Message from Wiley Long
President - ColoHealth
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World Health Insurance

World HSA Insurance

Plans: Value Advantage - HD Advantage

 

 

 

Coverage Synopsis Optional Riders Rate Information PPO Networks Underwriting Effective Dates About World

The Value Advantage plan is a basic plan that offers protection against major medical expenses, at an affordable rate.

If you are looking for a World plan that can be used with a Health Savings Account, please visit our HD Advantage plan page for more details.

Value Advantage Brochure World Ins Adobe Acrobat Reader Information

Features Value Advantage 70 Value Advantage 50
Lifetime Maximum Choice of $1 million or optional $5 million Choice of $1 million or optional $5 million
Deductibles Please run an instant quote for deductibles in your area Please run an instant quote for deductibles in your area
 Coinsurance   
 * World pays/you pay
In-PPO: 70%/30% to $10,000
Out-of-PPO: 50%/50% to $10,000
In-PPO: 50%/50% to $10,000
Out-of-PPO: 30%/70% to $10,000
Out-of-Pocket Max Your maximum payment for eligible charges after deductible. Copayments for optional physician office visits, drugs, access fees an emergency room are not included in maximum. In-PPO: $3,000
Out-of-PPO: $5,000 plus charges above usual and customary.
In-PPO: $5,000
Out-of-PPO: $7,000 plus charges above usual and customary.
Inpatient Hospital Subject to deductible and coinsurance after a $500 access fee per admission (maximum of four per covered person/per calendar year).
See Benefit Increase option #3 below.
Subject to deductible and coinsurance after a $500 access fee per admission (maximum of four per covered person/per calendar year).
See Benefit Increase option #3 below.
Outpatient Medical 
*Not applicable to chemo and dialysis
Subject to deductible and coinsurance after a $250 access fee per admission (maximum of 4 per covered person/per calendar year)*.
See Benefit Increase option #3 below.
Subject to deductible and coinsurance after a $500 access fee per admission (maximum of four per covered person/per calendar year).
See Benefit Increase option #3 below.
Emergency Room Subject to deductible and coinsurance after a $250 additional copayment. Waived if patient is admitted directly into hospital as inpatient. Subject to deductible and coinsurance after a $250 additional copayment. Waived if patient is admitted directly into hospital as inpatient.
Foreign Travel Emergency
Emergency care that begins during first 60 days outside U.S.
Subject to deductible and coinsurance; $100,000 lifetime maximum. Subject to deductible and coinsurance; $100,000 lifetime maximum.
Physician Office Visits Not covered.  Discounts may be available at PPO providers. 
Diagnostic lab and x-ray subject to deductible and coinsurance.
See Benefit Increase option #1 below.
Not covered.  Discounts may be available at PPO providers. 
Diagnostic lab and x-ray subject to deductible and coinsurance.
See Benefit Increase option #1 below.
Prescription Drugs  Not covered. Rx discount card provided.
See Benefit Increase option #2 below.
Not covered. Rx discount card provided.
See Benefit Increase option #2 below.

Optional:  Benefit Increase Options

  1. Physician Office Visits: This option provides a $40 copay for PPO physician office visits. Out-of-PPO visits are still subject to the deductible and coinsurance. 

  2. Prescription Drugs: After a separate $500 Rx deductible per year, this option will provide a maximum benefit of $2,500 per person, per calendar year:
    • Generic - $10, plus 20% of remaining charge
    • Brand Name (formulary) - $25, plus 50% of remaining charge
    • Brand Name (non-formulary) - $35, plus 50% of remaining charge
      State variations apply.
  3. Inpatient and Outpatient: Waives the $500 Inpatient Access Fee and $250 Outpatient Access Fee.

This information is presented only as a very brief overview of some of the benefits of this plan, and is intended only for general education.  The amount of benefits provided depends on the plan selected. Premium will vary with the type of benefits selected.  These plans contain exclusions from and limitations of coverage.  Please see the product brochure for more complete information, as well as information about terms of renew ability, preexisting conditions, out-of-network penalties, and notification requirements.  Plans are subject to health underwriting.  To be considered for reimbursement, expenses must qualify as covered expenses.  Expenses are also subject to reasonable and customary limits, unless you use a network, and all other policy provisions, including determinations of medical necessity.

World HSA Insurance in Colorado

Coverage Synopsis:

Value Advantage Plan

This plan covers 50% or 70% of your first $10,000 in covered expenses, then 100% of covered expenses up to $1,000,000.  Routine doctors visits and outpatient prescription drugs are not covered, although you may add optional benefits which will give you a $40 copay for doctor visits.

The prescription drug rider comes with a $500 annual deductible, after which generic drugs would come with a copay of $10 (plus 20% of the remaining cost of the drug); $25 for brand name (plus 50% of the cost of the drug), or $35 for non-formulary drugs (plus 50% of the cost of the drug).  Emergency room visits are covered with a $250 access fee, which is waived if you are admitted into the hospital, at which time your coverage would be subject to your deductible and coinsurance.

Foreign travel is also covered for 60 days, with a $100,000 lifetime limit.

See the WorldCARE Advantage Series – Product Comparison chart to see how this plan compares with the HD Advantage plan.

World HSA Insurance in Colorado

Optional Riders:

Maximum Benefit Option

Your Value Advantage policy/certificate's lifetime coverage maximum is $1 million per covered person.  The Maximum Benefit Option increases the lifetime maximum to $5 million.  It also increases the per-organ transplant maximum from $500,000 to $1,000,000 at nationwide Centers of Excellence, facilities that specialize in specific types of transplants and can provide you with quality care on a cost efficient basis.

Term Life Benefit Option

The Term Life Benefit Rider provides you and/or your spouse with annually renewable term life insurance coverage in benefit amounts of $10,000, $25,000 or $50,000.  Plus, you also have the option of converting your term-life policy to a World whole life policy.(Note: Not available in Georgia, Ohio and Oklahoma.)

Outpatient Accident Benefit Option

With the Outpatient Accident Benefit Rider, your plan pays 100 percent of expenses for a covered injury, not to exceed the amount you choose ($500, $1,000, $1,500, $2,000, $2,500, $3,000 or $5,000) per calendar year for treatment of injuries on an outpatient basis, with no deductible or coinsurance.  Additional benefits are subject to your deductible and coinsurance.  (Note: Not all levels are available in all states)

Expenses covered under this rider include:

  • Services, supplies, and physician's care; 
  • X-ray and laboratory tests; and 
  • Treatment or services received in a hospital emergency room, urgent care center, physician's office, or ambulatory surgical center or facility.

Maternity Benefit

When added, this benefit covers 100% of the cost of a routine delivery after you have paid a $2500 deductible. This helps pay pregnancy-related expenses such as prenatal care, delivery, newborn hospital costs, and postpartum care after delivery. Benefits will be payable for pregnancies beginning after a six month waiting period. The cost to add this optional coverage to any World Insurance policy is $212.26 per month.

World HSA Insurance in Colorado

Rates:

Preferred rates without riders are available on our instant quote page.  The quoted rates are for the $2 million maximum benefit, and do not include optional benefits such as term life, supplemental accident, maternity, and Rx riders.  They also do not include $7.50/month dues for membership in the National Consumer Alliance Association (NCA), which endorses these plans and gives members access to valuable products and services.

If you are not replacing current coverage, you will be issued a policy with standard rates, approximately 8% higher than preferred rates.

Please contact us for rates on the optional benefits.  Rates depend on gender, smoking status, zip code, and health status.

The premium can be paid via quarterly, semi-annual, or annual billing, or a monthly bank draft or credit card.  The bank draft will occur on the premium due date each month. The initial premium can be paid with a check or credit card.

The following chart shows when you can expect payment to be deducted from your credit card:

App Effective Date Credit Card Charged
1st of the month 1st of month
2nd - 5th of month 5th of month
6th - 10th of month 10th of month
11th - 15th of month 15th of month
16th - 20th of month 20th of month
21th - 28th of month 25th of month

World HSA Insurance in Colorado

PPO Network:

World Insurance Company recently signed an agreement with Great-West Healthcare, a division of Great-West Life & Annuity Insurance Company.  Great-West Healthcare operates a substantial multi-state (national) healthcare network that includes more than 4,200 hospitals and 530,000 providers.  It provides network and other services to more than 2 million people.  Find a Doctor

World HSA Insurance in Colorado

Underwriting:

Underwriting of your application with World normally takes two to four weeks, though if medical records are ordered it could take longer.  World's underwriting seems fairly lenient, and often accept applicants who may have been turned down by other companies.

It is standard practice for them to request a Blood Pressure Inquiry if you are currently being treated for or have recently discontinued treatment for high blood pressure.  Certain conditions may be waivered with a temporary rider (usually for one to twos years), or an indefinite rider.

World HSA Insurance in Colorado

Effective dates:

The earliest your coverage can go into effect is ten days after you have signed your application.  You may request an effective date any time between 10 and 60 days after you sign your application.

Please note, if you are requesting an effective date of less than 21 days from the time you complete the application, you may not receive notification of your approval until after your effective date. If you have claims during this period, they will be eligible for coverage if submitted after you have been approved.

Also note that you will be billed starting on your requested effective date, even if you have not yet been notified that you have been approved.  This is very good for someone who does not have any present coverage and would like for their benefits to begin right away.  For those who are already covered, it is suggested that you maintain your current coverage in force until you have received notice from either ColoHealth or directly from World Insurance that your coverage has been approved and is in force.

World HSA Insurance in Colorado

About World Insurance:

World Insurance was founded in 1903 in Omaha, Nebraska, as the World Accident Association.  The company began hiring agents in 1925 and became World Insurance Company in 1929.  The first general agency was established in Colorado in 1938.  In 1943, World mutualized and was authorized to sell life insurance as well as accident and sickness policies.

By the late 1950s, World was licensed in 45 states with 500 agents nationwide.  The company's product portfolio included a wide variety of individual hospital, life and disability policies.

Today, World is licensed in 46 states and the District of Columbia.  More than 11,200 general agents and agents represent the company.

World Insurance has been assigned a rating of A- (Excellent) from the A.M. Best Company, an independent insurance rating organization.

ColoHealth is an independent authorized World agent in Colorado.