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TransConnect

QuestionAnswer
What is the TransConnect product? It is a supplemental out-of-pocket medical expense indemnity product.
What does the TransConnect policy pay for? The policy pays an indemnity benefit for out-of-pocket deductible, coinsurance, and copayment charges incurred related to using employer’s comprehensive medical plan.
How are the TransConnect age rates calculated? Rates are based on age as of the policy and certificate effective date.
Under TransConnect, how are spouses defined? Spouses are defined by the governing state laws.
Under TransConnect What are the certificate issue ages? Employees /spouses-any age ( Through age 64 in California) Eligible children-birth to age 26 (If eligible for medical coverage as an insured under the policy.)
For TransConnect benefits to be payable, what must be present? Insured must be covered by a comprehensive medical plan (not including any limited medical program or TRICARE) at the time charges are incurred.
Under TransConnect, define another/other medical plan. Another/other medical plan means any group basic, major medical, or comprehensive medical plan through which a covered person has coverage through an employer.
Describe the in hospital benefit range options for TransConnect. $500 - $10,000 was increments of $500
Describe the Outpatient Hospital Benefit range options for TransConnect. 50% of in hospital coverage amount in Increments of $250.
Describe the ambulance benefit range option under TransConnect.. $350 only.
Describe the eligible types of conditions paid for the ambulance benefit under the TransConnect product Accident only within 72 hours
Is the TransConnect product portable? No the TransConnect product is not portable but is COBRA eligible.
Created by: bblackstone
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