Quick Quote

1Location


2Billing Method

Note: Click the radio button to change/reselect the billing method.

Plan Premiums

Monthly Premium

{{totalMonthlyPayment| currency:"$":2}}

{{billingModal.type}} Premium

{{billingModal.premium| currency:"$":2}}

{{medicareBillingType}} Premium

{{medicarePlansTotalPayment[0].quarterly| currency:"$":2}}

{{medicareBillingType}} Premium

{{medicarePlansTotalPayment[0].semiannually| currency:"$":2}}

{{medicareBillingType}} Premium

{{medicarePlansTotalPayment[0].annually| currency:"$":2}}

Application Fee(s)

{{totalSetupFee| currency:"$":2}}

Total Initial Premium (including fees)

{{totalMonthlyPayment + medicareTotalPayment + billingModal.premium + totalSetupFee| currency:"$":2}}
MY PLAN SELECTIONS
{{supplementaryPlanConstants.getPlanCategoryByCode(category.code, selectedState)}} Selected
{{planOption.name}} - Primary
{{planOption.name}} - Spouse
{{planOption.name}} - Primary/Spouse
{{planOption.name}} - No Business type selected
Filters
Calendar Year Maximum Benefit

{{coverage| currency:"$":0}}

Maximum Annual Benefit (calendar year per person)

{{gapcoverage| currency:"$":0}}

Calendar Year Maximum Benefit

{{hspcoverage| currency:"$":0}}

Inpatient Deductible

{{deductible| currency:"$":0}}

Inpatient Deductible

{{deductible| currency:"$":0}}

Units

{{units}}

Calendar Year Deductible

{{hspdeductible| currency:"$":0}}

Units

{{units}}

Units

{{units}}

First Day Hospital Confinement Percentage First Day Confinement Benefit Multiple for Hospital and Intensive Care Unit (ICU)

{{percent}}

Riders

Outpatient Emergency & Urgent Care Rider

Enhanced Outpatient Benefit Rider

Accident Plan
Benefit

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Optional Rider
Accident Disability Income Benefit

{{units}}{{units == 1 ? " Unit" : " Units"}}

Occupation Type
Benefit Period

{{riderDuration}} Months

Primary Benefits

{{pcoverage| currency:"$":0}}

Spouse/DP Benefits

{{scoverage| currency:"$":0}}

Not Covered

Child Benefits

{{ccoverage| currency:"$":0}}

Not Covered

Calendar Year Maximum Benefit

{{coverage| currency:"$":0}}

Units

{{units}}

First Day Hospital Confinement Percentage

{{percent}}

Plan Options

{{medicarecoverage|updatePlanName}}

Deductible

{{deductible| currency:"$":0}}

Calendar Year Maximum Benefit

{{fchpCoverage| currency:"$":0}}

Calendar Year Confinement Deductible

{{fchpDeductible| currency:"$":0}}

Units

{{units}}

Calendar Year Maximum Benefit

{{hspcoverage| currency:"$":0}}

Calendar Year Confinement Deductible

{{hspdeductible| currency:"$":0}}

Unit Units

{{units}}

Plan Options

{{plantype}}

Calendar Year Maximum Benefit

{{capcoverage| currency:"$":0}} (10-1-19 and greater effective dates only)


Deductible

{{capdeductible| currency:"$":0}}

Calendar Year Maximum Benefit

{{sdpcoverage| currency:"$":0}} (10-1-19 and greater effective dates only)


Deductible

{{sdpdeductible| currency:"$":0}}

{{sdpdeductible| currency:"$":0}}

{{sdpdeductible| currency:"$":0}}

{{sdpdeductible| currency:"$":0}}

Calendar Year Maximum Benefit

{{sdpcoverage| currency:"$":0}}


Deductible

{{sdpdeductible| currency:"$":0}}

Optional Rider
Accident Disability Income Benefit
Occupation Type (only select if purchasing the Optional Rider)
Benefit Period
Calendar Year Maximum Benefit

{{hspcoverage| currency:"$":0}}

Calendar Year Confinement Deductible First Day Hospital Confinement Percentage

{{hspdeductible| currency:"$":0}}

{{hspdeductible}}

Unit Units

{{units}}

Calendar Year Maximum Benefit

{{ohsCoverage| currency:"$":0}}

Calendar Year Confinement Deductible

* {{ohsDeductible| currency:"$":0}}

Units

{{units}}

No filters available.

3Applicants
Age
Gender
Relationship
Self
Tobacco/Nicotine Use within last 2 years (5 for Med Supp)*
Est Points
Age
Gender
Relationship
Spouse
Tobacco/Nicotine Use within last 2 years (5 for Med Supp)*
Est Points
Number of Children
Est Points
Dependent {{$index + 1}}
*Answer “Yes” for every applicant that has used Tobacco or Nicotine in any form (e-cigarettes, cigars, pipes, chewing tobacco, etc.) within the last 24 months (5 years for Medicare Supplement).

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{{planOption.marketingName}}

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{{planOption.planLevel}}

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Outpatient Emergency Department/Urgent Care Center Rider w/Accidental Death Benefits

Enhanced Benefit Rider

Critical Illness Rider

Primary
Spouse/Domestic Partner
Child

Term Life Rider

Outpatient Emergency Department/Urgent Care Center Rider

Preventive Care Rider

Business Types

Primary

Spouse

Billing Type

Duration

Lifetime Maximum Benefits Enhancement Rider

Critical Illness Rider

Primary
Spouse/Domestic Partner
Child

Critical Illness Rider

Primary

Prescription Drug Rider

Critical Illness Rider

Primary
Spouse/Domestic Partner
Child

Critical Illness Rider

Primary
Spouse/Domestic Partner
Child

Critical Illness Rider

Primary
Spouse/Domestic Partner
Child

Monthly Payment

Primary {{planOption.billingType}} Premium


{{planOption.premium|currency:"$":2}}

Primary {{planOption.mdBillingType}} Premium

{{supplementaryPlanConstants.getMedicareCalculatedPremium(planOption.medicarePrimaryPremium, planOption.mdBillingType) | currency:"$":2}}

Spouse {{planOption.mdBillingType}} Premium

{{supplementaryPlanConstants.getMedicareCalculatedPremium(planOption.medicareSpousePremium, planOption.mdBillingType) | currency:"$":2}}

ACCIDENT MEDICAL EXPENSE BENEFIT RIDER


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