GROUP HOSPITAL INDEMNITY INSURANCE PLAN
Homeland4one is an indemnity medical policy from Fairmont Premier Insurance Company that provides coverage for routine services such as doctor's office visits, X-rays, labs and hospital stays.

Daily Hospital*
You will be paid the amount in the benefit schedule when you are admitted to a Hospital and for each additional day you are confined to a Hospital for a maximum of up to an additional 30 days if you are confined to a Hospital for a covered Injury or Sickness. Sickness is subject to a 30-day waiting period. You must be admitted to the hospital and confinement for Injury must occur within 6 months of the date of the covered Accident.

Intensive Care / Cardiac Care Unit*
If you are confined in a Hospital ICU due to a covered Injury received in a covered Accident or
Sickness, you will be paid the daily benefit amount in the benefit schedule for a maximum of up to

30 days following the 1st day admission. You must be admitted to a Hospital ICU within 6 months of the date of the covered Accident.

Doctor Office Visit
If you are injured in a covered Accident or have treatment as a result of a covered Sickness, you will be paid the benefit amount shown for each visit. This benefit is limited to 5 visits per person per Policy year.

Emergency Room
If you are injured in a covered Accident or have treatment as a result of a covered Sickness, you will be paid up to the benefit amount shown for a visit to the Emergency Room. This benefit is limited to 1 visit per person per Policy year.

Diagnostic/Lab/X-Ray
If you are injured in a covered Accident or have treatment as a result of a covered Sickness, you will be paid the benefit amount shown for each visit. This benefit is limited to 5 sittings or draws per person per Policy year.

Surgical Benefit
If you receive surgery due to a covered Accident or a covered Sickness you will be paid the amount for the surgery shown in the benefits schedule. The surgery can be performed in a Hospital or in an Ambulatory Surgical Center.

Anesthesia
When a covered surgical procedure is performed you will be paid 25% of the amount paid under the surgical benefit when administered by a Doctor in connection with the procedure.

Wellness Benefit
We will pay the amount shown in the benefits schedule per calendar year when you visit a Doctor for well check-ups.

Accidental Death & Dismemberment Benefit
The plan will provide your designated beneficiary with the insurance benefit in the event of death or dismemberment.

THIS IS LIMITED INDEMNITY COVERAGE. IT IS NOT MAJOR MEDICAL COVERAGE and is not intended to replace other medical coverage. There is a 12-month pre-existing condition exclusion and a 30 day waiting period for Sickness. The pre-existing condition limitation does not apply to Doctor Office Visit, Wellness Benefit, Emergency Room or Diagnostic/Lab/X-Ray.

* Maximum Annual Benefit for ALL Hospital and ICU/CCU confinements is 30 days following the 1st day admission.

Click here for the Exclusions and Limitations information.
Prescription Drug Benefit
Discount Prescription Card - 3-Tier Program
This is a tree tier payment program of $10, $20 and $40.
All drugs not listed under these tiers will be discounted off wholesale rates. The program offers substantial discounts
on all brand name and generic drugs. Through an exclusive agreement with one of the nation premier drug management organizations, members save up to 55% on in-store brand and generic drugs and up to 70% on mail order brand and generic. Accepted at over 53,000 pharmacies nationwide. Click here for drug pricing and pharmacies.

Vision Discounts

Cole Vision: The Cole Vision Plan has contracted with over 30,000 eye care locations nationwide. Members enjoy $20
co-pay for eye exams, as well as discounts on eyeglasses, contacts and surgical procedures. The Cole provider network includes ophthalmologists, optometrists, independent optical centers and national chain locations such as Pearle Vision, Target Optical, Sears Optical and more. Locate Providers using plan #30643 and your zip code.

Hearing Discounts
HearPO is the largest provider of audiology and hearing aid services in the United States. Member will receive discounts on repairs and batteries, comprehensive follow-up services
at no charge for one year. 30% to 62% discount on all hearing aids at any HearPO provider location as well as 30% savings on hearing exam.

Accident Medical with AD&D
Benefits paying up to $5,000 in accident medical coverage for all persons covered under medical plan. Accidental Death and Dismemberment double the accident indemnity amount paying up to $10,000. Benefit pays per occurrence with a $100 deductible.


Accident Medical AD&D
HealthCard up to $5,000 up to $10,000


Homeland Direct Lab Program

Homeland Direct Lab benefit provides significant discounts on all kinds of lab testing. More than 1,700 available tests available with thousands of patient service centers located in all fifty states. Highlights include: no limits of use, no hidden fees, immediate access to benefits, online reporting and includes several national and regional lab providers.

Durable Medical Equipment
DrugSource, Inc. Home Delivery Services offers Durable Medical Equipment for individuals. Online store offers huge discounts on several durable and disposable medical equipment, based on a value driven product formulary that provides quality products and services. The goal is to minimize medical claims expense for our members by giving them direct purchasing power for all their home care and rehab needs. Search the online store.

Medical Diabetes Management Supplies
Liberty provides member with 15% discount on Diabetes Testing Supplies and includes free shipping. The process in easy to use and requires no complicated forms to fill out and no inconvenient trips to the pharmacy.