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Apple Health Plans
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Benefits & Rates
Optional Riders
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Medical Benefits & Claims
Apple Brochure
Optum Health Discount Program
NCE Membership Benefits
Limitations & Exclusions
A Plan for Individuals and their families Plan Highlights
Effective 1st and 15th start dates
Affordable
Limited Medical Indemnity Benefits
Pays up to $1,500 per day for hospital stays
Pays in addition to other insurance
Issue Age 18-64.
No Social security number required
No claim forms required, No Medical Questions.
No deductibles
Hospital Confinement (and ICU) per schedule
Emergency Room (see schedule)
Surgery (Inpatient and Outpatient)
Anesthesia
Doctor’s Office Visits (PCP or Specialist)
Preventive Care Tests
Diagnostics Test and Laboratory Benefits
Supplemental Accident - Hospital and Skilled Nursing
Limited Mental Health & Substance Abuse (In/Out) - Apple Basic and Standard Plans only
NCE membership Benefits
Medical PPO Discount - MultiPlan Network Fitness
Vision Care Wellness
Dental Care Alternative Care
Hearing Infertility Treatment
Important Notes and Information

*Pre-existing conditions means that any medical conditions you have for up to 12 months prior to your effective date of coverage with this plan are not covered for the benefits listed above for 12 months following your effective date of coverage.  All benefits, as described in your certificate of coverage, begin 30 days following the effective date of your coverage, except injury which begins mmediately.

Plan Provisions, Limitations, and Exclusions
This highlight sheet is a brief description of plan benefits, limitations, and participation requirements. A complete list of plan limitations and /or exclusions is contained in the Certificate of Insurance (Policy in SD) provided by the sponsoring carrier to the insured. Benefit summary is subject to change without notice. Premiums are subject to change with 31 days advance notice (may be longer in some states). The above summary should not be interpreted as an offer of coverage. Coverage is renewable at the option of the Company, subject to timely notice.

Availability
The Apple Plans are limited benefit indemnity plans available in the following states: Alabama, Delaware, Georgia, Indiana, Kentucky, Missouri, Mississippi, Montana, New Mexico, Nevada, Pennsylvania, South Dakota, Wisconsin.


Eligibility Information

The Group Indemnity Insurance Plan, underwritten by American Financial Security Life Insurance Company, is provided to eligible members of National Congress of Employers (NCE) Association, U.S. Citizens, who are under age 64 years and 6 months and not Medicare eligible. In South Dakota, association membership is optional and coverage is provided by individual policy of insurance form AFFI-IND-POL-SD 410. Eligible dependents are the spouse and each unmarried child of the Member up to age 25 (up to age 29 in SD for full-time students with no creditable coverage). Coverage cannot be issued to a child only (under age 18).

Click here for Limitations & Exclusions



 
 

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NuEra Benefits Agency Inc
P.O. Box 519
Elmsford, NY 10523
Phone: (888) 243-4011
National Producer #: 16190019
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