Fixed Benefits Plan (Scheduled Benefits Plan)
Fixed Benefits plans are have specific benefit limits for different covered medical expenses. These benefit limits are not the same as the plan medical maximum.
For example, a plan with a $50,000 maximum limit may have a maximum of $3000 for surgery, and a maximum of $500 for diagnostic services (X-rays, scans). These fixed limits for different situations are detailed in the plan brochure.
The customer is required to pay an initial deductible for each injury or sickness and the plan pays for the rest of the covered expenses.
Scheduled Benefits Plans are most affordable and have the lowest premiums, however the consumer must be aware that the benefits offered are limited when compared to Comprehensive Coverage Plans.
Examples of Scheduled Coverage Plans include 'Inbound USA' and 'Inbound Guest' offered by Seven Corners, 'Visitors Care' administered by International Medical Group, 'ImmigrantSecure' administered by MultiNational Underwriters
Comprehensive Coverage Plan
These plans do not have benefit limits based on the type of medical expense. Benefits for covered medical expenses go all the way up to the plan maximum (less deductible and co-insurance).
Typically for all covered medical expenses during the plan period the insured pays the deductible plus 20% of the first $5,000; and then the plan pays 100% of the eligible medical expenses upto the plan maximun.
The details for each plan such as the plan maximum, medical expense eligibility etc. are listed in the plan brochure.
Comprehensive Coverage Plans have relatively higher premiums, but in turn offer better benefits than the Scheduled Benefits Plans.
Examples of Comprehensive coverage plans include 'Diplomat America', 'Liaison-Worldwide', 'Visit USA 'Atlas America', 'Liaison International', 'Patriot GoTravel', Liaison-Continent and 'Patriot America'.
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