|
|
|
|
|
Secure Enrollment
 Secure enrollment by encrypting all information. We respect your privacy and will never use your information without your consent.
|
Any Questions?
 Please contact us with any enrollment and membership questions. We are here to help you!
|
Your Contact
Chris Holland
Phone: 800.321.0051 (remember to mention you are a LICA member)
enrollment@homeland4one.com
|
|
PROGRAMS
|
RATES
|
OPTIONS
|
AWA PPO Fusion 1 + Co-Pay Rx
Fusion Plan 1 includes the followin benefits on an indemnity basis: $50 Doctor Office Visit, $10,000 Critical Illness Benefits, $20,000 Accidental Death Benefit, $10,000 Dismemberment Benefits, $1,000 Dislocation and Fracture Benefits. Value Added Benefits include $10,000 Accident Medical Benefit, $10 Generic Co-pay Prescription Drug Program, Vision Benefit, Dental Discounts and Direct Lab Program.
|
Enrollment
$25.00
One-time Fee
Product
Ages 18 to 64
$75.00
per Month
for Individual
$129.00
per Month
for Individual plus Spouse
$126.00
per Month
for Individual plus Child(ren)
$159.00
per Month
for Family
|
|
|
AWA PPO Fusion 3 + Co-Pay Rx
Fusion Plan 3 includes the following benefits on an indemnity basis: $50 Doctor Office Visit, $600 Daily Hospital Benefit, $10,000 Critical Illness Benefits, $20,000 Accidental Death Benefit, $10,000 Dismemberment Benefits, $1,000 Dislocation and Fracture Benefits. Value Added Benefits include $10,000 Accident Medical Benefit, $10 Generic Co-pay Prescription Drug Program, Vision Benefit, Dental Discounts and Direct Lab Program.
|
Enrollment
$25.00
One-time Fee
Product
Ages 18 to 64
$114.00
per Month
for Individual
$223.00
per Month
for Individual plus Spouse
$199.00
per Month
for Individual plus Child(ren)
$282.00
per Month
for Family
|
|
|
Homeland 1099 SecureCare 500 Co-Pay Rx
SecureCare 500 C0-Pay includes the following benefits on an indemnity basis: $500 Daily Hospital Benefit, $500 Intensive Care, $50 Doctor Office Visit, $100 Emergency Room, $20,000 AD&D Benefit. Value Benefits include $10 Co-Pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, and Direct Lab Program.
|
Product
Ages 18 to 64
$127.00
per Month
for Individual
$225.00
per Month
for Individual plus Spouse
$237.00
per Month
for Individual plus Child(ren)
$318.00
per Month
for Family
|
|
|
Homeland 1099 SecureCare 750 Co-Pay Rx
SecureCare 750 Co-Pay includes the following benefits on an indemnity basis: $750 Daily Hospital Benefit, $750 Intensive Care, $75 Doctor Office Visit, $150 Emergency Room, $30,000 AD&D Benefit. Value Benefits include $10 Co-Pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, and Direct Lab Program.
|
Product
Ages 18 to 64
$167.00
per Month
for Individual
$306.00
per Month
for Individual plus Spouse
$326.00
per Month
for Individual plus Child(ren)
$442.00
per Month
for Family
|
|
|
Homeland 1099 SecureCare 1000 Co-Pay Rx
SecureCare 1000 Co-Pay includes the following benefits on an indemnity basis: $1,000 Daily Hospital Benefit, $1,000 Intensive Care, $75 Doctor Office Visit, $250 Emergency Room, $40,000 AD&D Benefit. Value Benefits include $10 Co-Pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, Consult A Doctor, and Direct Lab Program.
|
Product
Ages 18 to 64
$200.00
per Month
for Individual
$369.00
per Month
for Individual plus Spouse
$398.00
per Month
for Individual plus Child(ren)
$540.00
per Month
for Family
|
|
|
Homeland 1099 DependentCare 500 Co-Pay Rx
DependentCare 500 C0-Pay includes the following benefits on an indemnity basis: $500 Daily Hospital Benefit, $500 Intensive Care, $50 Doctor Office Visit, $100 Emergency Room, $20,000 AD&D Benefit. Value Benefits include $10 Co-Pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, Consult A Doctor, and Direct Lab Program.
|
Product
$118.00
per Month
for Spouse
$147.00
per Month
for Children
$240.00
per Month
for Spouse and Children
|
|
|
Homeland 1099 DependentCare 1000 Co-Pay Rx
DependentCare 1000 Co-Pay includes the following benefits on an indemnity basis: $1,000 Daily Hospital Benefit, $1,000 Intensive Care, $75 Doctor Office Visit, $250 Emergency Room, $40,000 AD&D Benefit. Value Benefits include $10 Co-Pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, Consult A Doctor, and Direct Lab Program.
|
Product
$192.00
per Month
for Spouse
$240.00
per Month
for Children
$394.00
per Month
for Spouse and Children
|
|
|
SureCare Dental - $1500 Indemnity Benefit
AWA Member $1,500 Dental Indemnity Benefit - See the dentist of your choice, $1500 annual maximum, $50 deductible - waived for preventive services, Set reimbursements for procedures. Cash paid directly to you or your provider.
|
Product
$29.50
per Month
for Individual
$59.50
per Month
for Individual plus Spouse
$54.50
per Month
for Individual plus Child(ren)
$87.50
per Month
for Family
|
|
|
AWA Short Term Disability 1500/6
AWA STD 1500/6 includes a monthly disability benefit of $1500 which begins the 1st day after a covered accident and the 8th day after a covered illness. The benefit period is 6 months.
|
Enrollment
$25.00
One-time Fee
Product
Ages 17 to 49
$65.00
per Month
for Individual
Ages 50 to 69
$82.00
per Month
for Individual
|
|
|
AWA Short Term Disability 3000/6
AWA STD 3000/6 includes a monthly disability benefit of $3,000 which begins the 1st day after a covered accident and the 8th day after a covered illness. The benefit period is 6 months.
|
Enrollment
$25.00
One-time Fee
Product
Ages 17 to 49
$116.00
per Month
for Individual
Ages 50 to 69
$152.00
per Month
for Individual
|
|
|
Homeland 1099 DependentCare 250 Co-Pay Rx
DependentCare 250 Co-Pay includes the following benefits on an indemnity basis: $250 Daily Hospital Benefit, $250 Intensive Care, $50 Doctor Office Visit, $50 Emergency Room, $10,000 AD&D Benefit. Value Benefits include $10 Co-pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, and Direct Lab Program.
|
Product
$79.00
per Month
for Spouse
$105.00
per Month
for Children
$148.00
per Month
for Spouse and Children
|
|
|
Homeland 1099 DependentCare 750 Co-Pay Rx
DependentCare 750 Co-Pay includes the following benefits on an indemnity basis: $750 Daily Hospital Benefit, $750 Intensive Care, $75 Doctor Office Visit, $150 Emergency Room, $30,000 AD&D Benefit. Value Benefits include $10 Co-Pay Prescription Drug Benefit, $2,000 Accident Medical Benefit, Vision Discounts, Dental Discounts, Hearing Discounts, and Direct Lab Program.
|
Product
$161.00
per Month
for Spouse
$200.00
per Month
for Children
$326.00
per Month
for Spouse and Children
|
|
|
|
Limited Benefit Health Insurance administered by Homeland HealthCare. Limited Benefit Health Insurance underwritten by National Union Fire Company of Pittsburgh, Pa. Limited Benefit Health Insurance is not basic health insurance or major medical coverage and is not designed as a substitute for basic health insurance or major medical coverage. Benefits may vary from state to state. This document provides only brief descriptions of the coverages available. The policies contain reductions, limitations, exclusions, and termination provisions. Full details of the coverage are contained in each policy. If there are any conflicts between this document and each Policy, the Policy, the Policy (series N20000 through N20010) shall govern. Not all coverages are available in every state. Limited Benefit Health Insurance is underwritten by National Fire Insurance Company of Pittsburgh, Pa. with its prinicipal place of business in New York, NY. 10/09
Value Added Benefits are not provided by National Union Fire Insurance Company of Pittsburgh, Pa. National Union Fire Insurance Company of Pittsburgh, Pa. assumes no responsibility or liability for any of the listed services, the providers of the services, the quality of the services, the delivery of the services or the outcomes of the services. Questions or concerns about the Value Added Benefit services should be addressed directly to the providers.
© 2010 . All Rights Reserved. Not all programs available in all states. Void where prohibited by law. - Privacy Policy
|
|
