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Nemwil Plan
The Nemwil Plan is designed to cover your medical expenses on a 90% co-insurance basis, with you paying 10% of the overall expenses.
You can elect to have a deductible of $250.00, $500.00 or $1,000.00 per policy year.
Coverages include the following:
Your Benefits
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General Benefits
- Low maximum co-insurance
- Ground and air ambulance benefit
- Access to PPO Network US and Worldwide (www.haapp.com)
- Maximum Lifetime Limit of $2,000,000 (Amount the policy will pay during an Insured’s life span)
- Claims payments to providers within the PPO network (24/7 contact numbers/ Important Details to note on your ID Card)
- Conversion Policy – allowing you to convert from a group plan to an individual Plan
- Local payment of claims
- Psychiatric Care, Substance Abuse and Mental Illness Treatment
- Durable Medical Equipment and Prosthesis
Medical (Physician and Hospital)
- Savings on office visits and medical services, ranging from routine surgery and diagnostic tests
- Medical services include pediatric care, well baby, checkups, treatment of chronic illnesses, OB-GYN services and much more
- A national network of approximately 600 general practitioners and specialists, facilities and hospitals. Check Find a Provider for participating providers near you
Prescription Drugs
- Savings of on both brand name and generic drug prices
- Access to a network of participating pharmacies, including most major chains. Check Find a Provider for participating pharmacies near you
Dental
- Major dental care including diagnostic, preventive care, basic restorative and major replacement
- Certain orthodontic work may also be covered
Vision
- Annual Examination, contact lenses (after cataract surgery), frames and single vision lenses.
Chiropractic
- Covered medical expenses for Chiropractic services are limited to the amount per treatment shown in the Certificate Schedule of Benefits.