Pizza Business Insurance

Plan Options

Schedule of Benefits Policy year maximum $20,000. Lifetime maximum $250,000.	Plan 250	Plan 1000
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.	First Day $250 There after $200	First Day $1000 There after $1000
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.	$250	$1,000
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.	$50	$75
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.	$50	$75
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.	$50	$75
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. Limit to one surgery per year.	$0	Max $1,000
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.	$0	Max $250
Wellness Benefit We will pay the amount shown in the benefits schedule per calendar year when you visit a Doctor for well check-ups. Limit to one visit per policy year.	$50	$75
Accidental Death & Dismemberment Benefit The plan will provide your designated beneficiary with the insurance benefit in the event of death or dismemberment.	Primary $5,000 Spouse $2,500 Children $1,250	Primary $5,000 Spouse $2,500 Children $1,250
National PPO Network	Yes	Yes
Prescription Drug Card	Yes	Yes
Discount Lab Benefits	Yes	Yes
Durable Medical Equipment	Yes	Yes
Dental Care Discount	Yes	Yes
Vision Care Discount	Yes	Yes

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. Please see the Exclusions and Limitations information.