| Nova—Monthly Rates |
BRONZE |
SELECT 500 |
SELECT 1000 |
SELECT 2000 |
| Insured Only |
$145.00 |
$204.00 |
$293.00 |
$374.00 |
| Insured + Spouse |
$197.00 |
$302.00 |
$477.00 |
$693.00 |
| Insured + Child(ren) |
$187.00 |
$284.00 |
$442.00 |
$634.00 |
| Family |
$229.00 |
$365.00 |
$599.00 |
$901.00 |
There is a one-time $85.00 enrollment fee added to the above.
The above rates DO NOT APPLY to NY Residents. Click Here for NY Rates. |
| Nova—Covered Services |
BRONZE |
SELECT 500 |
SELECT 1000 |
SELECT 2000 |
| Physician Office Visit: Plan will pay the benefit amount shown for the treatment of a covered illness or injury. |
$40 per visit
5 visits per person
per policy year. |
$50 per visit
5 visits per person
per policy year. |
$100 per visit
5 visits per person
per policy year. |
$100 per visit
7 visits per person
per policy year |
| Diagnostic Testing & X-Ray Plan will
pay up to the benefit amount shown. |
$40 per visit
3 visits per person
per policy year. |
$50 per visit
3 visits per person
per policy year. |
$100 per visit
3 visits per person
per policy year. |
$400 @ per visit
5 visits per person
policy year. |
| Preventive Care Test: Plan will pay the
benefit amount shown for a preventative
test listed in the Policy Certificate |
$50 per visit
1 visit per person
per policy year. |
$50 per visit
1 visit per person
per policy year. |
$100 per visit
1 visit per person
per policy year. |
$150 per visit
1 visit per person
per policy year. |
| Urgent Care/Emergency Room Visit |
$50 per visit
1 visit per person
per policy year. |
$50 per visit
1 visit per person
per policy year. |
$100 per visit
1 visit per person
per policy year. |
No Coverage |
| Daily Hospital Confinement: Plan will
pay the daily benefit shown if you are
admitted into the hospital as a result of a
covered sickness or injury. |
$100 per day
Maximum of 30 days per person per policy year. |
$500 per day
Maximum of 100 days
per person per policy year. |
$1000 per day
Maximum of 100 days per person per policy year. |
$1000 per day
Maximum of 100 days per person per policy year. |
| ICU / CCU Daily Benefit: Plan will pay
the daily benefit shown if you are admitted
into the hospital as a result of a covered
sickness or injury. |
No Coverage |
$500 per day
Maximum of 15 days
per person per policy year. |
$1000 per day
Maximum of 15 days
per person per policy year. |
$1000 per day
Maximum of 15 days
per person per policy year. |
| Hospital Admission Benefit |
$500 per Stay |
$500 per Stay |
$1000 per Stay |
$2000 per Stay |
| Surgery Benefit (Inpatient or outpatient): Plan pays as a % of the Medicare
Reimbursement Schedule. No Annual
Maximum |
50% of Medicare Schedule |
80% of Medicare Schedule |
80% of Medicare Schedule |
100% of Medicare Schedule |
| Anesthesia Benefit |
20% of surgery
benefit |
25% of surgery
benefit |
25% of surgery
benefit |
25% of surgery
benefit |
| Accident Medical Benefit |
$1000 Annual Max.$100 ded; 100% coinsurance |
$1000 Annual Max.$100 ded; 100% coinsurance |
$5000 Annual Max.$100 ded; 100% coinsurance |
optional |
| In-Patient Mental Health Benefit |
$40 per visit
30 days per policy year |
$50 per visit
30 days per policy year |
$100 per visit 30 days per policy year |
No Coverage |
| Out-Patient Mental Health Benefit |
$40 per visit
20 days per policy year |
$50 per Visit
20 days per policy year |
$100 per visit 20 days per policy year |
No Coverage |
| Accidental Death and
Dismemberment |
$5,000 per insured (Accidental Death Only) |
$5,000 per insured |
$15,000 per insured |
No Coverage |
| AIM RX Prescription Drug Plan |
Included |
Included |
Included |
Included |
Plan Network
Physician and provider lookup. |
Multiplan
PPO Network |
Multiplan
PPO Network |
Multiplan
PPO Network |
Multiplan
PPO Network |
You do not have to utilize the doctors or hospitals in the Multi Plan network. If you go out of network, you would be required to pay for the services in advance (unless the doctor or hospital will work it out), send the bill and get reimbursed. Utilizing the doctors and hospitals in the Multi Plan network is the most cost effective route for you because the savings can average anywhere from about 25-60% and prepayment is not required!
Additional AIM Benefits included in the program
- AIM Rx Card Benefit
AIM Rx has teamed up with one of the most reliable and reputable International pharmacies operating today. We offer access to your maintenance medications at affordable prices that will be shipped directly to your doorstep. Plan Members will save on average 48% on the cost of their prescription medications.
- No Formulary
- No Deductible & No Maximum
- Order up to 90 supply
- Brand Name & Generics
- On-line Easy Refills & Refill reminders
- New Prescription needed notification
- Safe Prescription Medication
- Walk-In Pharmacy Discount: Plan Members will also receive the AIM Rx Discount Card, which allows you to shop locally and receive discounts on your immediate need medications. The AIM Rx Discount Card is accepted by over 42,000 pharmacies so you won’t have to look far to save money. No restrictions or usage limit.
- Mail Order $5 Generic Plan: As part of our commitment to lowering health care costs, AIM Rx offers over 400 prescription drugs at only $5 per 30 day supply or $15 for a 90 day supply.
- Mail Order Maintenance Prescription Benefit: Plan members save 55% on of the 1000 most common brand name prescriptions.
- Quality Customer Service: With our quick and easy on-line checkout process, you can view your discount savings prior to ordering your maintenance medications. Orders can be placed by fax, phone, mail, or online at www.aimrxcard.com. You can contact us at 1-800-758-1751 and speak with a friendly customer service representative to learn how you can save on maintenance medications.
- Dental Care
Immediate savings at over 60,000 participating CIGNA dental providers. 10-50% discounts on nearly every type of dental procedure, including crowns, x-rays and fillings, as well as orthodontia, periodontics and endodontics. No pre-existing conditions or waiting periods! www.thesolutioncard.com.
- Vision Care Plan
Reliable, high quality eye care services delivered by a network dedicated to the vision and welfare of AIM Members. Select from independent optometrists, ophthalmologists and opticians and retail locations such as LensCrafters, Pearl, JC Penney, Sears and Target for savings between 15-60%. This plan also applies to LASIK and PRK laser vision procedures.
- Hearing Care Plan
Have access to the nation’s largest network of audiologists with more than 1,500 locations. Receive a FREE hearing aid evaluation and enjoy discounts of up to 20% for other services and supplies.
- Diabetes Care Discount Plan
Members receive a comprehensive diabetes maintenance program to help take charge and manage chronic diabetes conditions. The program provides access to a full line of state-of-the –art glucose meters, test strips and lancets. Members experience savings between 10-40% every month, compared to average retail prices on diabetic supplies.
- Chiropractic Care Plan
There is a large body of evidence suggesting that lower back pain is more effectively treated using chiropractic services over traditional medical treatments. This is often more cost effective with greater patient satisfaction. Members can choose from 19,000 licensed chiropractors across the nation, have access to FREE consultation, then save up to 50% on all diagnostic services and 20% to 40% for other services and supplies. There are no limits on your choice of therapy or number of visits per year.
- 24 – Hour “Ask a Nurse” Hotline
You will speak with a registered nurse who can answer your questions and provide you with health and medical information. Members receive information about symptoms, medical terms, procedures, diseases, treatment options and medications. The 24 Hour Nurse Hotline is standing by for:
- Telephone conversations with Registered Nurses 365 days a year.
- 24/7 internet access to a library of specific health-related topics
- Recorded messages that can be downloaded
- Patient Advocacy
Patient Advocacy is a patient assistance program designed to help lower overall Health Care Costs, and that means reducing your potential out-of-pocket expenses. Let your personal patient advocate representative help you stay healthy without breaking the bank.
- Additional Member Savings:
- Alternative Medicine
- Massage Therapy
- Physical Therapy
- Health Club Membership
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