Assurant Health Short-Term Med - Indiana Benefits

Select the Plan That's Right for You

6 Month Plan

Length of Coverage		30-185 days Up to 6 monthly payments
Lifetime Maximum Benefit		$2 million maximum for each covered person
Deductible Amount you pay toward covered expenses before the plan pays benefits		$250, $500, $1,000 or $2,500 Families of 3 or more only need to satisfy a maximum of three deductibles.
Rate of Payment (Coinsurance) Options Percentage of covered expense insurance pays after satisfaction of the deductible
	100% Option	After satisfaction of deductible, plan pays 100% of covered expense up to the plan maximum. Note: The 100% rate of payment option is not available with $250 deductible.
	80% Option	After satisfaction of deductible, plan pays 80% and you pay 20% of next $10,000 in covered expenses. Then the plan pays 100%.
	50% Option	After satisfaction of deductible, plan pays 50% and you pay 50% of next $10,000 in covered expenses. Then the plan pays 100%.

Optional "Add-On" Benefits

6 Month Plan

Higher Lifetime Maximum	Increase lifetime maximum benefit from $2 million to $5 million
Term Life Insurance	$25,000 for insured or $25,000 for both insured and spouse
Accident Medical Expense	Provides first dollar coverage for treatment of an accidental injury. Benefit amounts per accident are equal to the Short Term Medical deductible chosen.
Dental - Vision Discount Plan	• Save 10% to 60% on eyeglasses, contact lenses (disposables via mail order only), and other retail eyewear items through a network of over 13,000 eye care professionals nationwide. You can also receive discounts on eye examinations and surgical procedures including Lasik where available. • Save 10% to 50% on dental care expenses such as orthodontics (braces), dentures, cosmetic dentistry, crowns, extractions, fillings, oral surgery, periodontics and most other services through a network of more than 24,000 providers nationwide. • Save 25% to 50% off suggested retail prices on vitamin and nutritional supplements.

Assurant Health Short Term Medical insurance covers major hospital, medical and surgical expenses incurred as a result of medically necessary care for a covered illness or injury.¹

Covered Medical Services

Prescription drugs
Inpatient hospital services
Outpatient hospital services
Health care practitioner services, surgical and anesthesia services
Reconstructive surgery
Inpatient rehabilitation programs
Skilled nursing facility care
Home health care
Outpatient physical medicine services
Ambulance services
X-ray and laboratory services
Durable medical equipment and supplies
Blood product transfusions
Temporomandibular joint (TMJ) or craniomandibular joint dysfunction
Organ transplants ($100,000 maximum benefit)

A covered illness or injury is an expense that is: 1) incurred for services, treatment or supplies prescribed by a physician; 2) incurred by a covered person as the result of illness or injury; 3) incurred for medically necessary care; and 4) incurred while this policy is in force.

Assurant Health is the brand name used for products underwritten and issued by Time Insurance Company of Milwaukee.

Although the above provides a summary of covered medical services, this is not an insurance contract and only the actual contract defines coverage. Benefits may vary by state and by the terms of the insurance contract. The policy itself sets forth in detail the rights and obligations of both you and the insurance company. Once you receive your Short Term Medical policy, please read it carefully.