March 21, 2010

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United Security Life – Healthy Savings – ARIZONA

A comparison of the Healthy Savings offered by United Security Life is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
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Network See Provider See Provider
Application Healthy Savings Application Healthy Savings Application
Brochure Healthy Savings Brochure Healthy Savings Brochure
Copay N/A N/A
Office Visit Subject to deductible & coinsurance Benefits reduced by 25%
Deductible $5,000 $5,000
Coinsurance Healthy Savings Benefits reduced by 25%
Coinsurance Limit Healthy Savings Healthy Savings
Out-of-Pocket Maximum Healthy Savings Healthy Savings
Lifetime Maximum $5,000,000 $5,000,000
Prescription Drugs Subject to deductible & coinsurance Benefits reduced by 25%
Emergency Room Subject to deductible & coinsurance Benefits reduced by 25%
Adult Preventative Care
  • Wellness Services: Covers up to $500 per person per year, subject to deductible and coinsurance
  • Dental Benefit: Covers up to $250 per person per year or $500 per family per year
  • Healthy Savings
    Child Preventative Care Healthy Savings Healthy Savings
    Lab / X-Ray Subject to deductible & coinsurance Subject to deductible & coinsurance
    Maternity
  • Not Covered.
  • See Buy-up Option below.
  • Not Covered.
  • See Buy-up Option below.
  • Physical Therapy
  • Inpatient: 30 visits per year up to $100/visit
  • Outpatient: 30 visits per year up to $50/visit
  • Benefits reduced by 25%
    Skilled Nursing 10 visits per year up to $200/visit Benefits reduced by 25%
    Home Health Care Healthy Savings Healthy Savings
    Mental Health Healthy Savings Healthy Savings
    Hospital Care Subject to deductible & coinsurance Benefits reduced by 25%
    Optional Benefits
  • Maternity Benefit
  • Term Life
  • Maternity Benefit
  • Term Life