Azimuth

Back to Quotes | Benefits | Exclusions | Apply Now

Meridian Basic Benefits & Limits
Coverage Area Area 1 - Including the US and Canada
Area 2 - Excluding the US and Canada
Overall Policy Maximum $2,000,000 Lifetime
Deductibles Available $250, $500, $1,000, $2,500, $5,000, $10,000 per Member per Certificate Period.
Family Deductible Maximum of 2 Deductibles per family per Certificate Period
Coinsurance -- Claims incurred in US or Canada After the Deductible the Plan will pay 80% of the next $5,000 of Eligible Expenses, then 100% to the Overall Maximum Limit. The Coinsurance will be waived if expenses are incurred within the PPO.
Coinsurance -- claims incurred outside US or Canada After the Deductible the Plan will pay 100% of Eligible Expenses to the Overall Maximum Limit
Pre-certification Penalty 50%
Pre-existing Condition $10,000 per Coverage Period (after 24 months of continuous coverage). $50,000 Maximum Limit
Maternity -- Normal or Complicated Delivery OPTIONAL RIDER - $10,000 per Coverage Period ($50,000 Maximum Limit - additional premium: $2,200 per year)
Newborn Care Included as part of Maternity benefits for maximum of 31 days.
Human Organ/Tissue Transplants $500,000 Maximum Limit
Hospital Room and Board Average Semi-Private room rate
Intensive Care Unit Usual, Reasonable and Customary (URC)
Emergency Dental Due to Accident $500 per Coverage Period
Local Ambulance $1,500 per covered event (not subject to Deductible or Coinsurance)
Surgery Usual, Reasonable and Customary (Subject to Deductible and Coinsurance)
Prescription Medications Usual, Reasonable and Customary (URC)
Mental & Nervous Disorders $10,000 per Coverage Period for Outpatient treatment only (after 24 months of continuous coverage).
Physical Therapy $50 Maximum per visit.
Wellness (Adult) $150 per Male age 30/ Female age 30 and over, per Coverage Period (after 12 months continuous coverage). Not subject to Deductible or Coinsurance.
Wellness (Child) $100 per Member age 18 and under, per Coverage Period (after 12 months continuous coverage). Not subject to Deductible or Coinsurance.
All Other Eligible Expenses Usual, Reasonable and Customary (URC)
Emergency Room Illness Usual, Reasonable and Customary (subject to additional $250 Deductible if not admitted)
Emergency Room Accident Usual, Reasonable, and Customary (URC)
Emergency Medical Evacuation $50,000 Maximum Limit, $25,000 Maximum Limit for ages 65 and older.
Repatriation of Mortal Remains $25,000 Maximum Limit per Member (not subject to Deductible)
Emergency Reunion $7,500 Lifetime Maximum.
With regard to the foregoing Schedule of Benefits/Limits, the references to "continuous coverage" mean continuous unbroken coverage under the Beacon/Axis Series Group Insurance Trust (Anguilla). The applicable benefits described will become first available to the Participating Member only at the end of the continuous Coverage Period so specified.