The Patriot Platinum 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 Platinum is part of the First Health PPO network. You can search for the providers in your area here
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 Platinum 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 & Canada
In USA and Canada, the Patriot Platinum coverage varies slightly,if you visit a provider within or outside the First Health PPO Network.
Within the First Health PPO Network: After the deductible is met by the insured person, the plan pays 100% of the bill, up to the policy maximum, for all covered services.
Outside the PPO network: After the deductible, the plan pays 90% for the first $5,000 and then 100% up to the policy maximum. Any amount above the policy maximum is the insured persons responsibility.
For Coverage outside USA and Canada:
Outside USA & Canada, after the deductible is met, the plan pays 100% up to the policy maximum.
All expenses beyond the policy maximum are the responsibility of the insured.
Read the Patriot Platinum Insurance brochure for complete details.