STANDARD BENEFITS

Drug Coverage
Coverage includes generic drugs (name brands are allowed, but coverage will be paid for the generic equivalent) and shared dispensing fees to a maximum of $6.50. The following table lists the coverage amounts:

	Percentage Paid	To a Maximum of: (per anniversary year)
On your first $720 of eligible prescription costs	70%	$504

Drug Exclusions
Exclusions include smoking cessation drugs, over-the-counter drugs, fertility drugs, birth control drugs, and drugs not requiring a prescription.

Dental Benefits
Coverage includes fillings, cleanings, scalings, examinations, and polishing, with recall visits every 9 months. The following table lists the coverage amounts:

	Percentage Paid	To a Maximum of: (per anniversary year)
On your first $575 of eligible prescription costs	70%	$402.50

Included Core Benefits
The ComboPlus Starter plan also includes the following 4 types areas of coverage. Click on each benefit for details.

Vision (Basic)
Extended Health Care (Starter)
Travel
Accidental Death & Dismemberment (Basic)
Survivor Benefits

Seniors' Adjustment
If you are 65 or older, your ComboPlus Starter drug benefits are as follows:
100% on the first $350 of eligible prescription costs.
Full coverage of reasonable and customary dispensing fees.

OPTIONAL FEATURES

You may purchase any number of the following 7 optional features for your ComboPlus Starter policy. Click on each benefit for details.

Extended Health Care (Enhanced)
Hospital (Basic)
Hospital (Enhanced)
Hospital Cash
Lifeline Personal Response Service
Catastrophic Coverage
Accidental Death and Dismemberment (Enhanced)