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• Click for INSTANT ONLINE HEALTH QUOTES NATIONWIDE   

Below quotes for Texas only

UNICARE SOLAURA 2500 HIA Consumer-Driven Health Plans

(877)566-5454 Toll Free

HSA Brochure Plan Summary Plan Comparison Apply Online

	Our innovative plans offer:
	100% coverage for recommended preventive care
	Health account to help pay medical expenses
	Traditional health care coverage with a PPO plan
	Financial incentives reward behaviors that lead to better health
	Personal Health Coach for over 40 conditions
	Award-winning website with tools to help manage a consumer's           health and health care dollars
	--Prescription drug cost information
	--Hospital quality ratings
	--Health assessment
	--Surgical decision support tools

Solaura HIA 1 Single		In-Network	Out-Of-Network
	Annual Deductible	Individual: $2,500	Individual: $2,500
	Annual Out-Of-Pocket Limit	Individual: $5,000	Individual: $10,000
	Lifetime Maximum	$5,000,000	$5,000,000
	Office Visits	20%	40%
	Prescription Drugs	20%	40%
	Laboratory and Radiology	20%	40%
	Annual Physical Exam	No Charge	40%
	Annual OB-GYN Exam	No Charge	40%
	Well Baby Care	No Charge	40%
	Outpatient Surgery	20%	40%
	Emergency Room	20%	40%
	Ambulance	20%	40%
	Home Health Care	20% (60 visits per year maximum)	40% (60 visits per year maximum)
	Mental Health Services	$30 maximum benefit per visit up to 12 visits per year	$30 maximum benefit per visit up to 12 visits per year
	Chiropractic Care	$30 maximum benefit per visit up to 12 visits per year	$30 maximum benefit per visit up to 12 visits per year
	Acupuncture / Acupressure	$30 maximum benefit per visit up to 12 visits per year	$30 maximum benefit per visit up to 12 visits per year
	Inpatient Co-payment	20%	40%
	Maternity Care	Not Covered	Not Covered
	Inpatient Mental Health	$100 per day maximum benefit up to $3,000 per year	$100 per day maximum benefit up to $3,000 per year
	Chemical Dependency	See Benefit Contract	See Benefit Contract

  Download Your UNICARE SOLAURA HIA Brochure  
Apply for Unicare Solaura Health Online

Or you can fill in this form to have your Solaura Health Insurance brochure with pricing & application mailed to you. Further information on our plans is shown below. Or just call us Toll-free at 1-877-Look4Life (1-877-566-5454).

Customer Information
Name
E-mail
Street address
City
County
State	-- Choose -- IL MI TX
Zip Code
Home Phone
Work Phone
FAX
People Covered	-- Please Select -- Me Only Me and 1 Child Me and Children Me and Spouse Family
My Age
Smoker?	Yes No
Spouse's Age
Spouse Smoker?	Yes No
Child 1 age
Child 2 age
Child 3 age
Child 4 age

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