March 20, 2010

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United Security Life – Health Select – ARKANSAS

A comparison of the Health Select 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 Health Select Application Health Select Application
Brochure Health Select Brochure Health Select Brochure
Copay $25 copay per non-preventive visit $25 copay per non-preventive visit
Office Visit $25 copay per non-preventive visit Benefits reduced by 25%
Deductible Individual: $2,500, Family: $7,500 Individual: $2,500, Family: $7,500
Coinsurance 80% Benefits reduced by 25%
Coinsurance Limit $10,000 $10,000
Out-of-Pocket Maximum Health Select Health Select
Lifetime Maximum $5,000,000 $5,000,000
Prescription Drugs No prescription drug coverage unless an optional prescription drug card is selected Benefits reduced by 25%
Emergency Room Subject to deductible & coinsurance Benefits reduced by 25%
Adult Preventative Care
  • Wellness Services: $500 per person per year (Eligible expenses include immunizations, PSA screening, pap smears, mammograms and physical exams, for adults over the age of 18)
  • Preventive Dental Benefit: $200 per person per year, subject to deductible & coinsurance (Includes oral exams, cleaning and x-rays)
  • Health Select
    Child Preventative Care Health Select Health Select
    Lab / X-Ray Subject to deductible & coinsurance Benefits reduced by 25%
    Maternity Not covered Not covered
    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 Health Select Health Select
    Mental Health Health Select Health Select
    Hospital Care Subject to deductible & coinsurance Benefits reduced by 25%
    Optional Benefits
  • Maternity Benefit
  • Dental Benefit
  • Term Life
  • Basic Prescription Drug Card
  • Enhanced Prescription Drug Card
  • Maternity Benefit
  • Dental Benefit
  • Term Life
  • Basic Prescription Drug Card
  • Enhanced Prescription Drug Card