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Coverages for Member-based Products
The spec that models a coverage provided as part of an insurance or health product. The coverage spec defines the required and optional coverages on an insurance product.
The member-based product has the coverage specs:
| Product Name | Product Code | Coverage Name | Coverage Code | Is Optional |
|---|---|---|---|---|
| Medical Basic | MedicalBasic | Cost Coverage Medical | medCostCov | Required |
| Health Fund Info | medHealthFund | Optional | ||
| Medical Silver | MedicalSilver | Cost Coverage Medical | medCostCov | Required |
| Health Fund Info | medHealthFund | Optional | ||
| Prescription Coverage | Prescription Coverage | Optional | ||
| Medical Gold | MedicalGold | Cost Coverage Medical | medCostCov | Required |
| Deductibles and Maximums | medDedMax | Optional | ||
| Health Fund Info | medHealthFund | Optional | ||
| Prescription Coverage | medPresCov | Optional | ||
| Medical Diamond | MedicalDiamond | Cost Coverage Medical | medCostCov | Required |
| Deductibles and Maximums | medDedMax | Optional | ||
| Health Fund Info | medHealthFund | Optional | ||
| Prescription Coverage | medPresCov | Optional | ||
| Annual Health Checkup | AnnualHealthCheckup | Optional | ||
| Medical Platinum | MedicalPlatinum | Cost Coverage Medical | medCostCov | Required |
| Deductibles and Maximums | medDedMax | Optional | ||
| Deductibles and Maximums | medHealthFund | Optional | ||
| Prescription Coverage | medPresCov | Optional | ||
| Annual Health Checkup | AnnualHealthCheckup | Optional | ||
| MaternityCare | MaternityCare | Optional |
| Product Name | Product Code | Coverage Name | Coverage Code | Is Optional |
|---|---|---|---|---|
| Dental Basic | DentalBasic | Dental Base Benefits | dentalBaseBenefits | Required |
| Deductibles & Maximums | dentalDedMax | Optional | ||
| Dental Silver | DentalSilver | Dental Base Benefits | dentalBaseBenefits | Required |
| Deductibles & Maximums | dentalDedMax | Optional | ||
| Orthodontia | dentalOrthodontia | Optional | ||
| Dental Gold | DentalGold | Dental Base Benefits | dentalBaseBenefits | Required |
| Deductibles & Maximums | dentalDedMax | Optional | ||
| Orthodontia | dentalOrthodontia | Optional | ||
| Implants | dentalImpants | Optional | ||
| Dental Diamond | DentalDiamond | Dental Base Benefits | dentalBaseBenefits | Required |
| Deductibles & Maximums | dentalDedMax | Optional | ||
| Orthodontia | dentalOrthodontia | Optional | ||
| Implants | dentalImpants | Optional | ||
| Dentures & Aligners | DenturesAligners | Optional | ||
| Dental Platinum | DentalPlatinum | Dental Base Benefits | dentalBaseBenefits | Required |
| Deductibles & Maximums | dentalDedMax | Optional | ||
| Orthodontia | dentalOrthodontia | Optional | ||
| Implants | dentalImpants | Optional | ||
| Dentures & Aligners | DenturesAligners | Optional | ||
| Extended Care | dentalExtendedCare | Optional |
| Product Code | Product Name | Coverage Name | Coverage Code | Is Optional |
|---|---|---|---|---|
| Vision Basic | VisionBasic | Routine Eye Exam | visionRoutineEyeExam | Required |
| Lenses | visionLenses | Optional | ||
| Vision Silver | VisionSilver | Routine Eye Exam | visionRoutineEyeExam | Required |
| Lenses | visionLenses | Optional | ||
| Frames | visionFrames | Optional | ||
| Vision Gold | VisionGold | Routine Eye Exam | visionRoutineEyeExam | Required |
| Lenses | visionLenses | Optional | ||
| Frames | visionFrames | Optional | ||
| Contact Lenses | visionContactLenses | Optional | ||
| Vision Diamond | VisionDiamond | Routine Eye Exam | visionRoutineEyeExam | Required |
| Lenses | visionLenses | Optional | ||
| Frames | visionFrames | Optional | ||
| Contact Lenses | visionContactLenses | Optional | ||
| Eye Surgery | EyeSurgery | Optional | ||
| Vision Platinum | VisionPlatinum | Routine Eye Exam | visionRoutineEyeExam | Required |
| Lenses | visionLenses | Optional | ||
| Frames | visionFrames | Optional | ||
| Contact Lenses | visionContactLenses | Optional | ||
| Eye Surgery | EyeSurgery | Optional | ||
| LASIK | LASIK | Optional |
| Product Name | Product Code | Coverage Name | Coverage Code | Is Optional |
|---|---|---|---|---|
| Critical Illness Basic | CriticalIllnessBasic | Critical Illness Base Benefits | ciBaseBenefits | Required |
| Wellness/Health Screening | ciWellnessScreen | Optional | ||
| Critical Illness Silver | CriticalIllnessSilver | Critical Illness Base Benefits | ciBaseBenefits | Required |
| Wellness/Health Screening | ciWellnessScreen | Optional | ||
| Transitional Care Benefits | ciTransCareBenefits | Optional | ||
| Critical Illness Gold | CriticalIllnessGold | Critical Illness Base Benefits | ciBaseBenefits | Required |
| Wellness/Health Screening | ciWellnessScreen | Optional | ||
| Transitional Care Benefits | ciTransCareBenefits | Optional | ||
| Neurological Benefits | ciNeuroBenefits | Optional | ||
| Critical Illness Diamond | CriticalIllnessDiamond | Critical Illness Base Benefits | ciBaseBenefits | Required |
| Wellness/Health Screening | ciWellnessScreen | Optional | ||
| Transitional Care Benefits | ciTransCareBenefits | Optional | ||
| Neurological Benefits | ciNeuroBenefits | Optional | ||
| Travel Benefits Package | ciTravelBenefits | Optional | ||
| Critical Illness Platinum | CriticalIllnessPlatinum | Critical Illness Base Benefits | ciBaseBenefits | Required |
| Wellness/Health Screening | ciWellnessScreen | Optional | ||
| Transitional Care Benefits | ciTransCareBenefits | Optional | ||
| Neurological Benefits | ciNeuroBenefits | Optional | ||
| Travel Benefits Package | ciTravelBenefits | Optional | ||
| Extended Cancer | ciExtendedCancer | Optional |
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