How does the Worldmed Plan Work?

WorldMed 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 WorldMed plan 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 WorldMed plan is one time in the policy period. If the policy expires, and you need to buy a new policy, then the deductible would reset again. The WorldMed Plan is available for a maximum of 364 days.

Coverage within USA & Canada

In USA and Canada, the WorldMed Plan 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% up to the policy maximum, for all covered services.
Outside the PPO network: After the deductible, the plan pays 80% for the first $5,000 and then 100% up to the policy maximum. Any amount above the policy maximum is the insured persons responsibility.


worldmed insurance explained



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 WorldMed Insurance brochure for complete details.

Disclaimer
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.