Plan brochures and availability varies by state. For further details, please choose the brochure from your resident state below.
AL, AR, AZ, DC, FL, GA, HI, ID, IL, MI, NE, NV, OK, PA, SC, TX and VA. - Brochure
CO, CT, IA, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, ND, NM, OH, OR, SD, TN, UT, WI, WV and WY. - Brochure
Medical Expenses
Choose your doctor from more than 664,000 participating providers in the Aetna Open Choice® PPO Network
Choose from a Standard Issue or Guaranteed Issue Short Term Medical plan. Then choose your deductible, coinsurance, and length of coverage (from 30 days to 3 months).
Deductibles are per person for a family of more than 3. In a family of 3 or more, when each person meets their deductible, the out of pocket maximum is satisfied for that coverage term.
Standard Issue Plans, require completion of a health questionnaire
| Deductible* | Coinsurance | Out-of-Pocket Maximum (after deductible is met) | Coverage Period Maximum |
|---|---|---|---|
| $1,000 | 50% / 50% 80% / 20% | $5,000 $5,000 | $250,000 $1,000,000 |
| $2,500 | 50% / 50% 80% / 20% 100% | $5,000 $5,000 $0 | $250,000 $1,000,000 $1,000,000 |
| $5,000 | 50% / 50% 80% / 20% 100% | $5,000 $5,000 $0 | $250,000 $1,000,000 $1,000,000 |
| $10,000 | 80% / 20% | $5,000 | $1,000,000 |
| $25,000 | 80% / 20% | $5,000 | $1,000,000 |
For states: AL, AR, AZ, DC, FL, GA, HI, ID, IL, MI, NE, NV, OK, PA, SC, TX and VA.
| Deductible* | Coinsurance | Out-of-Pocket Maximum (after deductible is met) | Coverage Period Maximum |
|---|---|---|---|
| $1,000 | 50% / 50% 80% / 20% | $2,500 $1,500 | $250,000 $1,000,000 |
| $2,500 | 50% / 50% 80% / 20% 100% | $2,500 $1,500 $0 | $250,000 $1,000,000 $1,000,000 |
| $5,000 | 50% / 50% 80% / 20% 100% | $3,750 $2,000 $0 | $250,000 $1,000,000 $1,000,000 |
| $10,000 | 80% / 20% | $2,000 | $1,000,000 |
| $25,000 | 80% / 20% | $2,000 | $1,000,000 |
For states: CO, CT, IA, IN, KS, KY, LA, MD, ME, MO, MS, MT, NC, ND, NM, OH, OR, SD, TN, UT, WI, WV and WY.
Guaranteed Issue Plans, require completion of a health questionnaire, without the chance of being denied
| Basic | Enhanced | |
|---|---|---|
| Deductible* | $5,000 | $3,500 |
| Coinsurance | 90% / 10% | 80% / 20% |
| Out-of-Pocket Maximum | $10,000 | $10,000 |
| Coverage Term | Choose your own coverage term — from 30 days to 3 months | Choose your own coverage term — from 30 days to 3 months |
| Coverage Period Maximum | $100,000 | $100,000 |
FOR ADDITIONAL INFORMATION
Insubuy®, Inc.4200 Mapleshade Ln, Suite 200
Plano, TX 75093
Toll Free:
(866) INSUBUY
Phone:
(972) 985-4400
Fax:
(972) 767-4470
Website:
www.insubuy.com
Version: 5/31/2018