World
Health Insurance of Texas
More
than 11,200 agents represent World Insurance, which is licensed in 46 states
and the District of Columbia. Founded in 1903 as the World Accident Association,
World Insurance has more than century of experience, and is rated as A (Excellent)
by independent insurance rating organization A.M. Best. Thanks
to an agreement with Great-West Healthcare, World Insurance of Texas also provides
you access to the Great-West Healthcare PPO network. That can mean substantial
discounts in your health care costs, even before your deductible is met. More
than 530,000 providers and 4,200 hospitals in this network serve over 2 million
people nationwide. World
Insurance in Texas offers additional choices in health care networks for
those living in these zip code areas: 760 - 762, 764, 769, 788, 790 - 792, 797
- 799, and 885. World Insurance in Texas can help you get the health care coverage
you need at an affordable price that meets the coverage and financial limits
of residents in Texas. You
can run an instant quote
to see detailed information about plan details, limitations, and restrictions.
Or contact us and we will help you decide on
a plan that is right for you and your family. Coverage
Synopsis: Value
Advantage Plan
This plan
covers 50% or 70% of your first $10,000 in covered expenses, then 100% of
covered expenses up to $1,000,000. Routine doctors visits and outpatient
prescription drugs are not covered, although you may add optional benefits
which will give you a $40 copay for doctor visits. The
prescription drug rider comes with a $500 annual deductible, after which generic
drugs would come with a copay of $10 (plus 20% of the remaining cost of the
drug); $25 for brand name (plus 50% of the cost of the drug), or $35 for non-formulary
drugs (plus 50% of the cost of the drug). Emergency room visits are
covered with a $250 access fee, which is waived if you are admitted into the
hospital, at which time your coverage would be subject to your deductible
and coinsurance. Foreign
travel is also covered for 60 days, with a $100,000 lifetime limit.
World
Insurance HD Advantage
With this
plan, the deductible only needs to be met once per family per year.
After you have met your deductible, the plan pays 100% of all covered expenses,
up to either $2 or $5 million per person. There is also an option for
50% of 80% coverage, with a co-insurance limit of $10,000. Routine doctor
visits and out patient prescription drugs are not covered by this plan, even
after the deductible has been met, unless the Comprehensive HSA Benefit
rider is included. Foreign
travel is also covered for 60 days, with a $100,000 lifetime limit. This
plan qualifies as HSA-eligible. Combining a Health Savings Account
with any the World High Deductible Health Plan allows you to make tax-deductible
contributions, pay medical expenses with pre-tax dollars, and earn tax-deferred
interest. This account works much like an IRA, except you may use your
tax-free savings for qualified medical expenses your health plan does not
cover, such as your deductible, contact lenses, or most types of alternative
medicine. If you do not use these funds, they simply accumulate, with
interest, for distribution upon your retirement.
Optional
Riders: Comprehensive
HSA Benefit
The HD Advantage
program does not cover outpatient doctor visits or prescription drugs unless
this optional rider is added. This optional benefit cannot
be added to your policy after you apply for coverage. It provides the
following additional benefits. - Rx
Benefits - subject to deductible and coinsurance. Prescription drugs
or medicines for a covered illness or injury when prescribed by a physician
and dispensed by a licensed pharmacist.
- Physician
Office Visit Benefits - subject to deductible and coinsurance for medical
services provided by a physician.
- Outpatient
Services - subject to deductible and coinsurance. Services include,
but are not limited to, physical,
occupational, speech and manipulative therapy, and diagnostic testing.
- Wellness
Benefits - a maximum of $150 first dollar coverage for wellness benefits
per covered person, per calendar year. Eligibility starts for each covered
person 12 months after the plan is effective for that covered individual.
Maximum
Benefit Option
Your HD
Advantage policy/certificate's lifetime coverage maximum is $2 million
per covered person. The Maximum Benefit Option increases the lifetime
maximum to $5 million. It also increases the per-organ transplant maximum
from $500,000 to $1,000,000 at nationwide Centers of Excellence, facilities
that specialize in specific types of transplants and can provide you with
quality care on a cost efficient basis.
Term
Life Benefit Option
The Term Life
Benefit Rider provides you and/or your spouse with annually renewable term
life insurance coverage in benefit amounts of $10,000, $25,000 or $50,000.
Plus, you also have the option of converting your term-life policy to a World
whole life policy.
Outpatient
Accident Benefit Option
With the Outpatient
Accident Benefit Rider, your plan pays 100 percent of expenses for a covered
injury, not to exceed the amount you choose ($500, $1,000, $1,500, $2,000,
$2,500, $3,000 or $5,000) per calendar year for treatment of injuries on an
outpatient basis, with no deductible or coinsurance. Additional benefits
are subject to your deductible and coinsurance. (Note: Not all levels
are available in all states) Expenses
covered under this rider include: -
Services, supplies, and physician's care;
- X-ray
and laboratory tests; and
- Treatment
or services received in a hospital emergency room, urgent care center, physician's
office, or ambulatory surgical center or facility.
Rates:
Preferred
rates without riders are available on our instant
quote page. The quoted rates are for the $5 million maximum
benefit, and do not include optional benefits such as term life, supplemental
accident, maternity, and Rx riders. They also do not include $7.50/month
dues for membership in the National Consumer Alliance Association (NCA), which
endorses these plans and gives members access to valuable products and services.
If you are
not replacing current coverage, you will be issued a policy with standard
rates, approximately 8% higher than preferred rates. Please
contact us for rates on the optional benefits.
Rates depend on gender, smoking status, zip code, and health status. The
premium can be paid via quarterly, semi-annual, or annual billing, or a monthly
bank draft or credit card. The bank draft will occur on the premium
due date each month. The initial premium can be paid with a check or credit
card. The
following chart shows when you can expect payment to be deducted from your
credit card:
|
App
Effective Date
|
Credit
Card Charged
| |
1st of
the month
|
1st of
month
| |
2nd -
5th of month
|
5th of
month
| |
6th -
10th of month
|
10th
of month
| |
11th
- 15th of month
|
15th
of month
| |
16th
- 20th of month
|
20th
of month
| |
21th
- 28th of month
|
25th
of month
| |
PPO
Network:
World
Insurance recently signed an agreement with Great-West Healthcare, a division
of Great-West Life & Annuity Insurance Company.
Having access to the PPO network can mean substantial discounts in what you
pay for your health care, even before you meet your deductible.
Great-West
Healthcare operates a substantial multi-state (national) healthcare network
that includes more than 4,200 hospitals and 530,000 providers. It provides
network and other services to more than 2 million people.
Find
a Doctor
Underwriting:
Underwriting
of your application with World Insurance normally takes two to four weeks,
though if medical records are ordered it could take longer. World's
underwriting seems fairly lenient compared to many other companies, and often
accept applicants who may have been turned down by other companies. It
is standard practice for them to request a Blood Pressure Inquiry if you are
currently being treated for or have recently discontinued treatment for high
blood pressure. Certain conditions may be waivered with a temporary
rider (usually for one to twos years), or an indefinite rider.
Effective
dates:
The earliest
your coverage can go into effect is ten days after you have signed your application.
You may request an effective date any time between 10 and 60 days after you
sign your application. Please
note, if you are requesting an effective date of less than 21 days from the
time you complete the application, you may not receive notification of your
approval until after your effective date. If you have claims during this period,
they will be eligible for coverage if submitted after you have been approved.
Also note
that you will be billed starting on your requested effective date, even if
you have not yet been notified that you have been approved. This is
very good for someone who does not have any present coverage and would like
for their benefits to begin right away. For those who are already covered,
it is suggested that you maintain your current coverage in force until you
have received notice from either eTXHealthinsurance
or directly from World Insurance that
your coverage has been approved and is in force.
How
to Apply:
Simply run
an instant quote
and select the plan you are interested in. Then download the application,
fill it out and fax it in to us. We will then stay in touch with your
during the underwritting process to keep you informed of the progress.
About
World Insurance:
World
Insurance was founded in 1903 in Omaha, Nebraska, as the World
Accident Association. The company began hiring agents in 1925 and became
World Insurance Company in 1929. The first general agency was established
in Colorado in 1938. In 1943, World mutualized and was authorized to
sell life insurance as well as accident and sickness policies. By
the late 1950s, World was licensed in 45 states with 500 agents nationwide.
The company's product portfolio included a wide variety of individual hospital,
life and disability policies. Today,
World is licensed in 46 states and the District of Columbia. More than
11,200 general agents and agents represent the company. World
Insurance has been assigned a rating of A- (Excellent)
from the A.M.
Best Company, an independent insurance rating organization. eTXHealthinsurance
is an independent authorized World agent.
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