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PLAN FEATURES
ADDITIONAL PLAN FEATURES
- A MAXIMUM FAMILY PREMIUM - Regardless of the number of dependent children, the premium is capped at three (3) dependents.
- A MAXIMUM FAMILY DEDUCTIBLE - Equal to 3 times the Deductible Amount will satisfy the Deductible requirements for all covered family members. Only one deductible needs to be satisfied by all covered family members if the $1,000, $2,500 or $5,000 deductible is selected.
- SINGLE OR MONTHLY PAYMENT OPTIONS -
THE SINGLE PAYMENT OPTION is ideal for people who know the exact number of days of coverage needed to "bridge the gap" between two permanent insurance plans. The minimum number of days you may apply for is thirty (30); the maximum is 365.
Please note that if you choose a single payment option there
are NO Premium refunds available after the 10 day free look period.
THE MONTHLY PAYMENT OPTION is ideal if you are unsure how long you need
coverage. This "pay as you go" option gives you the flexibility to continue coverage for as long as it's needed or simply stop payments and discontinue the plan once your temporary need ends. When you apply simply let us know if you want the ability to have coverage for up to 6 months or up to 12 months.
If you pay your initial payment by:
- Check-you will receive a sheet of payment coupons via the U.S. Postal
Service for all subsequent payments. Each month, mail your check along with
the coupon to Fortis Health. Each coupon pays for an additional 30 days of
coverage. Note: No lapse notices are sent.
- Automatic Credit Card Debit-each month, your subsequent premium payments
will be automatically debited from the credit card information provided with
your initial payment. Your card will be debited each month until you have
reached a total of six or twelve months of coverage (depending on your chosen plan). If your temporary need ends prior
to the end of your plan period, simply call 1-800-800-5453 and we will stop the
automatic credit card debit. (Please note: 7 days advanced notice is
required to ensure future credit card charges are stopped.)
DOES THIS PLAN UTILIZE AN AUTHORIZATION SERVICE?
Yes. Fortis Short Term Medical utilizes an Authorization service which ensures that you and your family receive the most appropriate and cost effective care available. Trained medical professionals work with you and your physician to review the course of treatment and advise you of your eligibility for benefits. The identification card provides a toll-free number for easy access to this service. The authorization process must be followed in its entirety to receive maximum benefits. The contract explains the Authorization process in detail.
Authorization is required in advance of : all Hospital or Skilled Nursing Facility Admissions, outpatient or day surgeries, rehabilitation programs, home health care, Physical Medicine and transplants.
Benefits on unauthorized services of otherwise Covered Expenses will be reduced. NO benefits will be paid for a transplant if the procedure was not Authorized prior to the beginning of the donor search and selection.
WHAT ABOUT REFUNDS?
Your satisfaction is guaranteed!
If you are not 100 percent satisfied with the plan, you may return the policy and identification card within 10 days of delivery for a premium refund. No questions asked! After the 10-day free look period, premiums are not refundable. The $20 application fee is non-refundable.
Read your plan carefully.
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E-mail us for more information and a free quote or CALL TOLL FREE
1-800-875-4490 (in the U.S.)
or 1-253-854-0199 (outside the U.S.)
Fax: 1-253-896-9411
Mailing address: Maddock & Associates, 1407 Willow Road E, Suite C, Tacoma, WA 98424
Serving all of Washington at 800-875-4490, Seattle at 206-682-1628,
Bellevue at 425-454-6834, Kent at 253-854-0199 and Tacoma at 253-572-3291.
Copyright© 1998-2008, Maddock & Associates | Privacy Statement
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