add rag; fix estimation service
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ada7788516
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8 changed files with 226 additions and 39 deletions
74
rag/equitable_dental_plan_class_1.txt
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74
rag/equitable_dental_plan_class_1.txt
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PLAN: Equitable Dental Plan - Class 1
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UID: Equitable Dental Plan - Class 1
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Category: Dental
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Type: None
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Marketing Name: Equitable Dental - Class 1
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Average Price: $65.64
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Short Description: Essential dental coverage for preventive care including exams, cleanings, and X-rays. Great for maintaining a healthy smile on a budget.
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Long Description: The Class I dental plan offers essential preventive coverage designed to help you maintain good oral health. This includes 100% coverage (in-network) for routine exams, cleanings, and bitewing X-rays twice per year, with no deductible. It’s an affordable way to stay proactive with your dental care and avoid unexpected issues.
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PRICING:
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Coverage 1: $28.11
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Coverage 2: $55.68
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Coverage 3: $75.62
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Coverage 4: $103.18
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DETAILS:
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COVERAGE:
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Coinsurance - In Network: 100% – Preventive care (like cleanings, exams, and X-rays).80% – Basic care (like fillings and simple extractions).50% – Major care (like crowns, dentures, and root canals).
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Coinsurance - Out of Network: 100% – Preventive care (like cleanings, exams, and X-rays). 80% – Basic care (like fillings and simple extractions). 50% – Major care (like crowns, dentures, and root canals).
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Missing Tooth Clause - In Network: Pre-existing missing teeth not covered
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Missing Tooth Clause - Out ofNetwork: Pre-existing missing teeth not covered
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Annual Individual Maxium Benefit - In Network: 1000
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Annual Individual Maxium Benefit - Out of Network: 1000
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Annual Individual / Family Deductible - In Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
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Annual Individual / Family Deductible - Out of Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
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Reimbursement (how much the insurance company pays thef or care) - In Network: Agreed Rate
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Reimbursement (how much the insurance company pays thef or care) - Out of Network: Fixed Coverage Amount
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Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - In Network: Included
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Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - Out of Network: Included
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BASICSERVICES:
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Simple Extractions - In Network: 80%
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Simple Extractions - Out of Network: 80%
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Periodontal Maintenance - In Network: 80%
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Periodontal Maintenance - Out of Network: 80%
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Emergency Palliative Treatment - In Network: 80%
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Complete Series/ Panoramic X-Rays - In Network: 80%
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Emergency Palliative Treatment - Out of Network: 80%
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Complete Series/ Panoramic X-Rays - Out of Network: 80%
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Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - In Network: 80%
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Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - Out of Network: 80%
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MAJORSERVICES:
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Bridges - In Network: 50%
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Bridges - Out of Network: 50%
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Oral Surgery - In Network: 50%
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Bitewing X-Rays - In Network: 50%
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Oral Surgery - Out of Network: 50%
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Bitewing X-Rays - Out of Network: 50%
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Periodontal Surgery - In Network: 50%
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Inlays/Onlays/Crowns - In Network: 50%
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Surgical Endodontics - In Network: 50%
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Periodontal Surgery - Out of Network: 50%
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Inlays/Onlays/Crowns - Out of Network: 50%
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Non-Surgical Endodontics - In Network: 50%
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Non-Surgical Periodontal - In Network: 50%
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Surgical Endodontics - Out of Network: 50%
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Non-Surgical Endodontics - Out of Network: 50%
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Non-Surgical Periodontal - Out of Network: 50%
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Surgical Extractions and Removal of Impacted Teeth - In Network: 80%
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Surgical Extractions and Removal of Impacted Teeth - Out of Network: 50%
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Dentures – complete, partial, overdenture (upper and lower) - In Network: 50%
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Dentures – complete, partial, overdenture (upper and lower) - Out of Network: 50%
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PREVENTIVESERVICES:
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Periodic Oral Evaluation - In Network: 100%
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Periodic Oral Evaluation - Out of Network: 100%
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Comprehensive Oral Evaluation - In Network: 100%
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Comprehensive Oral Evaluation - Out of Network: 100%
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Limited Oral Evaluation (problem focused) - In Network: 100%
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Limited Oral Evaluation (problem focused) - Out of Network: 100%
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72
rag/equitable_dental_plan_class_2.txt
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72
rag/equitable_dental_plan_class_2.txt
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PLAN: Equitable Dental Plan - Class 2
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UID: Equitable Dental Plan - Class 2
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Category: Dental
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Type: None
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Marketing Name: Equitable Dental - Class2
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Average Price: $77.90
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Short Description: Expanded dental coverage including preventive and basic restorative services like fillings and extractions.
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Long Description: The Class II dental plan builds on the preventive care of Class I and adds basic restorative services such as fillings, simple extractions, and emergency treatment for pain relief. Preventive services are covered at 100% in-network, and basic services are covered at 80% after a $50 annual deductible. This plan is ideal if you want broader protection and help managing more than just routine dental care.
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PRICING:
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Coverage 1: $32.87
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Coverage 2: $65.12
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Coverage 3: $90.68
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Coverage 4: $122.93
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DETAILS:
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COVERAGE:
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Coinsurance - In Network: 100% – Preventive care (like cleanings, exams, and X-rays).80% – Basic care (like fillings and simple extractions).50% – Major care (like crowns, dentures, and root canals).
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Coinsurance - Out of Network: 100% – Preventive care (like cleanings, exams, and X-rays). 80% – Basic care (like fillings and simple extractions). 50% – Major care (like crowns, dentures, and root canals).
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Missing Tooth Clause - In Network: Pre-existing missing teeth not covered
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Missing Tooth Clause - Out ofNetwork: Pre-existing missing teeth not covered
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Annual Individual Maxium Benefit - In Network: 2000
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Annual Individual Maxium Benefit - Out of Network: 2000
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Annual Individual / Family Deductible - In Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
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Annual Individual / Family Deductible - Out of Network: $50 deductible per person For a family, you only have to pay it for 3 people max (so $150 total), even if more are covered and preventive services are free.
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Reimbursement (how much the insurance company pays thef or care) - In Network: Agreed Rate
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Reimbursement (how much the insurance company pays thef or care) - Out of Network: Fixed Coverage Amount
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Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - In Network: Included
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Alternative Benefit (If two treatments would fix the problem, the plan pays for the less expensive one) - Out of Network: Included
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BASICSERVICES:
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Simple Extractions - In Network: 80%
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Simple Extractions - Out of Network: 80%
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Periodontal Maintenance - In Network: 80%
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Periodontal Maintenance - Out of Network: 80%
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Emergency Palliative Treatment - In Network: 80%
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Complete Series/ Panoramic X-Rays - In Network: 80%
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Emergency Palliative Treatment - Out of Network: 80%
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Complete Series/ Panoramic X-Rays - Out of Network: 80%
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Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - In Network: 80%
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Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - Out of Network: 80%
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MAJORSERVICES:
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Bridges - In Network: 50%
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Bridges - Out of Network: 50%
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Oral Surgery - In Network: 50%
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Bitewing X-Rays - In Network: 50%
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Oral Surgery - Out of Network: 50%
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Bitewing X-Rays - Out of Network: 50%
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Periodontal Surgery - In Network: 50%
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Inlays/Onlays/Crowns - In Network: 50%
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Surgical Endodontics - In Network: 50%
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Periodontal Surgery - Out of Network: 50%
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Inlays/Onlays/Crowns - Out of Network: 50%
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Non-Surgical Endodontics - In Network: 50%
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Non-Surgical Periodontal - In Network: 50%
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Surgical Endodontics - Out of Network: 50%
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Non-Surgical Endodontics - Out of Network: 50%
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Non-Surgical Periodontal - Out of Network: 50%
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Surgical Extractions and Removal of Impacted Teeth - In Network: 80%
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Surgical Extractions and Removal of Impacted Teeth - Out of Network: 50%
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Dentures – complete, partial, overdenture (upper and lower) - In Network: 50%
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Dentures – complete, partial, overdenture (upper and lower) - Out of Network: 50%
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PREVENTIVESERVICES:
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Periodic Oral Evaluation - In Network: 100%
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Periodic Oral Evaluation - Out of Network: 100%
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Comprehensive Oral Evaluation - In Network: 100%
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Comprehensive Oral Evaluation - Out of Network: 100%
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Limited Oral Evaluation (problem focused) - In Network: 100%
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Limited Oral Evaluation (problem focused) - Out of Network: 100%
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29
rag/equitable_hospital_indemnity_high_plan.txt
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29
rag/equitable_hospital_indemnity_high_plan.txt
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PLAN: Equitable Hospital Indemnity - High Plan
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UID: Equitable Hospital Indemnity - High Plan
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Category: Hospital Indemnity
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Type: None
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Marketing Name: Equitable Hospital Indemnity Benefit - High Plan
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Average Price: $87.01
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Short Description: Enhanced coverage with higher daily payments and stronger support for ICU stays, emergencies, and family-related travel.
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Long Description: The High Hospital Indemnity Plan offers more robust protection for serious medical events. It pays $2,000 for the first day in the hospital, $300 per day for regular stays, and $500 per day in the ICU—plus enhanced benefits for maternity, rehabilitation, wellness screenings, accident-related ER visits, and well-baby nursery care. It also includes increased reimbursements for family lodging, transportation, and caregiving expenses. This plan is ideal for those seeking greater peace of mind when facing potential hospital-related costs.
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PRICING:
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Coverage 1: $45.65
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Coverage 2: $96.54
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Coverage 3: $77.48
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Coverage 4: $128.37
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DETAILS:
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BENEFITS:
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Daily Lodging - Benefit Amount: $200, up to 5 days per year
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Daily Family Care - Benefit Amount: $200, up to 5 days per year
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First Day Hospital - Benefit Amount: $2,000, once a per year
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Daily Transportation - Benefit Amount: $200, up to 5 days per year
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Annual Wellness Screening - Benefit Amount: $50, once per year per insured
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Daily Hospital Confinement - Benefit Amount: $300, up to 31 days per year
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Daily Hospital ICU Confinement - Benefit Amount: $500, up to 10 days per year
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Daily Hospital Rehabilitation Unit - Benefit Amount: $100, up to 60 days per year
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Daily Well Baby Nursery Confinement - Benefit Amount: $200, up to 60 days per year
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Emergency Room Treatment (accident only) - Benefit Amount: 200
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First Day Hospital Intensive Care Unit (ICU) Confinement - Benefit Amount: $4,000, once a per year
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31
rag/equitable_hospital_indemnity_low_plan.txt
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31
rag/equitable_hospital_indemnity_low_plan.txt
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PLAN: Equitable Hospital Indemnity - Low Plan
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UID: Equitable Hospital Indemnity - Low Plan
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Category: Hospital Indemnity
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Type: None
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Marketing Name: Equitable Hospital Indemnity Benefit - Low Plan
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Average Price: $46.06
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Short Description: Helps cover basic out-of-pocket costs during a hospital stay, including daily payments, wellness screenings, and accident-related ER visits.
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Long Description: The Low Hospital Indemnity Plan provides essential financial protection in the event of a hospital stay. It pays you a fixed amount per day you’re hospitalized—including $1,000 for your first hospital day, $200 per day for regular stays, and $400 per day for ICU stays. Additional benefits include wellness screening payouts, emergency accident coverage, and limited support for lodging, transportation, and family care. This plan offers a straightforward safety net for medical-related interruptions without deductibles or networks.
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PRICING:
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Coverage 1: $22.44
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Coverage 2: $51.51
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Coverage 3: $41.62
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Coverage 4: $68.69
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DETAILS:
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BENEFITS:
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Daily Lodging - Benefit Amount: $100, up to 5 days per year
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Daily Family Care - Benefit Amount: $100, up to 5 days per year
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First Day Hospital - Benefit Amount: $1,000, once a per year
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Daily Transportation - Benefit Amount: $100, up to 5 days per year
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Annual Wellness Screening - Benefit Amount: $50, once per year per insured
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Daily Hospital Confinement - Benefit Amount: $200, up to 31 days per year
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Daily Hospital ICU Confinement - Benefit Amount: $400, up to 10 days per year
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Daily Hospital Rehabilitation Unit - Benefit Amount: $50, up to 60 days per year
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Daily Well Baby Nursery Confinement - Benefit Amount: $100, up to 60 days per year
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Emergency Room Treatment (accident only) - Benefit Amount: 100
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First Day Hospital Intensive Care Unit (ICU) Confinement - Benefit Amount: $2,000, once a per year
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