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World Insurance - Brokerage – WorldCare Basic Medical PPO ($20,000 SL) – NORTH CAROLINA
A comparison of the WorldCare Basic 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 Basic Medical PPO ($20,000 SL) Application | WorldCare Basic Medical PPO ($20,000 SL) Application |
| Brochure | WorldCare Basic Medical PPO ($20,000 SL) Brochure | WorldCare Basic Medical PPO ($20,000 SL) Brochure |
| Copay | N/A | N/A |
| Office Visit | Not Covered | Not Covered |
| Deductible | $10,000 | $20,000 |
| Coinsurance | 50% | 50% |
| Coinsurance Limit | $20,000 | $40,000 |
| Out-of-Pocket Maximum | WorldCare Basic Medical PPO ($20,000 SL) | WorldCare Basic Medical PPO ($20,000 SL) |
| Lifetime Maximum | $500,000 | $500,000 |
| Prescription Drugs | Generic Only, $0 Copay, No Spc. | Generic Only, $0 Copay, No Spc. |
| Emergency Room | $500 Access Fee, then subject to Deductible and Coinsurance | $500 Access Fee, then subject to Deductible and Coinsurance |
| Adult Preventative Care | Not Covered | Not Covered |
| Child Preventative Care | Not Covered | Not Covered |
| Lab / X-Ray | Not Covered | Not Covered |
| Maternity | Not Covered unless optional benefit selected | Not Covered unless optional benefit selected |
| Physical Therapy | Not Covered | Not Covered |
| Skilled Nursing | Up to 60 visits per year | Up to 60 visits per 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 | ||