|
|
The following are not insurance
benefits |
|
National PPO Network >>
|
|
|
|
|
CASA Benefit Package >>
|
Consumer Assistance Services Association
|
Consumer Assistance Services Association
|
Consumer Assistance Services Association
|
|
Prescription Drug Discount >>
|
|
|
|
|
Discount Dental Care >>
|
included
|
included
|
included
|
|
Vision >> |
included |
included |
included |
|
Patient
Advocacy >> |
included |
included |
included |
|
Monthly Rates |
Command
Basic
|
Command
Pro
|
Command
Elite
|
| Individual Plan |
$213.00
|
$247.00
|
$337.00
|
| Individual & Spouse Plan |
$346.00
|
$440.00
|
$650.00
|
| Individual & Child(ren) Plan |
$379.00
|
$438.00
|
$580.00
|
| Family Plan |
$481.00
|
$587.00
|
$831.00
|
|
One-time Registration Fee |
$75.00
|
$75.00
|
$75.00
|
FREE LOOK PROVISION: You have the right to
cancel the Plan prior to your effective date or within 10 days of
receipt of your Certificate of Coverage and receive a full refund of
your first month's membership fee. The registration fee is
nonrefundable. To request cancellation and a refund you must submit
your request in writing and it must be postmarked within 10 days of
receipt of your Certificate of Coverage.
**The AMLI Limited Benefit Medical Plan is a
group insurance benefit program.
The group insurance benefits vary depending on the plan
selected. These
benefits are provided under the group insurance policy underwritten
by the American Medical and Life Insurance Company (Policy Form No.
AMLI GRP LM 2007) and is subject to the company’s underwriting
guidelines, exclusions, limitations, terms and conditions of
coverage as set forth in the insurance policy.
This insurance is not basic health insurance or major
medical coverage and is not designated as a substitute for basic
health insurance or major medical coverage.
This is a limited medical plan that provides for limitations
to the coverage for each benefit.
In some circumstances benefits provided will vary as required
by state law and the plan may not be available in all states. The
insurer has the right to increase premium rates and has the option
to cancel coverage.
These plans are offered through CASA (Consumer Assistance Services
Association) and require membership in the association.
The association fee as well as the costs for the other
benefits will be included in the monthly rates.