Choice Elite Plan

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Guarantee Issue!  No medical underwriting questions, all applicants at least fifteen (15) days of age and who have not yet reached age seventy-five (75) are accepted for coverage.

Flexibility.  Choose from 4 deductible options and choice of coverage areas to include or exclude the United States.

 

Lifetime Maximum Benefit

 

$5,000,000 per Insured Person.

 

Deductible

 

$500, $1000, $2500, $5000 Maximum of 3 deductible payments for families enrolling on one application.

 

Coinsurance Outside of the United States

 

After the Deductible, the Policy pays 100% of eligible expenses to the Policy Maximum.
Hospital Admissions must be Pre-Notified using SRI's Pre-Notification Program. Expenses described above which are not Pre-Notified to SRI may be subject to a 25% reduction of eligible expenses.

 

Coinsurance Inside of the United States

 

After the Deductible, the Policy pays 80% of the next $5,000 of eligible expenses, then 100% up to the Policy Maximum.
Expenses incurred inside the United States must be Pre-Notified using SRI's Pre-Notification Program. Expenses described above which are not Pre-Notified to SRI may be subject to a 25% reduction of eligible expenses.

 

Hospital Expenses

 

Policy maximum limit for average semi-private room and board, URC physician charges, prescription medications, durable medical equipment, nursing services, and x-rays.

 

Intensive Care

 

Policy maximum limit for intensive care room and board, URCphysician charges, prescription medications, durable medical equipment, nursing services and x-rays.

 

Surgery

 

Policy maximum limit for URC Charges for surgery, physician and anesthetics.

 

Outpatient Treatment

 

Policy maximum limit for URC Charges for emergency treatment, surgery, andprescription medication.

 

Physiotherapy, Chiropractic

 

$75 limit per visit (limit of 12 visits per policy year) & $10,000 lifetime maximum, when referred in advance by a physician. Benefit begins after 12 month waiting period.

 

Ambulance

 

Policy maximumlimit for URC charges.

 

Well Child Care

 

$200 limit per policy period for checkups/routine visits age 18 and younger(limit of 3 visits per year). Benefit begins after 12 month waiting period.

 

Preventive Benefits

 

$175 limit per policy period for checkups/routine visitsage 19 and older. Deductible and coinsurance do not apply. Benefit begins after 12 month waiting period.

 

Maternity

 

No coverage

 

Newborn Benefit

 

No coverage

 

Mental & Nervous

 

$10,000 limit per policy period & $30,000 lifetime maximum. URC charges are covered after a 12 month waiting period.
Inpatient limit of 45 days per policy period. Outpatient limit of 40 visits (separate coinsurance of 70% applies) per policy period.

 

Emergency Dental

 

$500 limit per policy period, $50 per occurrence deductible. This benefit covers URC Charges for repair and replacement of sound, natural teeth damaged as a result of an accident.

 

Emergency Medical Evacuation

 

$50,000 limit per policy period. This benefit applies when adequate medical facilities and/or treatment are not available in yourarea and a medically necessary evacuation is ordered by your physician.
Requires pre-approval.

 

Return of Remains

 

$25,000 limit. This benefit pays to return your remains to your country of residence.
Requires pre-approval.

 

Emergency Medical Reunion

 

$10,000 limit per occurrence. When an emergency medical evacuation occurs, and the physician recommends a family memberaccompany you, we will arrange roundtrip economy air fare for an individual of your choice to travel to your side and also pay accommodation expenses at $250 or less per day for up to 10 days (including travel). Requires pre-approval.

 

Accidental Death & Dismemberment (AD&D)*

 

Principal Sum: $10,000 Insured and Spouse, $2,000 Dependent Children.
Common Carrier: Principal Sum: $40,000 Insured and Spouse, $8,000 Dependent Children.
*The total paid for all insured person(s) for any one covered accident shall not exceed $200,000

 

Lifetime Transplant Benefit

 

Up to $1,000,000 per Insured Person.

 

Hospital Daily Indemnity

 

For every medically necessary night you are an inpatient in a hospital outside of the U.S. and Canada, we will pay you $50 (maximum of $1,000 per policy period). This is in addition to coverage for hospital expenses.


For more information and a free quote contact:


  (
630) 806-8032



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View and Print the Choice Elite Plan Program Summary...
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View and Print the 2017 Missionary Choice Elite Rates...