quirements for enrollment vary according to whether a group or individual insurance technique is used. Dependent upon the particular plan, there may or may not be a health requirement for application. Benefits under these plans for hospital and/or medical catastrophic expenses can reach a maximum of $7,500 - $10,000. A recent innovation in Connecticut by insurance companies has made available to all residents 65 and over a statewide plan offering protection against catastrophic medical expenses and basic hospital charges. The selected yearly premium range noted above for the plans listed was calculated for a man 65 years of age with full plan benefits. SENIOR CITIZEN CATASTROPHIC EXPENSE PLANS PLAN COVERS HOSPITAL CHARGES FOR ROOM AND BOARD TO LIMIT OF $25 A DAY *Plan available only to people 65 and over regardless of medical history and without medical examination during enrollment periods. *Deductible and Co-insurance apply only to charges for miscellaneous hospital services. Plan pays 80% of such charges and 100% of other services up to the aggregate maximum benefit each accident or illness. **Plan pays 100% of the first $250 for hospital charges including Misc. Services and Room and Board to $18 a day and 80% thereafter; 80% of surgical fees according to $600 schedule; 80% of physicians' fees up to $6 a day; 80% of private nurse up to $18 day - all expenses not to exceed the $5,000 yearly maximum. ***Open only to residents of the State of Connecticut 65 years of age or older - Sept. 1, 1961. TABLE V The range of benefits for basic policies is from $5 $25 toward daily hospital room-and-board charges with additional allowances for extra hospital services. Surgical benefits go as high as $500. Policies will provide benefits from 60 to 1,000 days for each illness or injury. Catastrophic expense policies for hospital and or medical expenses of this type have maximum benefits from $5,000 - $10,000 Deductible amounts vary from $250-$1,000. Under catastrophic hospital and major medical expense policies, the insured person commonly pays 2025% of expenses above the "deductible". The selected yearly premium ranges noted above for the plans listed was calculated for a man of 59 years of age at various benefit levels. ADDITIONAL HOSPITAL-SURGICAL EXPENSE PLANS PROVIDING I. Non-Deterioration Health Plans Policies that cannot be cancelled or terminated because of physical change in the insured: 76123 O-61-pt. 2——17 $250 69 59 to 500 $250 to 60 + 500 1) Emergency accident 2) Ambulance service 3) Poliomyletis 4) Out-patient accident 5) Accidental death 1) Emergency accident 2) Ambulance service 3) Poliomyletis 4) Out-patient accident 5) Accidental death (Continued on next page) Accidental death; In-hospital medical; Accident expense: Out-patient expense; Dread disease coverage Accidental death; In-hospital medical; Accident expense; Out-patient expense; Dread disease coverage Optional Benefits-Emergency hospital accident or sickness; In-hospital medical; Private duty nursing *Surgical Schedule Determined by Daily Room and Board These policies provide protection against hospital and surgical expenses for the lifetime of the persons insured under them. The protection of these policies can only be terminated by the insured person through non-payment of the premium. The insurance company reserves the right to adjust the policy premium by policyholder class -- not on an individual basis. Extra benefits, as listed under these programs, are included in each plan for the same premium; optional benefits can be added for an additional premium. Some guaranteed renewable lifetime hospital-surgical expense policies require the insured person to pay a TABLE VI small initial amount (called "deductible" amount) of his hospital-surgical expenses before policy benefits start. Many of these policies, however, require no "deductible" amount or make it an optional choice of the insured person in such cases, premiums are calculated according to the method selected. Some guaranteed policies continue the same benefits throughout the lifetime of the insured person; others reduce benefits at 65 years of age or provide a fixed amount of benefits above 65 for lifetime. Many policies provide dividends which help reduce their yearly premium charges. Premium charges of health insurance policies are determined by many factors: the applicant's age, sex, commonly the number of family members included, and the amount of benefits chosen. The selected yearly premium range noted above for the programs listed was calculated for a man of 55 years of age at maximum plan benefits. GUARANTEED RENEWABLE LIFETIME HOSPITAL-SURGICAL EXPENSE PLANS DURATION OF STAY AFTER 65-60 DAYS; $50 TO $200 MISC. EXTRAS 6 OR MORE DAYS |