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World Insurance - Brokerage – WorldCare Comp Medical PPO ($20,000 SL) – GEORGIA
A comparison of the WorldCare Comp Medical PPO ($20,000 SL) offered by World Insurance - Brokerage is detailed out below for both Network and Non-Network coverage.
| Network | Non-Network | |
|---|---|---|
|
||
| Network | See Provider | See Provider |
| Application | WorldCare Comp Medical PPO ($20,000 SL) Application | WorldCare Comp Medical PPO ($20,000 SL) Application |
| Brochure | WorldCare Comp Medical PPO ($20,000 SL) Brochure | WorldCare Comp Medical PPO ($20,000 SL) Brochure |
| Copay | N/A | N/A |
| Office Visit | Subject to Deductible and Coinsurance | Subject to Deductible and Coinsurance |
| Deductible | $5,000 | $10,000 |
| Coinsurance | WorldCare Comp Medical PPO ($20,000 SL) | WorldCare Comp Medical PPO ($20,000 SL) |
| Coinsurance Limit | $20,000 | $40,000 |
| Out-of-Pocket Maximum | WorldCare Comp Medical PPO ($20,000 SL) | WorldCare Comp Medical PPO ($20,000 SL) |
| Lifetime Maximum | $2,000,000 | $2,000,000 |
| Prescription Drugs | Generic only, $0 Copay, Spc. Deductible and Coinsurance | Generic only, $0 Copay, Spc. Deductible and Coinsurance |
| Emergency Room | $250 Access Fee, then subject to Deductible and Coinsurance | $250 Access Fee, then subject to Deductible and Coinsurance |
| Adult Preventative Care | Subject to Deductible and Coinsurance, up to $500 | Subject to Deductible and Coinsurance, up to $500 |
| Child Preventative Care | Subject to Deductible and Coinsurance, up to $500 | Subject to Deductible and Coinsurance, up to $500 |
| Lab / X-Ray | $0 Access Fee, then Subject to Deductible and Coinsurance | $0 Access Fee, then Subject to Deductible and Coinsurance |
| Maternity | Not covered unless optional rider selected | Not covered unless optional rider selected |
| Physical Therapy | $50 per visit - up to $5,000 per calendar year | $50 per visit - up to $5,000 per calendar year |
| Skilled Nursing | Up to 60 visits per calendar year | Up to 60 visits per calendar year |
| Home Health Care | Up to 40 days | Up to 40 days |
| Mental Health | Not covered | Not covered |
| Hospital Care | Subject to Deductible and Coinsurance | Subject to Deductible and Coinsurance |
| Optional Benefits | ||