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Main Health Plans Why Select Us NetCare? How to Choose Insurance Dictionary  

How to choose the plan that best fits your needs?

This section will help you decide which health insurance plan is suitable for you.
Apex Advanced Essential
Our leading medical insurance plan offers the most extensive coverage for your medical needs. Benefits for maternity and pre-ex are provided after a 12 month waiting period. An ideal plan, providing comprehensive coverage for your medical needs. This plan provides benefits for both inpatient (in hospital) and outpatient treatments. Advanced covers pre-existing conditions after a 12 month waiting period. The ultimate medical insurance plan for those who want to be covered for emergency accidents and injuries that require hospitalization. The plan provides inpatient (in hospital) benefits only.

How to Decide - Step 1

Before you compare the benefits of the different plans, please consider the following decision making factors:
  • If you want coverage for pre-existing conditions choose either the Apex plan or the Advanced plan.
  • Both Advanced and Apex plans offer you comprehensive coverage for your medical needs. The Apex plan offers a lower deductible ($25), lower co-insurance (10%) higher lifetime Medical Expenses benefits ($1,000,000) as well as coverage for maternity. These plans cover from simple incidents like flu, stomach viruses and a broken leg to all serious accident or injury.
  • If you need coverage for maternity select the Apex plan.
  • If you are rarely visit the doctor, want coverage for emergency cases, and are prepared to settle for benefits in hospital only - go for the Essential plan.

How to Decide - Step 2

Look at the Summary Schedule of Benefits table and compare the benefits each plan offers.

How to Decide - Step 3

Look at the Monthly Individual Rates table and compare the cost (premium) of each insurance plan for your age group.

How to Decide - Step 4

Compare your expected out-of-pocket expenses for the following cases: You are responsible to pay the deductible ($25/$50/$100) and then co-insurance (10%/20%/20%) up to $20,000 maximum.

  Apex Advanced Essential
Total medical bills You pay Insurance pays You pay Insurance pays You pay Insurance pays
1 doctor visits $100 $25+$7.50 $67.50 $50+$10 $40 $100 Not covered
Hospitalization $3,000 $25+$297.50 $2,677.50 $50+$590 $2,360 $100+$580 $2,320
Major Event 1 $20,000 $25+$1,997.50 $17,977.50 $50+$3,990 $15,960 $100+$3,980 $15,920
Major Event 2 $50,000 $25+$1,997.50 $47,977.50 $50+$3,990 $45,960 $100+$3,980 $45,920
* This illustration is based on Usual & Customary charges while using the PPO services.
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