• FIRST DOLLAR HOSPITAL INDEMNITY BENEFIT
  Your Choice:
  • $500/day
  • $1,000/day
  • $1,500/day
    (for up to 30 days per person per calendar year)
• SURGICAL BENEFIT
  Inpatient:
  • $500, $1,000, or $1,500
  
  Outpatient:
  • $250, $500, or $750
    (One inpatient and one outpatient surgical indemnity benefit per person per calendar year, based on plan selected)
  • $50 Doctor office visit
  • Other outpatient care benefits
  • Ambulance benefit

• INSURED PRESCRIPTION DRUG COVERAGE
  • $15 co-pay on most generics
  • Discounts on brand name
• $5,000 Accident Medical coverage
• Up to $10,000 Accidental Death & Dismemberment coverage
• Medical provider discounts through a national provider network
• National dental discount network
• Savings on vision and hearing
• Emergency Medical Travel Assistance
• Medical emergency card
• Quarterly newsletter
• OPTIONAL BENEFIT
  • Lab & Diagnostic Plan

This program is NOT insurance. It is a discount program. You are responsible for the full cost of any health care services purchased. You will receive discounts for medical services at certain health care providers who have contracted with the program. Members have the right to cancel registration within a thirty-day period. This program does not make payments directly to health care providers. A list of all program providers within the prospective cardholder’s service area which includes their name, city & state, and medical specialty is available prior to purchase, upon request. Discounts for hospital services are not available. This program is administered by Group Dental Service of Maryland, Inc. (GDS-MD), your Discount Medical Plan Organization, 111 Rockville Pike, Suite 950, Rockville, MD 20850, 800-285-0374, www.consumers-choice-usa.com. The program and its administrators have no liability for providing or guaranteeing service or the quality of service rendered.