March 12, 2010

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Time Short Term – Short Term Medical – ARIZONA

A comparison of the Short Term Medical offered by Time Short Term is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
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Network See Provider See Provider
Application Short Term Medical Application Short Term Medical Application
Brochure Short Term Medical Brochure Short Term Medical Brochure
Copay N/A N/A
Office Visit Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details. Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Deductible $2,500 $2,500
Coinsurance Short Term Medical Short Term Medical
Coinsurance Limit N/A N/A
Out-of-Pocket Maximum Short Term Medical Short Term Medical
Lifetime Maximum $2 million $2 million
Prescription Drugs Covered (subject to deductible and coinsurance) Covered (subject to deductible and coinsurance)
Emergency Room Covered (subject to deductible and coinsurance) Covered (subject to deductible and coinsurance)
Adult Preventative Care Not covered Not covered
Child Preventative Care Not covered Not covered
Lab / X-Ray Covered (subject to deductible and coinsurance) Covered (subject to deductible and coinsurance)
Maternity Not covered Not covered
Physical Therapy Short Term Medical Short Term Medical
Skilled Nursing Short Term Medical Short Term Medical
Home Health Care Not covered Not covered
Mental Health Not covered Not covered
Hospital Care
  • Hospital Room: Inpatient services covered subject to deductible and coinsurance. Specific policy provisions vary by state, refer to brochure and your policy contract for more details.
  • Intensive Care: Inpatient services covered subject to deductible and coinsurance. Specific policy provisions vary by state, refer to brochure and your policy contract for more details.
  • Surgery: Inpatient and Outpatient services covered subject to deductible and coinsurance. See brochure for more details.
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  • Hospital Room: Inpatient services covered subject to deductible and coinsurance. Specific policy provisions vary by state, refer to brochure and your policy contract for more details.
  • Intensive Care: Inpatient services covered subject to deductible and coinsurance. Specific policy provisions vary by state, refer to brochure and your policy contract for more details.
  • Surgery: Inpatient and Outpatient services covered subject to deductible and coinsurance. See brochure for more details.
    		•
    Optional Benefits Short Term Medical Short Term Medical