Redlands Daily Facts from Redlands, California on March 24, 1964 · Page 13
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Redlands Daily Facts from Redlands, California · Page 13

Redlands, California
Issue Date:
Tuesday, March 24, 1964
Page 13
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Redlands Daily facts Tuei, Mirch 24,1?«U13 ... ITS INE ONiy HEADIIINSUHUIGE BAGKD mr 62 UADING COMPMIIES! WESTERN 65 OFFERS YOU A CHOICE OF THREE GENEROUS PLANS Compare their benefits witli any similar plans offered anywhere HOSPITAL EXPENSE PLAN Premium, $11.00 per month This plan is designed to help meet those short term hospital expenses that so frequently occur in the years past 65. Maximum of $10,000 in your lifetime. SERVICE: Hospital Room and Board Charges: WESTERN 65 PAYS: Up to $20.00 per day for a maximum of 31 days for any one period of confinement. Hospital Supplies and Other Services: Up to $200 per confinement. MAJOR MEDICAL EXPENSE PLAN Premiimi, $14.00 per month This plan provides broader benefits to give you protection against the heavy financial loss of a prolonged illness or a serious accident. Western 65 will pay 80% of the Covered Expenses listed on the right in excess of $500 in any calendar year, including Hospital Room and Board Charges up to $25.00 per day. Your maximum benefit payments will be $5,000 in any calendar year and $10,000 in your lifetime. COMPREHENSIVE MEDICAL AND HOSPITAL EXPENSE PLAN Premium, $23.00 per month This plan offers you the combined benefits of SL Hospital Expense Plan plus the long-range protection of a Major Medical Plan. Western 65 will pay Hospital Room and Board Charges up to $20.00 per day for the first 180 days of each period of confinement. In addition, Western 65 will pay 80% of the Covered Expenses listed on the right in excess of $100 in any calendar year. Your maximum benefit payments will be $5,000 in any calendar year and $10,000 in your lifetime. THE FOLLOWING CHARGES ARE CONSIDERED COVERED EXPENSES UNDER BOTH THE MAJOR MEDICAL PLAN Am THE COMPREHENSIVE MEDICAL AND HOSPITAL EXPENSE PLAN Hospital Services and Supplies other than Room and Board. Confinement in a Convalescent Hospital (iminediately following at least 5 days of hospital confinement),.,up to $10.00 per day for up to 90 days in any period of Convalescent Hospital Confinement, Max,: $900 per calendar year. Professional medical, surgical, radiological or laboratory services in accordance with 1960 Relative Value Study adopted by the California Medical Association. Here are a few examples: Broken Arm, closed reduction: up to $100. Cataract, Eye Operation, removal of lens: up to $400. Gall Bladder Operation, cholecystectomy: up to $300, Visits to a Doctor's office: initial, up to $25,00; routine follow-up, up to $5.00. Doctor's visits to your home: initial, up to $25.00; routine follow-up, up to $10.00, Graduate Registered Nurse for private duty service...up to $20.00 for each 8-hour shift. Maximum: $1,000 in any period of 12 consecutive calendar months. Home Nursing Ser\'ice (Registered or Licensed Vocational Nurse).,,up to $6.00 per visit. Maximum: two visits per week and not more than 52 in any calendar year. Professional ambulance service...up to $30.00 during any period of hospital coniinement. Also charges for rental of iron limg or other durable medical equipment; for initial purchase of artificial limbs or eyes to replace natural limbs or eyes lost while insured under this plan; for drugs, medicines, anesthetics, or oxygen prescribed by a doctor and admirustered while confined in a hospital. Definition of the term "period of hospital confinement": for the purpose of determining your benefits, successive periods of hospital or convalescent hospital confinement, regardless of cause, will be considered as one period of confinement unless there is at least 90 days between such periods of confinement. Western 65 pays On top of aU other plans provided the total does not exceed 100% of the individual's insured medical expenses. This simply means that Western 65's benefits are combined with other insurance plans to pay 100% of an insured's medical expenses. Excess benefits will be applied to any future claims during the year. Hospital Patients. If you are now in a hospital or under nursing care, you may enroll in Western 65 within 60 days after you have been out of a hospital or free from nursing care for a continuous period of 31 days, providing you make application during the initial enrollment period. EXPENSES NOT COVERED BY WESTERN 65 If you had expenses for a medical condition during the 90 days 6e/ore the effective date of your coverage, no benefits will be payable for this condition during the first 6 months of yovir coverage or during any period of hospital or convalescent hospital confinement which commenced within the first 6 months of yoiur coverage. Other expenses not payable imder Western 65are for: injuries and diseases covered by Workmen's Compensation; services and supplies furnished without charge by any Government; treatment of any mental or nervous condition, except while confined as a patient in a hospital for at least 24 hours; dental care; cosmetic surgery; eye examinations; glasses; hearing aids; certain treatments of the feet; diseases or injuries caused by war. Your coverage cannot be cancelled unless (1) you yourself do it; (2) you fail to make your premium payments; (3) reside outside of the U,S, or Canada for a continuous period of 6 months; or (4) your Western 65 plan is discontinued for members, Yonr premiums cannot be increased without approval of the California Insurance Commissioner, and then only if the increase applies to all members enrolled in the plan. THIS APPLICATION CAN START YOUR PROTECTION ON APRIL 1 10 DAY FREE LOOK! Your money back if, within 10 days after receiving your Certificate of Insurance, you decide not to keep your Western 65 insurance. Fill out this application and take it to your INSURANCE AGENT OR BROKER. Or mail it to WESTERN 65, Dept. N5, Box 65, Los Angeles, California 90054 Phone Richmond 6-1065 NAME OF ENROUEE—Person to be inJurea (HuslMnd and Wil. must enroll septrttely): last Rrsf Initial SEND MAIL TO Cnama of person if different from Enrolfaej: ADDRESS TO WHICH MAIL SHOULD BE SENT: j APPUCATION FOB ENROLLMENT IN WESTERN 65 (pltnt print or typ*) ( CALIFORNIA I RESIDENTS ONLY) I 9 City 2iD Corf* if enroiiea is e!igit]ie because spouse is enrolled (or now anrolitns), eive name of spct/se: AGENT OR BROKER SUBMITTING THIS APPLICATION; last Name First Name Initial Business Address: No. a street Insurance Company alliiiation: City Stat. Zip Cod. SK. SM . or Tax Acct. No. I hereby certify tfiat I am licenMU by the State ol Califsrnia to (M buuranc Oata SIGNATURE OF AGENT OR BROKER ENROLLEE'S TELEPHONE NO.: DAT EOFB RTH- MO. DAr YR. SEX D MALE D FEMALE CHECK ONE PLAN BELOW PLAN • Comprehensive Medical and Hospital Expense (b) ...... , • Maior Medical Expense (c) . . . . , • Hospital Expense only (e) . • • • , -MONTHLY PREMIUfil , J23.00 14.00 11.00 Is enroUee now confined In a hospital or cpnvalescent hespital, or receivine the car. Or services of a graduate Registered Nurs. or Licensed Vocational Nurse, or has the .nrorie. been so confined cr received such care or services wilhm the past 31 days? • YES Q NO 69 OFflCE USE ONLY NOTE: Se. your Agent or Broker for help in enrolling. ' He will gladly answer your Questions, and there is no additional charge for his services. WESTERN 65 Health Insurance.\ssociation I certify all infsrmatian given her. to b. carrKt. Na tctnt er broker may mJli. Of modi^ any contract ot Insuranc. DC bind th. Associatien in any way. SIGNATUKE OF PERSON REQUUTING ENROLLMENT DATE SIGNED Altodnd H ehMk or mamt erdw lor $.... .far Rrsl monlh'apranhim. Mali. dMek or montf ard.r p.y.M. la WESTERN eS, Rex £5. Ln Ang .1 .1, Califenila 90094.' JOIN NOW! ENROLLMENT ENDS MARCH 31

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