How does the Patriot America Plus Plan Work?

The Patriot America Plus is a percentage based comprehensive plan. The plan covers for any unexpected sickness or injury that starts after the policy becomes effective.

Which doctor to go to?

You can go to any doctor or hospital of your choice. However it is better to go to a doctor within the PPO network to get better provider rates, and better percentage of coverage. The Patriot America Plus plan is part of the First Health PPO network. To search for nearby providers in your area visit Patriot America Insurance providers

How does the Deductible Work?

The deductible is the first amount of the covered bill that is the insured persons responsibility, before the insurance starts paying. The deductible for the Patriot America Plus plan is one time in the policy period or once annually. If you need to have the policy continuously for more than 12 months, then after 12 months, a new deductible would apply.

Coverage within USA in PPO Network & Internationally Outside USA

In USA the Patriot America Plus coverage varies sightly if you visit a provider within or outside the First Health PPO Network.

Within the First Health PPO Network and Internationally Outside USA: After the deductible is met by the insured person, the plan pays 100% up to the policy maximum.

Patriot America Plus Insurance Work

For Coverage outside the PPO Network in the USA:

Within the USA, outside the PPO Network after the deductible is met, the plan pays 80% for the first $5,000 and then 100% up to the policy maximum.

All expenses beyond the policy maximum are the responsibility of the insured.

Patriot America Plus Insurance Work

Read the Patriot America Plus Insurance brochure for complete details.

Information provided here is high level, provided for your convenience and information purpose only. Please review the Evidence of Coverage and Plan Contract (Policy) for a detailed description of Coverage Benefits, Limitations and Exclusions. Must read the Policy Brochure and Plan Details for complete and accurate details. Only the Terms and Conditions of Coverage Benefits listed in the policy are binding.
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