AmeriTex Brokerage Group, LLC
AmeriTex Brokerage Group, LLC
Texas Individual & Family Health Insurance Plans
Unicare
Underwritten by UNICARE
Life & Health Insurance Company
UNICARE Life &
Health Insurance Company is rated "A+" by Standard & Poor's
Financial Strength Rating Analysis and "A-" (excellent) for
claims-paying ability by A.M. Best, an independent insurance industry analyst
that bases its rating on operating performance and financial stability.
UNICARE Life & Health Insurance Company is a separately capitalized and incorporated subsidiary of WellPoint Health Networks Inc. WellPoint is one of the largest managed care companies in the United States and one of the most financially sound. WellPoint and its family of companies provide health coverage for over 6.5 million people and have over 12.9 million pharmacy customers.
Medical Plans At a Glance
UNICARE Life and Health Insurance Company (UNICARE)
All plans feature a $5,000,000 per member lifetime maximum
in benefits.
This list is intended to help you compare UNICARE plan benefits and reflects your share of costs. When you use UNICARE in-network (participating) providers, your costs are based on a specially negotiated rate for UNICARE that may often save you money. When you use out-of-network (nonparticipating) providers, your costs are based on charges deemed to be reasonable for that service and area. Reasonable charges may be less than your provider's billed charges and often result in higher costs to you.
For a detailed description of coverage, benefits, limitations, and exclusions, please refer to the applicable certificate of coverage. Please see the section entitled, Utilization Review, Authorization and Penalties, for important information regarding penalties that may apply.
Unicare Plan Choices:
Performance
Plus No Deductible Plan Summary
BlueCross
BlueShield of Texas
Blue Cross Blue Shield of Texas has been providing health care coverage to Texans since 1939 and is one of the largest not-for-profit health coverage companies in the state, serving more that 2.9 million people.
BlueCross BlueShield Plan Choices:
Select
Blue Advantage Select Blue Advantage, from Blue Cross and Blue Shield
of Texas, offers choice and flexibility for individual health care coverage. It
is not a pre-packaged, one-size-fits-all health insurance plan, but rather
health coverage that gives you a selection of benefits to fit your health care
coverage needs now and the flexibility to fit your needs in the future. And because Select Blue Advantage is offered by Blue
Cross Blue Shield of Texas, you know you are getting coverage you can count on
from a company you know and trust. We believe we lead the insurance industry in
providing quality products and customer service. After all, Blue Cross Blue
Shield of Texas has been providing health care coverage to Texans since 1939 and
is one of the largest not-for-profit health coverage companies in the state,
serving more that 2.9 million people. Affordable? You Decide Plan Highlights Preventive Care Child Only Coverage Three-Tier Pharmacy Copay The three-tier pharmacy copay plan design encourages
participants to choose medications that are less costly but equally effective.
The plan design retains the participants freedom of choice because benefits will
still be available for nearly all branded prescription drugs. By using generic medications, or drugs on the
preferred brand-name drug list, participants will be able to obtain those
medications that are high quality and cost effective. Benefits will be available
for nearly all branded prescription drugs, with generic medications having the
lowest copay and non-preferred brand-name drugs having the highest copay. View Outline of Coverage: Select
Blue Advantage Download & Print Application Instructions: Select
Blue Application Instructions Download & Print Application: Select
Blue Application PPO
Select® Choice PPO Select® Choice, from Blue Cross Blue Shield of
Texas, offers choice and flexibility for individual health care coverage. It is
not a pre-packaged, one-size-fits-all health insurance plan, but rather health
coverage that gives you a selection of benefits to fit your health care coverage
needs now and the flexibility to fit your needs in the future. And because PPO Select® Choice is offered by Blue
Cross Blue Shield of Texas, you know you are getting coverage you can count on
from a company you know and trust. We believe we lead the insurance industry in
providing quality products and customer service. After all, Blue Cross Blue
Shield of Texas has been providing health care coverage to Texans since 1939 and
is one of the largest not-for-profit health coverage companies in the state,
serving more that 2.9 million people. Affordable? You Decide Plan Highlights Preventive Care Child Only Coverage Three-Tier Pharmacy Copay The three-tier pharmacy copay plan design encourages
participants to choose medications that are less costly but equally effective.
The plan design retains the participants freedom of choice because benefits will
still be available for nearly all branded prescription drugs. By using generic medications, or drugs on the
preferred brand-name drug list, participants will be able to obtain those
medications that are high quality and cost effective. Benefits will be available
for nearly all branded prescription drugs, with generic medications having the
lowest copay and non-preferred brand-name drugs having the highest copay. View Outline of Coverage: PPO
Select® Choice Download & Print Application Instructions: PPO
Select Choice Application Instructions Download & Print Application: PPO
Select Choice Application PPO
Select® Saver PPO Select®Saver, from Blue Cross Blue Shield of Texas, offers choice and
flexibility for individual health care coverage. It is not a pre-packaged,
one-size-fits-all health insurance plan, but rather health coverage that gives
you a selection of benefits to fit your health care coverage needs now and the
flexibility to fit your needs in the future. And because PPO Select® Saver is offered by Blue Cross Blue Shield of Texas,
you know you are getting coverage you can count on from a company you know and
trust. We believe we lead the insurance industry in providing quality products
and customer service. After all, Blue Cross Blue Shield of Texas has been
providing health care coverage to Texans since 1939 and is one of the largest
not-for-profit health coverage companies in the state, serving more that 2.9
million people. Affordable? You Decide Plan Highlights Preventive Care Child Only Coverage Three-Tier Pharmacy Copay The three-tier pharmacy copay plan design encourages
participants to choose medications that are less costly but equally effective.
The plan design retains the participants freedom of choice because benefits will
still be available for nearly all branded prescription drugs. By using generic medications, or drugs on the
preferred brand-name drug list, participants will be able to obtain those
medications that are high quality and cost effective. Benefits will be available
for nearly all branded prescription drugs, with generic medications having the
lowest copay and non-preferred brand-name drugs having the highest copay. View Outline of Coverage: PPO
Select® Saver Download & Print Application Instructions: PPO
Select Saver Application Instructions Download & Print Application: PPO
Select Saver Application Contact us today, for more information! United American
Good Sense Plan Accidents and Illnesses can occur when you least expect them. The value of health insurance when illness or accident strikes can't be calculated. Knowing your health policy is giving you access to the best medical care possible is a reassuring feeling. Regardless of your income, some type of health insurance coverage is vital in today's world where the quality of the care you receive is often determined by whether or not you have the money to pay for it. It makes Good Sense to have a Health Insurance Plan to help pay for those hospital and surgical expenses you or family may incur. United American's Good Sense Plan offers a level of coverage to fit your financial needs and maintain your lifestyle. The Good Sense Plan is a basic Hospital Plan that can be enhanced with increased outpatient benefits, doctor visits, prescription discounts, extra critical illness coverage, special cancer benefits, and other options. $400.00 per day up to two years.....$292,000.00 $800.00 per day up to.....$72,000.00 Up to $25,000.00 payable (less $500.00 deductible) at the rate of %80 of expenses incurred other than room charges or physicians fees for each covered injury or sickness.Payable during confinement or when surgery is performed on an outpatient basis. Benefits are payable for up to $7,500.00 for each covered injury or sickness as per schedule. 20% of surgeon's fees. 25% of surgeon's fee Payable up to $7,500.00 in lieu of other policy benefits for therapy in or out of the hospital. Contact us today, for more information! Not all policies and
product features are available in all states.
Select Blue Advantage offers you many choices that help you control the monthly
cost of your insurance protection and limit your out-of-pocket health care
costs, including the choice of deductibles and your choice of health care
providers. With six plan options to choose from, Select Blue Advantage is
flexible enough to meet your individual needs, family situation, and your
budget. Premiums are based on plan option, age, sex, geographic location and
number of family members to be covered. The higher deductible you choose, the
lower your premiums can be! Initial rates are guaranteed for six months except
for entry into a premium age bracket due to a birthday or a change in residence
that results in a different rate.
Select Blue Advantage Provides:
Select Blue Advantage emphasizes preventive care with
coverage for routine physicals, immunizations and diagnostic tests. When you use
network providers for your medical care, office visits and certain office
setting services are generally covered in full after your copay. So, depending
on the plan you choose, you could receive the services below for $30, $35, or
$45 per visit! Some services, such as immunizations for children through age 7,
are covered 100%, no copayment required
Select Blue Advantage also offers affordable, age-banded
rates for child-only coverage. Other health insurance carriers may require you
or your spouse to purchase coverage to insure your children. But with Select
Blue Advantage, premiums for child-only coverage are based on the age of your
child, not whether you purchase other coverage. For a complete description of
benefits, limitations, and exclusions, please refer to the Outline of Coverage.
To help manage increasing prescription drug costs,
Blue Cross Blue Shield of Texas is implementing a new pharmacy plan design that
encourages cost-effective drug selection while offering financial flexibility to
our participants.
PPO Select® Choice offers you many choices that help you control the monthly
cost of your insurance protection and limit your out-of-pocket health care
costs, including the choice of deductibles and your choice of health care
providers. With six plan options to choose from, PPO Select® Choice is flexible
enough to meet your individual needs, family situation, and your budget.
Premiums are based on plan option, age, sex, geographic location and number of
family members to be covered. The higher deductible you choose, the lower your
premiums can be! Initial rates are guaranteed for six months except for entry
into a premium age bracket due to a birthday or a change in residence that
results in a different rate.
PPO Select® Choice Provides:
PPO Select Choice emphasizes preventive care with
coverage for routine physicals, immunizations and diagnostic tests. When you use
network providers for your medical care, office visits and certain office
setting services are generally covered in full after your copay. So, depending
on the plan you choose, you will receive the services below for $25 per visit!
Some services, such as immunizations for children through age 7, are covered
100%, no copayment required.
PPO Select® Choice also offers affordable, age-banded
rates for child-only coverage. Other health insurance carriers may require you
or your spouse to purchase coverage to insure your children. But with PPO Select®
Choice, premiums for child-only coverage are based on the age of your child, not
whether you purchase other coverage. For a complete description of benefits,
limitations, and exclusions, please refer to the Outline of Coverage.
To help manage increasing prescription drug costs,
Blue Cross Blue Shield of Texas is implementing a new pharmacy plan design that
encourages cost-effective drug selection while offering financial flexibility to
our participants.
With 5 options, PPO Select® Saver is flexible enough to fit your budget, which
can help you control the monthly cost of your insurance protection and limit
your out-of-pocket health care cost. Premiums are based on plan option, age,
sex, geographic location, tobacco use, number of family members to be covered
and evaluation of health risk. Higher deductible choices can mean lower
premiums. Initial rates are guaranteed for six months except for entry into a
premium age bracket due to a birthday or a change in residence that results in a
different rate.
PPO Select® Saver Provides:
PPO Select Saver emphasizes preventive care with coverage
for routine physicals, immunizations and diagnostic tests. When you use network
providers for your medical care, office visits and certain office setting
services are generally covered at 75% of allowable amount, subject to
deductible. Some services, such as immunizations for children through age 7, are
covered 100%.
PPO Select® Saver also offers affordable, age-banded rates for child-only
coverage. Other health insurance carriers may require you or your spouse to
purchase coverage to insure your children. But with PPO Select® Saver, premiums
for child-only coverage are based on the age of your child, not whether you
purchase other coverage. For a complete description of benefits, limitations,
and exclusions, please refer to the Outline of Coverage.
To help manage increasing prescription drug costs,
Blue Cross Blue Shield of Texas is implementing a new pharmacy plan design that
encourages cost-effective drug selection while offering financial flexibility to
our participants.
Daily Room Benefit
Benefits are payable for as long as two years for each covered injury or sickness beginning with the first day of confinement.
Twice the daily Room benefit is payable for up to 90 days of confinement in an Intensive Care Unit of a hospital for each covered injury or sickness.
(supplemental plans can include doctor visit benefits and outpatient treatment along with prescription discounts)
This is not an offer or solicitation in any jurisdiction where the
policies are not approved for sale or where AmeriTex is not licensed to
sell insurance. AmeriTex is licensed to sell insurance in Texas
only.
