Schedule of Benefits | Claim Procedures | Medical Limitation | Frequently Asked Questions

Frequently Asked Questions

What is a deductible?
What is a Co-insurance?
What is Reasonable & Customary?

Deductible
Deductible means the amount of eligible expenses incurred by each Insured during each calendar year, which is not reimbursable by the Company.

Co-Insurance
Co-Insurance means the percentage of eligible benefits payable by the Company after the insured has satisfied the calendar year deductible.

Reasonable & Customary
A charge for medical care which shall be considered to the extent that it does not exceed the general level of charges being made by others of similar standing in the locality where the charge is incurred.