Value Access Guarantee

Product Details

• Guaranteed Issue for members and their spouse's ages 18 through 64. Coverage terminates at age 70.
• Pays Indemnity Benefits.
• No Deductibles or Co-pays
• Pays Benefits for Doctors Office Visits, Hospitalization, ICU or CCU, Surgery, Anesthesia, Preventive Care, Emergency Room Care, Lab and X-Ray Testing, and Ambulance Services*
• Dependent Child Coverage is available to age 21 if the child is dependent on the parent member; or to age 23 if attending an accredited school full-time.
• Save money through access to Beech Street PPO Network
• Or you can use your own Doctor, Hospital or Licensed Provider
• Pays Benefits in Addition to any Other Insurance Coverage
• Pre-existing Conditions Incurred within the 12 Month Period Preceding the Effective Date are not covered. The Pre-existing Conditions Limitation is waived under the Outpatient Doctors Office Visits Indemnity Benefit**

Medical Eligibility

There are no medical eligibility requirements.

Start Date

Coverage starts on the date the application is approved by the underwriter. This is usually within 10 days of submission. If the initial premium payment or electronic payment authorization is not submitted with the application then the start date may be delayed. You may request a later effective date by notification to the enrollment adviser. The certificate of Insurance and ID cards will be mailed directly to you when the policy issued.

Premium payment

Most policies are paid by pre-authorized monthly bank draft. Manual check may be used if semi-annual or annual payment is requested. Monthly List Bill is the normal method of payment when the policy is part of an employer-sponsored health plan.

When using the monthly bank draft method, the bank account will be debited approximately 15 days prior to the premium due date.

Group benefit plans

When a minimum of 5 or more employees apply for coverage the policies may be billed as a single premium to the employer or plan sponsor. Unlike group major medical insurance plans, there are no group participation requirements. Please request a List Bill Form.

Additional documentation required with application

None

Policy changes and cancellations

Send any change or cancellation instruction to GAC at GAC, 15575 N. 79th Place, Suite 100 Scottsdale, AZ 85260. Please include the policy number and the policyholder's signature.

Pros

Four levels of benefits available results in a wide range of premium rates that can fit most budgets. Same rate for everyone regardless of age or health.

Fast easy application.

This product is available to all regardless of medical history (referred to as "guaranteed issue") and is easily used as a group or employer-provided supplemental health plan for small businesses.

Payment may be made by credit card or bank debit card. (Other similar guaranteed issue insurance allows only bank debit card payments).

Cons

This insurance provides limited benefits that may be substantially less than the amount of medical expenses incurred. For example, the maximum daily benefit for hospital expenses is $1,500. Most hospitals charge more than this amount and may or may not accept the insurance as full payment, depending on the financial resources of the patient and other factors.

The guaranteed issue feature makes it less attractive in terms of premium cost/benefit value. Healthy applicants may wish to consider ValueMed as a higher value alternative.

Forms in PDF format for download

A sample brochure and enrollment kit is available in PDF format for download. All other available forms can be found by following the quote and enrollment link above.