UNAFFILIATED SECRETARIES & CLERKS

Health Insurance - Priority Health 

For In Network providers and approved Drug List  

click on web site - www.priorityhealth.com 

Plan 1 - In network

Office visits $10.00

Specialist Office Visit - $10.00 

Hospital Emergency Room - $50.00 copayment

Urgent Care Center - $10.00 copayment

Ambulance - $50.00 copayment

Prescriptions $10.00 generic / $20.00 name brand

Plan 2 - In network

Office visits $10.00

Specialis Office Visit - $25.00

Hospital Emergency Room - $100.00 copayment

Urgent Care Center - $40.00 copayment

Ambulance - $50.00 copayment

Prescriptions $5.00 generic / $15.00 name brand

Dental - Set, Inc.

Benefit year is calendar year

Basic Benefit

Percentage begins at 50% increasing 10% each year to 100%

Includes 2 cleanings per year. Each person must go to the dentist at least 1 time per year or percentage

decreases back to 50%.

Orthodontic Expense

Percentage covered 50% - deductible $50.00

Lifetime Maximum Benefit is $500.00

Vision - Spectera

Vision examination, lenses & frames: one service every 12 months. Policy year is defined as the 12-month period July 1 through June 30

Vision Plans provide benefits for eligible expenses at 100% of reasonable & customary fees or at follows:

Vision Exam $55.00

Single-vision lenses $73.00

Bifocal-vision lenses $84.00

Trifocal-vision lenses $100.00

Lenticular-vision lenses $124.00

contacts prescribed after cataract surgery or when

vision is not correctable to 20/70 in the better eye

except by their use. $175.00

Contact lenses in lieu of glasses not to exceed: $110.00

Life – Fort Dearborn Life

$20,000 Life and $20,000 AD&D