ValU Select
Marketed by:
Guaranteed Acceptance
Health Care Benefits
for ValUSelect+ Members
ValUSelect Product Comparison Grid
Medical Benefits 300 500 700 1000
Beech Street Network . . . . . . . . . . . . . . . . .1
LabOne Select . . . . . . . . . . . . . . . . . . . . .1
Hearing Care Plan . . . . . . . . . . . . . . . . . . .1
MEDEX PLUS Emergency Medical Assistance . . .1
BIOSAFE Laboratories . . . . . . . . . . . . . . . . 5
Wellness Benefits . . . . . . . . . . . . . . . . . . . . .
Optum NurseLine . . . . . . . . . . . . . . . . . . . 1
American WholeHealth Network, Inc. . . . . . 1
Best Doctors . . . . . . . . . . . . . . . . . . . . . . 5
MyHealthCompass™ . . . . . . . . . . . . . . . . . 6
Prescription Drug Benefits
PharmaCare Prescription Program . . . . . . . . 2
Liberty Medical Savings Plan . . . . . . . . . . . 2
PharmaCare Direct . . . . . . . . . . . . . . . . . . 2
Dental Benefits
CAREINGTON Dental Access . . . . . . . . . . 2
Vision Benefits
EyeMed Vision Care Plan . . . . . . . . . . . . . 2
Legal Aid Benefits
Consolidated Legal Concepts . . . . . . . . . . . 6
Financial Benefits
USA+ Financial Coach/Identity Theft . . . . . . 7
Travel Benefits
Travel Assist . . . . . . . . . . . . . . . . . . . . . . . 2
Road Side Assistance . . . . . . . . . . . . . . . . 7
USA+ Travel/Quest International . . . . . . . . . 8
Protection & Lifestyle Benefits
Dignity Memorial Funeral Services . . . . . . . .2
Coupon Connection . . . . . . . . . . . . . . . . 8
Shopping, Dining & Movie Discounts . . . . . . 8
FedEx Kinko’s . . . . . . . . . . . . . . . . . . . . . . 8
Membership in USA+ is NOT insurance nor is it meant to represent an insurance contract. This is an Association
Membership offered and administered by United Service Association For Health Care, P.O. Box 200905,
Arlington, TX 76006-0905, 800-USA-1187.
Some of the benefits available to our members are NOT INSURANCE and are discount benefits only. Discount benefits
provide savings at certain health service providers. USA+ does not make payments directly to these providers. The member
is obligated to pay directly for services received at the discounted rates. USA+ will make available to you before enrollment
a list of the discount benefit providers that are available in your service area including name, city, state and specialty.
USA+ Members are automatically covered under group insurance policies
issued to United Service Association For Health Care for the following benefits:
Insurance Benefits - Medical 300 500 700 1000
Physician/Hospital Benefits ......3
300 .
1, 2
Physician/Hospital Benefits ......6
5001, 2 .
Physician/Hospital Benefits ......7
7001, 2 .
Physician/Hospital Benefits ......8
10001, 2
$5,000 Med. Accident /5,000 AD&D . . . . . . . 3
$7,500 Med. Accident /10,000 AD&D . . . . . . 6
$7,500 Med. Accident /15,000 AD&D . . . . . . 7
$7,500 Med. Accident /25,000 AD&D . . . . . . 8
Insurance Benefits - Protection
Lifestyle Insurance Protector . . . . . . . . . . . . 3
Accidental Death & Dismemberment . . . . . . 3
Insurance Benefits - Prescription
ACE RX Benefit . . . . . . . . . . . . . . . . . . . . 4
Insurance Benefits - Dental
Ameritas Group Dental . . . . . . . . . . . . . . 4
Insurance Benefits - Vision
Ameritas Group Vision Service Plan . . . . . . 4
Insurance Benefits - Financial
Auto Deductible Protection . . . . . . . . . . . . 4
Homeowner and Rent Protection . . . . . . . . 5
Membership Dues
Member Only $199.00 240.00 265.00 300.00
Member and Family $ 319.00 416.00 474.00 560.00
One Time Enrollment Fee $ 60.00 60.00 60.00 60.00
1
Coverage is not provided for loss due to a pre-existing condition for 12 months from the Covered Person’s membership effective date.
Coverage is not provided for members over the age of 64.
2
This package of benefits is not a substitute for comprehensive health insurance and should not be used as a replacement for major
medical insurance.
As added membership benefits, all active members are automatically covered under certain group insurance policies
purchased by USA+. The benefits are underwritten by A.M. Best rated insurance companies and subject to the
exclusions, limitations, terms and conditions of coverage as set forth in the insurance certificate provided in your
membership materials and the Policy issued to USA+.
ValUSelect
ValUSelect 300 MEDEX PLUS
MEDEX Plus provides you with Medical Evacuation and
MEDICAL BENEFITS Repatriation Services, Travel Assistance Services, and
Medical Assistance Services when you are 100 or more
Beech Street Network* miles away from home.
Medical Evacuation & Repatriation Services Available
With over 600,000 doctors and over 3,000 hospitals in the
(fully paid benefit)
United States participating in this Referral program, you
• Emergency medical evacuation
could save from 10% to 35% or more on your medical
• Medically supervised return
bills. As a minimum, you will receive a 20%1 savings on
• Repatriation of Mortal Remains
your actual bill from the doctor’s office. Additionally, our
• Travel Assistance for dependent children
Patient Advocacy Program will help you select a
• Travel Assistance for companion if member is
participating provider.
hospitalized when traveling alone
• No Waiting Period • No Limitations on Usage
Travel Assistance Services Available
• No Qualifications • No Member Claim Forms
• Emergency Travel Arrangements
• No deductible • Over 432,000 Specialists
• Emergency Transfer of Funds
Services Include: • Worldwide Legal Referrals
Physicians • Translation Services
Our patient advocacy representatives will work with
members, to locate specific providers, confirm the Medical Assistance Services Available
provider’s acceptance of new patients and provide the • Worldwide Medical and Dental Referrals
member with a listing of several different providers in their • Transfer of Insurance Information and Medical Records
immediate area that will meet the member’s specific needs. to medical Providers
• Dispatch of Doctors and Specialists
Hospitals
For assistance with hospitals, patient advocacy representatives
will work with members to locate a participating hospital. The
member will be responsible for any applicable financial
WELLNESS BENEFITS
guarantees required by the hospital, prior to admission. Optum® Nurseline
Integrated Health Plan Network is accessed in Arkansas, Iowa, When you or your child are ill in the middle of the night, or
Nebraska, Utah, Washington, Wisconsin and West Virginia.
at any time, it is now at your fingertips to get professional
1
20% Savings is NOT applicable to Lasik. help. Speak with a caring staff of registered nurses toll-free 24
hours a day, 7 days a week.
LabOne Select*
American WholeHealth
LabOne Select is a discount program that benefits
individuals with high-deductible medical plans or those having Network, Inc.*
no coverage for laboratory testing. By using the LabOne Select
program and directing your laboratory testing to LabOne, you American WholeHealth believes that integrating the best of
can save 20–60% on outpatient laboratory testing costs. both conventional and alternative medicine will result in
optimal health outcomes. Alternative medicine focuses on a
LabOne Select covers most diagnostic outpatient lab work,
wide range of healing philosophies and therapies not
including:
traditionally used in conventional medicine. Here, you will
• Blood testing (e.g., cholesterol, CBC) save up to 30% off the regular provider fees.
• Urine testing (e.g., urinalysis)
• Cytology and pathology (e.g., pap smears, biopsies) Examples include:
• Cultures (e.g., throat cultures) • Acupuncture • Chiropractic
• 1400 collection facilities • Dietician • Holistic Nurse Practitioner
Certain terms and conditions apply and are subject to the Exclusions and • Massage Therapy • Nutritionist
Limitations. See your Membership Handbook for details.
• Reflexology
Hearing Care Plan* No claim forms to complete, no pre-authorization to process
and no referrals from your primary care physician to obtain.
As a member of USA+, you will receive a 30% savings for
all hearing exams and services and up to a 55% savings on *These benefits are discount programs only. USA+ has no liability for
1 hearing aids from HearPO providers. providing or guaranteeing service or for the quality of service rendered.
PRESCRIPTION DRUGS VISION
PharmaCare Prescription Program* EyeMed Vision Care Plan*
Enjoy incredible customer care with access to 32,000
PharmaCare Offers: Providers nationwide. Participating providers include
• Low prices on prescriptions at time of purchase LensCrafters, Texas State Optical, Pearle Vision and Vision
• 56,000 participating pharmacies, including: Care Specialists.
A&P Albertson's Big B • 35% savings off regular retail price
Safeway Rite-Aid Randall's (20% off when using $100 credit)
KMart Payless Kroger • 15% savings on eye exams
Target Tom Thumb Brookshire Brothers • 15% off retail pricing or 5% off promotional pricing
CVS Harco Ikes for Lasik or PRK
Osco Walgreens Wal-Mart • $100 credit on prescription eyewear after six months.**
HEB Drug Emporium • $100 credit per family membership every 18 months thereafter.**
** This credit may be used to purchase prescription eyeglasses or a contact
Liberty Medical Savings Plan* lens package.
Liberty offers diabetes management and lifestyle enhance- TRAVEL BENEFITS
ment products at competitive discounts. Travel Assist
• Up to a 30% discount off the average wholesale price on
Lost/Stolen Luggage and Documents, Cash Transfers,
diabetic medications
Legal Referral, Vehicle Return, Trip Interruption,
• No complicated forms to fill out
• No shipping or delivery charges Relocation Services, Physician/Dental/Hospital Referrals,
Shipment of Medical Records, Medical Evaluations/Case
Monitoring, Shipment of Prescription Medications,
PharmaCare Direct* Repatriation of Remains, Travel Documentation, Global
Weather, Political/ Environmental Warnings, Telephone
• Mail order right to your address Translation, Immunizations, Currency/ATM Locations,
• Up to 25% off wholesale pricing Emergency Messaging.
• $25 quarterly credit on long term medications
PROTECTION BENEFITS
DENTAL Dignity Memorial Funeral Services
CAREINGTON Dental Access Dignity Memorial is a nationwide network of over 1,800
funeral, cremation, and cemetery service providers who
You now have access to over 24,000 dentists nationwide to deliver exceptional standards of care at affordable prices.
assist your specific needs. We are able to offer you these
• A 10% savings on funeral or cremation services and
incredibly high number of choices due to our partnership merchandise including cemetery interment rights,
with CAREINGTON International. services and merchandise through Dignity Memorial
affiliated cemeteries.
Keep smiling because USA+ is offering a national access
network to make dental care more affordable. • A free Funeral Protection Certificate for your children
and grandchildren worth up to $2,500.
You are entitled to:
• Family Planning Guide.
• Immediate savings at time of service
• Access to an extensive Grief Management Library and
• Savings from 20% to 50% on most common procedures Family Safety Programs.
• Unlimited use of the plan
• Funeral and cremation preplanning services that are
• Services range from cleanings, crowns, root canals transferable to any Dignity Memorial location
and more throughout the United States. (Must be over 75 miles
This is a discount program only. This plan is administered by CAREINGTON from the location where prearrangements were made.)
International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034. The • Substantial savings on bereavement airfares.
program and its administrators have no liability for providing or guaranteeing
service or the quality of service rendered. • Extended family coverage.
*These benefits are discount programs only. USA+ has no liability for
providing or guaranteeing service or for the quality of service rendered.
2
ValUSelect
USA+ members are automatically covered under group
insurance policies issued to United Service Association Accident Medical/AD&D Benefit1
For Health Care for the following benefits: • Pays Up to $5,000 per accidental injury
• $100 Deductible per Incident
INSURANCE BENEFITS • Includes Hospital or Surgical Care; Prescription Drugs;
MEDICAL Doctor’s Medical Treatment; X-rays and Lab Exams;
Professional Ambulance Service
Physician and Hospital Benefits1 • Dental Expenses including dental X-rays for the repair
or treatment of each injured tooth that is whole, sound
and a natural tooth at the time of the Accident
Hospital Indemnity • AD&D - Member $5,000, Spouse $2,500, Child $1,000
Hospital Daily Benefit: $300 Per Day • $200 Monthly Accident Income Benefit due to total
Pays you a daily benefit if you are confined to a hospital for disability, up to 12 months
at least 24 hours due to a covered injury or sickness, • Worldwide Coverage
beginning with the 1st day; and continuing up to 180 days Accident Disability Coverage is not provided for members over age 69.
Intensive Care Benefits INSURANCE BENEFITS
$1,000 Per Day
Provides a $1,000 daily benefit if you are confined to
a hospital’s Intensive Care Unit up to a maximum of
PROTECTION BENEFITS
14 days per period of confinement.
LifeStyle Insurance Protector
Surgical Benefit • $5,000 Monthly Short Term Disability Benefit
In-Patient and Out-Patient Surgery $2,500 Monthly for Spouse (Payable up to 6 months)
Up to $20,000 Per Year • $10,000 Monthly Long Term Disability Benefit
$5,000 Monthly for Spouse (Payable up to 10 years)
Surgical benefit pays up to the amount equal to the unit
value listed times the point value as shown in the policy’s LifeStyle Protector Benefit provides you with income
security if you are rendered Permanently Totally Disabled
surgical schedule, when a covered person receives inpatient
as a result of an accident. Permanent and Total Disability
or outpatient surgery in an approved facility. If more than must begin within 90 days of the accident.
one surgical procedure is performed at the same time, only • Short Term Benefits begin with the 1st consecutive
one benefit, the largest, will be paid. month of Short Term Permanent Total Disability
The surgical benefit is capped at $20,000 per year per following the 6-month Waiting Period.
covered person for all surgeries required in a policy year. • Long Term Benefits begin with the 1st consecutive
month of Long Term Permanent Total Disability
Doctor Visits Benefits following the 12-month Waiting Period.
$50 Per Visit Coverage is not provided to members over the age of 79.
Pays you $50 if a covered person visits a doctor, for other than Permanently Totally Disabled Means, the member suffered: Loss of both
hands or feet, Loss of one hand and one foot, Loss of speech and hearing in
surgery, due to a covered injury or sickness. Benefits are payable both ears, Hemiplegia, Paraplegia, Quadriplegia and; the member is unable
for up to five visits per family, per calendar year. to return to any occupation for which he/she is qualified by reason of
education, experience or training on a full or part-time basis.
Emergency Room Visits This benefit is provided to USA+ members by a group policy issued by an A.M.
$50 Per Visit Best rated insurance company. Certain terms and conditions apply and benefits are
subject to the Exclusions and Limitations. See your Membership Handbook or
Pays you $50 if a covered person requires emergency room Certificate of Coverage for the details.
services due to a covered injury or sickness. Benefits are
payable for up to three visits per family, per calendar year. Accidental Death and
Coverage is not provided for loss due to a pre-existing condition for 12
months from the Covered Person’s membership effective date. Coverage is Dismemberment Benefit
not provided for members over the age of 64.
• Member $10,000, Spouse $5,000, Child $2,500
This package of benefits is intended to supplement and not substitute for • 24 Hours a Day; 365 Days a Year
comprehensive health insurance. • Worldwide Accident Protection
1
These benefits are underwritten by The United States Life Insurance Company in • Paid in Addition to Other Insurance
the City of New York, a member company of American International Group, Inc. • Covers Accidents in the Course of Business or
and subject to the exclusions, limitations, terms and conditions of coverage as set forth Pleasure, on or off the job.
in the description of coverage provided in your membership materials and the Group
AD&D & Medical Care Insurance Policy (Form #G-19000) issued to USAHC. Reduction in the Principal Sum for ages 70 and up. This insurance benefit is
The insurance premiums for these benefits are paid by USAHC out of the underwritten by AIG Life insurance Company, a Delaware Insurance Company
membership fees collected. The membership fees charged for this program are not that has its principal place of business at 601 King Street, Wilmington, Delaware,
insurance premiums. This is not a comprehensive medical insurance plan and 19801. It is currently authorized to transact business in all states (except New
York), District of Columbia and Puerto Rico. NAIC No 66842.
3 should not be used as a replacement for major medical insurance.
INSURANCE BENEFITS INSURANCE BENEFITS
PRESCRIPTION DRUGS DENTAL
Ace RX Benefit Ameritas Group Dental Benefits1
Your benefit works as follows: • $50 Deductible for Type 1 Preventive Services
• $15 co-pay for covered outpatient generic drugs • $100 Deductible for Type 2 Basic and Major Services
• No more than 3 deductibles per calendar year
• $100 Annual deductible per family member
• Maximum Benefit – $1,000 annually Per Family Member
• Receive up to 30% discount on brand name drugs when • Benefits Are Paid Based On Schedule of Eligible Expenses
prescriptions are filled at a participating pharmacy • No waiting period on preventive and basic services
• $4,000 Annual maximum for each family member • Major Services – 12 month Waiting Period
• Limited to a 30 day supply per order • Choose any dentist nationwide or select from one of
nearly 65,000 provider access locations
• The Ace American Insurance Company benefit works
• Dental Rewards - Rewards insureds that care for their
in conjunction with the PharmaCare program which is
teeth and use only a portion of their annual maximum
provided through your USA+ membership. You will
benefit in a year. With its increasing maximum feature,
always pay the lower of the $15 co-pay or the
each insured member and dependent earns additional
PharmaCare discounted price.
money toward his or her next year’s annual maximum.
• No claim forms to file — The claims history To get the maximum carryover for the next year, you
information will be captured by PharmaCare as long must meet the following requirements:
as you go to a participating provider and show your ID
1) Visit your Dentist between Jan. 1st and Dec. 31st.
card. Once the deductible is met, the PharmaCare
2) Submit claim for payment prior to April 1st of the
system will automatically notify the pharmacist that next year.
you should just pay your co-pay. 3) Total benefits paid for current year visits must be
This benefit is provided to USA+ Members by a group policy issued to USA/HC less than $500.
by an A.M. Best rated insurance company. This brochure is only a brief description
of the prescription drug plan underwritten by ACE American Insurance • If you meet all 3 requirements you will have an
Company. It is not a contract of insurance. Complete details of the terms and additional $250 available in Annual Maximum for
conditions of coverage including eligibility requirements, and exclusions and
limitations will be included in the certificate.
the next year.
• As long as you continue to visit the Dentist each year
INSURANCE BENEFITS the $250 will be available.
• In future years if you have benefits paid of less than
VISION $500, additional amounts of $250 will be added to the
carryover. However, the most you can accumulate in
Ameritas Group Vision Service Plan1 the maximum carryover is $1,000.
• Your annual maximum will be $2,000 in four years
Through VSP, you receive this and more! There is no if you continue to visit the dentist once each year!
paperwork to fill out or claims to file.
Adding this Benefit to the CAREINGTON International
1. Make an appointment with a VSP doctor. Dental Access Network allows you access to greater savings.
ell
2. T them you have benefits with VSP.
3. Show up for your doctor’s appointment. Dental Savings Comparison Chart
Procedures UCR Dental Group Dental Out-of-Pocket
You read it right the first time… Make the appointment and Access Schedule Expenses
then just show up! Periodic Oral Evaluation $38 $13 $19 $6
Teeth Cleaning $85 $30 $40 $15
• Free eye exam once per year per family member from
Panoramic Film $80 $28 $33 $19
participating providers! Root Canal Molar $708 $358 $107 $243
• 20% discount on lenses, frames, and other hardware! Extraction–Single Tooth $106 $37 $39 $30
• Up to a 25% discount on laser surgery!
Discounts will vary by state
• There are 32,000 VSP providers nationwide
• There is a VSP provider within ten miles of the homes of This benefit is provided to USA+ Members by a group Dental Expense policy issued
90% of the United States population! to USA/HC by Ameritas Life Insurance Company. Certain terms and conditions
apply and benefits are subject to the Exclusions and Limitations. A complete
• Find a VSP provider near you at ameritasgroup.com description is contained in the Certificate of Coverage.
This benefit is provided to USA+ Members by a group policy issued to USA/HC 1
Ameritas Group, a division of Ameritas Life Insurance Corp. a UNIFI Company,
by Ameritas Life Insurance Company. Certain terms and conditions apply and offers group dental and eye care products nationwide. Ameritas Group’s dental and
benefits are subject to the Exclusions and Limitations. A complete description is eye care products (9000 Ed. 01-05) are issued by Ameritas Life.
contained in the Certificate of Coverage. 4
ValUSelect
INSURANCE BENEFITS Emergency Lodging Coverage Expenses
FINANCIAL
Up to $1,000*
Covers up to $100 per day for up to 10 days when a loss
Auto Deductible Protection covered by your homeowner’s insurance or renter’s
insurance company renders your primary residence
When you are involved in an auto accident and file a claim uninhabitable or there is a mandatory evacuation by a
with your auto insurance carrier to cover the damage to public service officer or the National Weather Service.
your vehicle, you may still face a large out-of-pocket *This brochure is only a brief description of the plan. Complete details of the terms
expense for the deductible on your auto insurance. The and conditions of coverage including eligibility requirements, exclusions and
limitations, will be included in the certificate of coverage, which can be found in
Auto Deductible Reimbursement benefit provides your Membership Handbook.
reimbursement for the deductible amount of your auto This Protection coverage is underwritten by Virginia Surety Company, Inc. and
insurance policy in the event your vehicle is involved in a administered by cynoSure Financial, Inc.
covered accident and the dollar amount needed to repair
ValUSelect 500
the damage exceeds your deductible. Benefits include:
• Up to $500 of your auto deductible on covered auto
insurance claims if you are in an accident.*
• Includes collisions, theft and vandalism, if covered under
The ValUSelect+ 500 includes all the features of the
your Automotive Policy. ValUSelect+ 300 except for the Physician/Hospital and
• One Accident per year Medical Accident Benefits. The levels of these benefits are
• Police report must be filed within 48 hours of the accident. listed on the following page.
*This brochure is only a brief description of the plan. Complete details of the terms
and conditions of coverage including eligibility requirements, exclusions and MEDICAL
limitations, will be included in the certificate of coverage, which can be found in
your Membership Handbook. BIOSAFE Laboratories
This Deductible Protection coverage is underwritten by Virginia Surety Company,
Inc. and administered by cynoSure Financial, Inc. BIOSAFE Laboratories is the leading provider of accurate,
convenient, and affordable routine lab testing to consumers.
Home Owner and Each BIOSAFE home collection kit contains everything
you need to collect a micro-sample blood specimen from a
Rent Protection Benefits simple finger-nick. The BIOSAFE method is virtually
painless, yet provides the same accurate results as any other
If your home suffers a loss and you have to live elsewhere, reference laboratory. Tests available to you and your family
the additional expenses associated with maintaining your at up to 50% savings are:
primary residence as well as the expenses associated with • Cholesterol Panel (lipid profile) for coronary heart
maintaining temporary shelter may be unbearable. Home disease management
Owner and Rent Protection Benefits, will help to ensure • Thyroid Test (TSH) for the detection of elevated or
that you and your family will have adequate shelter. subnormal levels of thyroid stimulating hormone
Benefits include: • Prostate Screen (PSA) for prostate cancer screening
Home Owner Deductible Reimbursement This benefit is a discount program only. USA+ has no liability for
Up to $1,000* providing or guaranteeing service or for the quality of service rendered.
WELLNESS
Covers up to $1,000 of your homeowner’s or renter’s
insurance deductible for your primary residence, when
there is property damage resulting in a covered claim, and
the amount paid by your homeowner’s or renter’s insurance
Best Doctors®
carrier exceeds the deductible limit. You and your doctor have access to the medical guidance of
Emergency Cash over 50,000 of the leading medical specialists in over 400
Up to $1,000* subspecialties of medicine. This benefit provides you with
the following services:
Covers up to $1,000 when a loss covered by your homeowner’s
InterConsultationTM—a high level second opinion,
or renter’s insurance company renders your primary residence
to confirm diagnosis and treatment.
uninhabitable or there is a mandatory evacuation by a public
FindBestDocTM—assistance in locating doctors in your
service officer or the National Weather Service.
area that have been identified as ‘best’ by their peers to
Rent or Mortgage Reimbursement treat specific medical conditions.
Up to $1,000* FindBestCare®—arranging access to hospitals and treatment.
Covers up to $1,000 a month for up to 6 months for Rent or
BEST DOCTORS, INFORMATION WHEN IT MATTERS MOST,
Mortgage expenses incurred for the days that your homeowner’s the Best Doctors Logo, FINDBESTDOC, INTERCONSULTATION, and
insurance or renter’s insurance company deems your primary FINDBESTCARE are trademarks or registered trademarks of Best Doctors, Inc.
5 residence uninhabitable for at least 5 consecutive days. in the U.S. and other countries, and are used under license.
Emergency Room Visits
MYHEALTHCOMPASS™ $50 Per Visit
Pays you $50 if a covered person requires emergency room
The most comprehensive consumer health information tool services due to a covered injury or sickness. Benefits are
available. With MyHealthCompass™, you’ll have access to payable for up to three visits per family, per calendar year.
detailed information about healthcare providers, and be Coverage is not provided for loss due to a pre-existing condition for 12
better equipped to make healthcare decisions. As a member months from the Covered Person’s membership effective date. Coverage is
not provided for members over the age of 64.
of MyHealthCompass™, you’ll benefit from:
This package of benefits is intended to supplement and not substitute for
• Quality ratings for hospitals and medical procedures comprehensive health insurance.
• Pricing information for medical procedures
• Detailed profiles on doctors and hospitals Accident Medical/AD&D Benefit1
• Additional intelligence assures smart choices: disease-
specific data; links to leading-edge research, including • Pays up to $7,500 per accidental injury
clinical trials; tips on asking providers the right questions; • $100 Deductible per Incident
and glossary of medical term. • Includes Hospital or Surgical Care; Prescription Drugs;
Doctor’s Medical Treatment; X-rays and Lab Exams;
USA+ members are automatically covered under group Professional Ambulance Service
insurance policies issued to United Service Association • Dental Expenses including dental X-rays for the repair
For Health Care for the following benefits: or treatment of each injured tooth that is whole, sound
and a natural tooth at the time of the Accident
• AD&D - Member $10,000, Spouse $5,000, Child $2,000
INSURANCE BENEFITS • $200 Monthly Accident Income Benefit due to total
MEDICAL disability, up to 12 months
• Worldwide Coverage
Physician and Hospital Benefits1 Accident Disability Coverage is not provided for members over age 69.
1
These benefits are underwritten by The United States Life Insurance Company in
Hospital Indemnity the City of New York, a member company of American International Group, Inc.
and subject to the exclusions, limitations, terms and conditions of coverage as set forth
Hospital Daily Benefit: $500 Per Day in the description of coverage provided in your membership materials and the Group
Pays you a daily benefit if you are confined to a hospital for AD&D & Medical Care Insurance Policy (Form #G-19000) issued to USAHC.
at least 24 hours due to a covered injury or sickness, The insurance premiums for these benefits are paid by USAHC out of the
membership fees collected. The membership fees charged for this program are not
beginning with the 1st day; and continuing up to 180 days. insurance premiums. This is not a comprehensive medical insurance plan and should
not be used as a replacement for major medical insurance.
Intensive Care Benefits
$1,000 Per Day
Provides a $1,000 daily benefit if you are confined to a
hospital’s Intensive Care Unit up to a maximum of 14 days
per period of confinement.
ValUSelect 700
Surgical Benefits The ValUSelect+ 700 includes all the features of the
In-Patient and Out-Patient Surgery ValUSelect+ 500 except for the Physician/Hospital and
Up to $20,000 Per Year Medical Accident Benefits. The levels of these benefits are
Surgical benefit pays up to the amount equal to the unit listed on the following page.
value listed times the point value as shown in the policy’s
surgical schedule, when a covered person receives inpatient
or outpatient surgery in an approved facility. If more than
LEGAL
one surgical procedure is performed at the same time, only Consolidated Legal Concepts
one benefit, the largest, will be paid.
You are only a phone call away from immediate referral to
The surgical benefit is capped at $20,000 per year per your choice of over 20,000 attorneys and 6,900 law firms
covered person for all surgeries required in a policy year. nationwide. You are entitled to:
Doctor Visits Benefits • No initial consultation fee
$50 Per Visit • One 30-minute in-office visit per month
Pays you $50 if a covered person visits a doctor, for other • Preparation of a simple Will or review of an existing Last
than surgery, due to a covered injury or sickness. Benefits Will and Testament at no charge. (One per Family membership)
are payable for up to five visits per family, per calendar year.
6
ValUSelect
Surgical Benefits
TRAVEL BENEFITS In-Patient and Out-Patient Surgery
Road Side Assistance Up to $20,000 Per Year
Surgical benefit pays up to the amount equal to the unit
value listed times the point value as shown in the policy’s
• Up to $100 emergency roadside service
surgical schedule, when a covered person receives inpatient
• Up to $5,000 theft reward protection or outpatient surgery in an approved facility. If more than
• Up to $1,000 emergency trip interruption reimbursement one surgical procedure is performed at the same time, only
• Custom trip routing one benefit, the largest, will be paid.
• Up to $500 legal defense reimbursement
The surgical benefit is capped at $20,000 per year per
• Up to $50 ambulance reimbursement
covered person for all surgeries required in a policy year.
• 24-hour toll-free line
Certain restrictions apply Doctor Visits Benefits
$50 Per Visit
FINANCIAL Pays you $50 if a covered person visits a doctor, for other
than surgery, due to a covered injury or sickness. Benefits
USA+ Financial Coach/Identity Theft are payable for up to five visits per family, per calendar year.
Emergency Room Visits
Financial $50 Per Visit
Unlimited telephone access to advice from licensed, Pays you $50 if a covered person requires emergency room
professional legal and financial experts regarding services due to a covered injury or sickness. Benefits are
all of these money matters: payable for up to three visits per family, per calendar year.
• Pre-Retirement Analysis Coverage is not provided for loss due to a pre-existing condition for 12
months from the Covered Person’s membership effective date. Coverage is
• Life Events and Retirement Coaching not provided for members over the age of 64.
• Debt and Budget Coaching This package of benefits is intended to supplement and not substitute for
• Credit Coaching comprehensive health insurance.
Identity Theft Protection*
Learn how to keep identity thieves from ruining your Accident Medical/AD&D Benefit1
credit, and possibly, your life!
• Pays up to $7,500 per accidental injury
• $20,000 indemnification For Identity Theft and • $100 Deductible per Incident
Fraud Resolution • Includes Hospital or Surgical Care; Prescription Drugs;
* This benefit is provided to USA+ Members by a group policy issued by an A.M. Doctor’s Medical Treatment; X-rays and Lab Exams;
Best rated insurance company. Certain terms and conditions apply and benefits are
subject to the Exclusions and Llimitations. See your Membership Handbook for details.
Professional Ambulance Service
• Dental Expenses including dental X-rays for the repair
or treatment of each injured tooth that is whole, sound
USA+ members are automatically covered under group and a natural tooth at the time of the Accident
insurance policies issued to United Service Association • AD&D - Member $15,000, Spouse $7,500, Child $3,000
For Health Care for the following benefits: • $200 Monthly Accident Income Benefit due to total
disability, up to 12 months
INSURANCE BENEFITS • Worldwide Coverage
MEDICAL Accident Disability Coverage is not provided for members over age 69.
1
These benefits are underwritten by The United States Life Insurance Company in
Physician and Hospital Benefits 1 the City of New York, a member company of American International Group, Inc.
and subject to the exclusions, limitations, terms and conditions of coverage as set forth
in the description of coverage provided in your membership materials and the Group
Hospital Indemnity AD&D & Medical Care Insurance Policy (Form #G-19000) issued to USAHC.
The insurance premiums for these benefits are paid by USAHC out of the
Hospital Daily Benefit: $700 Per Day membership fees collected. The membership fees charged for this program are not
Pays you a daily benefit if you are confined to a hospital for insurance premiums. This is not a comprehensive medical insurance plan and should
at least 24 hours due to a covered injury or sickness, not be used as a replacement for major medical insurance.
beginning with the 1st day; and continuing up to 180 days.
Intensive Care Benefits
$1,000 Per Day
Provides a $1,000 daily benefit if you are confined to a
hospital’s Intensive Care Unit up to a maximum of 14 days
per period of confinement.
7
ValUSelect 1000 Intensive Care Benefits
$1,000 Per Day
Provides a $1,000 daily benefit if you are confined to a
The ValUSelect+ 1000 includes all the features of the hospital’s Intensive Care Unit up to a maximum of 14 days
ValUSelect+ 700 except for the Physician/Hospital and per period of confinement.
Medical Accident Benefits. The levels of these benefits are Surgical Benefits
listed on this page. In-Patient and Out-Patient Surgery
Up to $20,000 Per Year
TRAVEL Surgical benefit pays up to the amount equal to the unit
value listed times the point value as shown in the policy’s
USA+ Travel surgical schedule, when a covered person receives inpatient
or outpatient surgery in an approved facility. If more than
Are you going places? How about up to a 10% airfare rebate? one surgical procedure is performed at the same time, only
You can also save 10% with our cruise line and vacation one benefit, the largest, will be paid.
package discounts. All travel arrangements must be made
through Lifestyle Vacation Incentives. The surgical benefit is capped at $20,000 per year per
covered person for all surgeries required in a policy year.
Quest International Doctor Visits Benefits
Get room rates at up to 50% savings through Quest $50 Per Visit
International. Now you can afford a few extra vacation days. Pays you $50 if a covered person visits a doctor, for other
than surgery, due to a covered injury or sickness. Benefits
are payable for up to five visits per family, per calendar year.
LIFESTYLE
Coupon Connection Emergency Room Visits
$50 Per Visit
If you’ve been paying full price, cut it out! With the Pays you $50 if a covered person requires emergency room
Coupon Connection, you’ll be able to choose $500 in face services due to a covered injury or sickness. Benefits are payable
value coupons each year from a list of over 1,700 of your for up to three visits per family, per calendar year.
favorite name-brand grocery products.
Coverage is not provided for loss due to a pre-existing condition for 12
months from the Covered Person’s membership effective date. Coverage is
Shopping, Dining and Movies not provided for members over the age of 64.
This package of benefits is intended to supplement and not substitute for
Save 15% to 20% on Gift Certificates redeemable through
comprehensive health insurance.
major retailers.
Movies: Up to 40% off every ticket you buy. Accident Medical/AD&D Benefit1
FedEx Kinko’s • Pays up to $7,500 per accidental injury
• $100 Deductible per Incident
Receive 20% off the retail price for qualifying FedEx
• Includes Hospital or Surgical Care; Prescription Drugs;
Kinko’s products and services at over 1100 locations.
Doctor’s Medical Treatment; X-rays and Lab Exams;
Professional Ambulance Service
USA+ members are automatically covered under group
• Dental Expenses including dental X-rays for the repair
insurance policies issued to United Service Association or treatment of each injured tooth that is whole, sound
For Health Care for the following benefits: and a natural tooth at the time of the Accident
• AD&D - Member $25,000, Spouse $12,500, Child $5,000
INSURANCE BENEFITS • $200 Monthly Accident Income Benefit due to total
disability, up to 12 months
MEDICAL • Worldwide Coverage
Accident Disability Coverage is not provided for members over age 69.
Physician and Hospital Benefits1 1
These benefits are underwritten by The United States Life Insurance Company in
the City of New York, a member company of American International Group, Inc.
Hospital Indemnity and subject to the exclusions, limitations, terms and conditions of coverage as set forth
in the description of coverage provided in your membership materials and the Group
Hospital Daily Benefit: $1,000 Per Day AD&D & Medical Care Insurance Policy (Form #G-19000) issued to USAHC.
Pays you a daily benefit if you are confined to a hospital for The insurance premiums for these benefits are paid by USAHC out of the
at least 24 hours due to a covered injury or sickness, membership fees collected. The membership fees charged for this program are not
insurance premiums. This is not a comprehensive medical insurance plan and should
beginning with the 1st day; and continuing up to 180 days. not be used as a replacement for major medical insurance.
8
United Service Association For Health Care Foundation
The USA+ Foundation was created eighteen years ago to help fund charities that assist
those who suffer needlessly, giving them hope for the future.
So far, the USA+ Foundation has awarded over 6 million dollars to worthy charitable
groups. As a USA+ member, you will assist worthwhile charities, community programs,
and national research programs by helping us reach our goal of giving $1,000,000 a
month to charity.
Here are a few of the organizations that receive funding from the USA+ Foundation to
help improve the quality of life for those facing unknown challenges:
• American Diabetes Association • Juvenile Diabetes Research Foundation
USA+ Foundation Founder and • Cystic Fibrosis Foundation • Muscular Dystrophy Association
Chairman of the Board, Dody
®
Wood, with 2 special patients. • Habitat for Humanity • St. Jude Children’s Research Hospital
The USA+ Foundation was proud to sponsor an The USA+ Corporate Sports Challenge The USA+ Foundation is proud of our long-time partnership
Evening With A Legend to commemorate Hall of in partnership with the Dallas Cowboys with St. Jude Children’s Research Hospital ®. USA+ was
Famer Nolan Ryan’s celebrated career and raise raise funds to support cystic fibrosis proud to be the presenting sponsor of their inaugural event,
funds for the Texas Rangers Foundation. USA+ research. Pictured are Roy Williams of Night of Hope, Noche de Esperanza hosted by celebrity
Foundation VIPs pose with Nolan and Ruth Ryan. the Dallas Cowboys, CFF patient Dylan chairwoman Daisy Fuentes.
and Lana Montgomery Couch of the
USA+ Foundation.
Membership Receipt
30 Day Guarantee
____________________________________________________________________ You have 30 days from your effective date of
Applicant’s Name Date
enrollment (or such longer period as may be
Membership Selected: required by state law) to review and evaluate
ValUSelect+ 300 ValUSelect+ 700 Individual
the USA+ membership. If you wish to cancel
ValUSelect+ 500 ValUSelect+ 1000 Family
your membership and receive a refund, you
Monthly Membership Dues: _______________________ Set-Up Fee: _______________
may do so by submitting a written request to
Total Remitted: __________________ Method of Payment: Check Credit Card
USA+ at the address listed below.
Mode of Payment: Monthly Bank Draft (EFT) Quarterly Direct Billing
Monthly Credit Card Semi-Annual Direct Billing
Annual Direct Billing
Recurring Monthly Dues: ___________________________
Representative:
United Service Association For Health Care
PO Box 200905 • Arlington, TX
76006-0905 • 800-USA-1187 • www.teamcorp.com
TC_VUS+10.06