Health Plan Only

1
Health Insurance Coverage program from National
Insurance Agency

Male SM( ) NON-SM (X ) Age 35 Female SM ( )
NON-SM ( X ) Age 35 Number of Children_______
331 Per month Health Only Monthly
Premium 75251 Texas Zip
DR visits Co pays____
CoPay____ RX Card
Hospital stays
Out Patient Surgeries
X-Rays
Lab Tests
MRIs
Health Plan Only Deductible 1,500
Emergency Room
____Month Rate Guarantee
____ Million Major Medical Life Time Max
ICU Coverage
Cancer In/Outpatient Treatment
Agent use Only Health Calculator
Coverage Provided The Top Rated Carrier
of________________
2
Total Health Critical Illness from National
Insurance Agency
Male SM( ) NON-SM (X ) Age 35 Female SM ( )
NON-SM ( X ) Age 35 Number of Children_______
Stroke 50,000
311 New Monthly Premium w/ EZ Term and
Critical Illness Rider
Heart Attack 50,000
Death 100,000
DR visits CoPays
Invasive Cancer 50,000
Hospital stays
RX Card Optional
Out Patient Surgeries
X-Rays
10,000 ADD Coverage
Terminal Illness 50,000
Higher Health Plan Deductible 3000 (Lowers
Premium, provides More benefits)
Lab Tests
MRIs
__ , 000 Accident Coverage
Emergency Room
____Month Rate Guarantee
Paralysis 50,000
5M Major Medical
ICU Coverage
Major Organ Transplant 50,000
Cancer Treatment
Blindness 50,000
Kidney Failure 50,000
Coronary Artery Bypass Graft 10,000
Agent use Only Health Calculator
Three companies, ONE COMPLETE protection plan One
of These Critical Problems is Highly Likely to
Occur
3
You can also add these benefits for a minimal
charge . . . . . .

• Return of Premium ____
• Disability Income _____
• Dental Coverage ______
• LTC _____

Agent use Only Health Calculator