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Coverage
Synopsis:
Golden
Rule Plan 100
This
plan covers 100% of covered expenses after the calendar year deductible,
including doctor office visit fees, prescription drugs, diagnostic
testing, and hospitalization and surgery, up to $3,000,000 per
covered person lifetime maximum. There are no copays for
doctor visits, but once the calendar year deductible is met the
insurance will pay 100% of covered expenses.
Golden
Rule Saver 80
This
is the least expensive Golden Rule plan available. It is
good for hospitalization and surgery, but does not cover most
outpatient expenses, including doctor office visits, diagnostic
testing, and prescription drugs. After the calendar year
deductible this plan pays 80% of the first $15,000 in covered
expenses, then 100% up to $3,000,000 per covered person lifetime
maximum.
Golden
Rule Copay Select
This
plan covers 80% of the first $10,000 of covered expenses after
the calendar year deductible, including doctor office visit fees,
prescription drugs, diagnostic testing, and hospitalization and
surgery, up to $3,000,000 per covered person lifetime maximum.
In-Network doctor visits are subject to a $35 copayment for history
and exam.
Golden
Rule Copay Saver
This
plan covers 80% of the first $15,000 covered expenses after the
calendar year deductible, including hospitalization and surgery,
up to $3,000,000 per covered person lifetime maximum. Doctor
visits are subject to a $35 copay for your first two visits per
person per year, after which doctor visits are not covered.
Outpatient prescriptions drugs are $15 copay for generic and name-brand
are not covered.
See the Golden
Rule Health Savings Account options.
These
plans are available only to members of the Federation of American
Consumers and Travelers (FACT), an independent consumer organization.
If you are not already a member of FACT, you must join in order
to be eligible for these plans. Through a special agreement
between FACT and Golden Rule Insurance Company, you can enroll
in the association on their web site. You will fill out
the FACT enrollment form prior to making application to Golden
Rule for health insurance. For more information on the benefits
of FACT membership, visit www.usafact.org.
Estimated Monthly Premium does not include the mandatory $3 per
month dues for FACT membership. FACT membership is not required
in all states; refer to the product brochure for more information.
Please
run an instant
quote and click on the "plan details" next to
the plan you are interested in for detailed information on each
plan.
Optional
Benefits: (additional premium
required; may not be available in all states):
Maternity
Benefit - Prescription Drug
Card Benefit - Supplemental Accident Benefit - Enhanced Preventive
Care Benefits Package - Term
Life Benefit
These
optional benefits may be available. Please run an instant
quote and click on the "plan details" next to
the plan you are interested in for complete information on the
Optional Benefits available.
Rates:
Preferred
rates without options are available on our instant quote page.
These rates do not include optional benefits such as term life.
Rates depend on gender, family size, smoking status, zip code,
and health status.
The
premium can be paid via quarterly billing, or a monthly bank draft.
The bank draft will occur on the premium due date each month.
The initial premium can be paid with a check, credit card, or
bank draft. This payment will be processed immediately upon
receipt.
Networks:
UnitedHealthcare
(Statewide)
Sloans
Lake (zips 812-814, 816)
Underwriting:
UnitedHealthcare/Golden
Rule has one of the fastest underwriting departments in the industry.
Most applications are approved in less than a week. However,
it could take longer if medical records are requested, so it is
best to allow 4 weeks or more if possible. Certain conditions
may be excluded with a temporary rider (usually for one to two
years), or an indefinite rider.
Golden
Rule Insurance Company will typically call you on the phone to
verify information on your application.
It
is standard practice to request a Blood Pressure Inquiry if you
are currently being treated for or have recently discontinued
treatment for high blood pressure.
Effective
dates:
For
injuries, the effective date for a mailed application will
be the later of: (a) the requested effective date, if any, shown
on the application; or (b) the date upon which the original application
is actually received by Golden Rule.
For
an application sent by any electronic method, the effective date
for injuries will be the later of: (a) the requested effective
date, if any, shown on the application; or (b) the day after the
date upon which the application is actually received by Golden
Rule.
The
effective date for illnesses will be the same as for injuries
if you are replacing prior coverage within 62 days of application
for this coverage and disclose replacement information on the
initial application for insurance. If replacement information
is not disclosed on the initial application for insurance, the
effective date for illnesses will be the 15th day after the effective
date for injuries. Illnesses that begin prior to that 15th
day will be treated as a preexisting condition and will not be
covered until the individual has been a covered person for 12
months.
About
Golden Rule Insurance Company:
UnitedHealthcare
Today, UnitedHealthcare serves more than 26 million customers.
Our network plans can ease access to high-quality care from more
than 535,000 physicians and 4,700 hospitals across all 50 states
and in four international markets.* We combine our strength and
stability with nearly three decades of experience serving customers
of all sizes.
Golden
Rule Insurance Company
Golden Rule Insurance Company is the underwriter and administrator
of the UnitedHealthcare plans for individuals and families shown
on this Web site. Golden Rule merged with UnitedHealthcare in
2003, and has served individuals and families with health insurance
solutions for over 60 years. This experience and knowledge is
reflected in high-quality products, timely claims handling, and
outstanding customer service. In Louisiana, plans are offered
by United Healthcare Insurance Company and administered by Golden
Rule.
Experience
and Expertise
Golden Rule's experience and expertise has driven the development
of easy-to-use and innovative health insurance products. A recognized
leader - and one of the nation's largest providers - of health
savings account plans, Golden Rule continues building plans that
meet the needs of individuals and families. Golden Rule is rated
"A" (Excellent) by A.M. Best and "A+" (Strong)
by Standard and Poor's. These worldwide, independent organizations
examine insurance companies and other businesses and publish their
opinions about them. These ratings are an indication of our financial
strength and stability.
Customer
Satisfaction
- More than
92% of all health insurance claims are processed in 10 working
days or less.**
- Up to 35%-45%
discounts are provided on quality care thanks to our extensive
network of doctors and hospitals.***
- We're easy
to reach with a toll-free customer service line. We respond
quickly to customer questions and concerns.
* As of 1/3/2008.
** Actual 2007 results.
*** Discounts vary by provider, geographic area, and type of service.
37661-G-0208
ColoHealth
is an independent UnitedHealthcare/Golden Rule producer
in Colorado.
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