World Health Insurance of Florida  

 
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World Health Insurance of Florida

World Insurance of Florida

To provide the highest quality service, World Insurance of Florida signed an agreement with Great-West Healthcare to offer you access to the Great-West Healthcare PPO Network. That can mean substantial discounts in the cost of your health care, even before your deductible is met. With more than 530,000 providers and 4,200 hospitals across the country, this network serves over 2 million people.

World Insurance of Florida also provides additional networks from which to choose for those living in these zip code areas: 321, 326 - 328, 330 - 334, 344, and 347. As a resident of Florida, you'll find that World Insurance of Florida can help you get the health care coverage you need at a price you can afford.

To help you take control of your health care dollars, World Insurance of Florida also offers a health savings account (HSA) that can be combined with a high-deductible health plan. Use the tax-deductible money you deposit into your HSA to pay health care expenses not covered by insurance. Taking advantage of high-deductible plans also helps you save by sharing smaller expenses, such as charges for doctor visits. Worried about the catastrophic cost of a major illness or injury? World Insurance of Florida has an inexpensive catastrophic plan - the Value Advantage Plan - to give you peace of mind.  

You can run an instant quote to see detailed information about plan details, limitations, and restrictions.  Or contact us and we will help you decide on a plan that is right for you and your family.

Coverage Synopsis:

Value Advantage Plan

This plan covers 50% or 70% of your first $10,000 in covered expenses, then 100% of covered expenses up to $1,000,000.  Routine doctors visits and outpatient prescription drugs are not covered, although you may add optional benefits which will give you a $40 copay for doctor visits.

The prescription drug rider comes with a $500 annual deductible, after which generic drugs would come with a copay of $10 (plus 20% of the remaining cost of the drug); $25 for brand name (plus 50% of the cost of the drug), or $35 for non-formulary drugs (plus 50% of the cost of the drug).  Emergency room visits are covered with a $250 access fee, which is waived if you are admitted into the hospital, at which time your coverage would be subject to your deductible and coinsurance.

Foreign travel is also covered for 60 days, with a $100,000 lifetime limit.

World Insurance HD Advantage

With this plan, the deductible only needs to be met once per family per year.  After you have met your deductible, the plan pays 100% of all covered expenses, up to either $2 or $5 million per person.  There is also an option for 50% of 80% coverage, with a co-insurance limit of $10,000.  Routine doctor visits and out patient prescription drugs are not covered by this plan, even after the deductible has been met, unless the Comprehensive HSA Benefit rider is included.

Foreign travel is also covered for 60 days, with a $100,000 lifetime limit.

This plan qualifies as HSA-eligible.  Combining a Health Savings Account with any the World High Deductible Health Plan allows you to make tax-deductible contributions, pay medical expenses with pre-tax dollars, and earn tax-deferred interest.  This account works much like an IRA, except you may use your tax-free savings for qualified medical expenses your health plan does not cover, such as your deductible, contact lenses, or most types of alternative medicine.  If you do not use these funds, they simply accumulate, with interest, for distribution upon your retirement.

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Optional Riders:

Comprehensive HSA Benefit

The HD Advantage program does not cover outpatient doctor visits or prescription drugs unless this optional rider is added.  This optional benefit cannot be added to your policy after you apply for coverage.  It provides the following additional benefits.

  1. Rx Benefits - subject to deductible and coinsurance.  Prescription drugs or medicines for a covered illness or injury when prescribed by a physician and dispensed by a licensed pharmacist.

  2. Physician Office Visit Benefits - subject to deductible and coinsurance for medical services provided by a physician.

  3. Outpatient Services - subject to deductible and coinsurance.  Services include, but are not limited to, physical,
    occupational, speech and manipulative therapy, and diagnostic testing.

  4. Wellness Benefits - a maximum of $150 first dollar coverage for wellness benefits per covered person, per calendar year.  Eligibility starts for each covered person 12 months after the plan is effective for that covered individual.

Maximum Benefit Option

Your HD Advantage policy/certificate's lifetime coverage maximum is $2 million per covered person.  The Maximum Benefit Option increases the lifetime maximum to $5 million.  It also increases the per-organ transplant maximum from $500,000 to $1,000,000 at nationwide Centers of Excellence, facilities that specialize in specific types of transplants and can provide you with quality care on a cost efficient basis.

Term Life Benefit Option

The Term Life Benefit Rider provides you and/or your spouse with annually renewable term life insurance coverage in benefit amounts of $10,000, $25,000 or $50,000.  Plus, you also have the option of converting your term-life policy to a World whole life policy. 

Outpatient Accident Benefit Option

With the Outpatient Accident Benefit Rider, your plan pays 100 percent of expenses for a covered injury, not to exceed the amount you choose ($500, $1,000, $1,500, $2,000, $2,500, $3,000 or $5,000) per calendar year for treatment of injuries on an outpatient basis, with no deductible or coinsurance.  Additional benefits are subject to your deductible and coinsurance.  (Note: Not all levels are available in all states)

Expenses covered under this rider include:

  • Services, supplies, and physician's care;
  • X-ray and laboratory tests; and
  • Treatment or services received in a hospital emergency room, urgent care center, physician's office, or ambulatory surgical center or facility.

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Rates:

Preferred rates without riders are available on our instant quote page.  The quoted rates are for the $5 million maximum benefit, and do not include optional benefits such as term life, supplemental accident, maternity, and Rx riders.  They also do not include $7.50/month dues for membership in the National Consumer Alliance Association (NCA), which endorses these plans and gives members access to valuable products and services. 

If you are not replacing current coverage, you will be issued a policy with standard rates, approximately 8% higher than preferred rates.

Please contact us for rates on the optional benefits.  Rates depend on gender, smoking status, zip code, and health status.

The premium can be paid via quarterly, semi-annual, or annual billing, or a monthly bank draft or credit card.  The bank draft will occur on the premium due date each month. The initial premium can be paid with a check or credit card.

The following chart shows when you can expect payment to be deducted from your credit card:

App Effective Date
Credit Card Charged
1st of the month
1st of month
2nd - 5th of month
5th of month
6th - 10th of month
10th of month
11th - 15th of month
15th of month
16th - 20th of month
20th of month
21th - 28th of month
25th of month

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PPO Network:

World Insurance recently signed an agreement with Great-West Healthcare, a division of Great-West Life & Annuity Insurance Company.  Having access to the PPO network can mean substantial discounts in what you pay for your health care, even before you meet your deductible.  Great-West Healthcare operates a substantial multi-state (national) healthcare network that includes more than 4,200 hospitals and 530,000 providers.  It provides network and other services to more than 2 million people.  Find a Doctor

In addition to the Great West Health Network, a choice of networks are available in the following ZIP codes:

FL zips 321, 326, 327, 328, 330-334, 344, and 347: Beechstreet, PHCS, Southcare

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Underwriting:

Underwriting of your application with World Insurance normally takes two to four weeks, though if medical records are ordered it could take longer.  World's underwriting seems fairly lenient compared to many other companies, and often accept applicants who may have been turned down by other companies.

It is standard practice for them to request a Blood Pressure Inquiry if you are currently being treated for or have recently discontinued treatment for high blood pressure.  Certain conditions may be waivered with a temporary rider (usually for one to twos years), or an indefinite rider.

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Effective dates:

The earliest your coverage can go into effect is ten days after you have signed your application.  You may request an effective date any time between 10 and 60 days after you sign your application.

Please note, if you are requesting an effective date of less than 21 days from the time you complete the application, you may not receive notification of your approval until after your effective date. If you have claims during this period, they will be eligible for coverage if submitted after you have been approved.

Also note that you will be billed starting on your requested effective date, even if you have not yet been notified that you have been approved.  This is very good for someone who does not have any present coverage and would like for their benefits to begin right away.  For those who are already covered, it is suggested that you maintain your current coverage in force until you have received notice from either eFLHealthInsurance or directly from World Insurance that your coverage has been approved and is in force.

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How to Apply:

Simply run an instant quote and select the plan you are interested in.  Then download the application, fill it out and fax it in to us.  We will then stay in touch with your during the underwritting process to keep you informed of the progress.

About World Insurance:

World Insurance was founded in 1903 in Omaha, Nebraska, as the World Accident Association.  The company began hiring agents in 1925 and became World Insurance Company in 1929.  The first general agency was established in Colorado in 1938.  In 1943, World mutualized and was authorized to sell life insurance as well as accident and sickness policies.

By the late 1950s, World was licensed in 45 states with 500 agents nationwide.  The company's product portfolio included a wide variety of individual hospital, life and disability policies.

Today, World is licensed in 46 states and the District of Columbia.  More than 11,200 general agents and agents represent the company.

World Insurance has been assigned a rating of A- (Excellent) from the A.M. Best Company, an independent insurance rating organization.

eFLHealthInsurance is an independent authorized World agent.

World Insurance in the News

MetLife to acquire life insurance unit from AIG for $15.5 bln (People's Daily)
MetLife Inc. is to acquire American International Group's (AIG's) overseas life and health insurance unit for 15.5 billion U.S. dollars, the company said Monday. The acquisition of American Life Insurance Company (ALICO) will cost MetLife some 6.8 billion dollars in cash and another 8.7 billion dollars in equity securities, MetLife said in a statement. ALICO has been one of the world's largest ...

World › Mandatory insurance proposed for dogs in UK (Japan Today)
A chip for Spot? In a country where guns are tightly controlled and even carrying a kitchen knife can bring prison time, some thugs use…

Egypt, WB sign 75 mln USD loan agreement on health insurance (People's Daily)
Egypt and the World Bank on Monday signed a 75 million U.S. dollars loan agreement to finance Egypt's health insurance system, state-run Middle East News Agency (MENA) reported. Egyptian Minister of International Cooperation Fayza Abul-Naga said in a statement sent to reporters that the loan will be reimbursed in 28-year installments with a seven-year grace period. The interest rate will not ...

AIG sells Alico insurance company to MetLife (Washington Post)
American International Group on Monday announced the sale of one of its major global insurance units to MetLife for $15.5 billion, the latest step in the bailed-out insurance giant's quest to pay down its massive debt to U.S. taxpayers.

Hong Kong Stocks Fluctuate; Ping An, New World Development Rise (Bloomberg)
March 9 (Bloomberg) -- Hong Kong stocks fluctuated as China Life Insurance Co. said 2009 profit may have climbed more than 200 percent, countering a drop in metals and oil prices.

'Insurance for all' plan for dogs (BBC News)
All dog owners in England and Wales would need insurance against their animals attacking people under Labour proposals.

Marsh & McLennan Said to Get Private-Equity Bid for Kroll Unit (Bloomberg)
March 9 (Bloomberg) -- Marsh & McLennan Cos. , the world’s second-biggest insurance broker, received an offer for its Kroll security unit that values the subsidiary at $1.2 billion to $1.5 billion, said a person familiar with the matter.

In Telluride, a struggle between providers and insurance companies (Telluride Daily Planet)
As the Senate passed a landmark health care bill in Washington that extends coverage to millions, the Telluride Medical Center wages its own battles, hoping to wring better deals from insurance companies.

Evolution of Life Insurance Industry to Accelerate, Says LOMA Survey (PR Newswire via Yahoo! Finance)
The long-term outlook for the life insurance industry is for a faster pace of change, particularly in the use of technology. Â That was the conclusion of a survey of top industry executives by LOMA.

Scott Brooks Joins DWS Investments as a Director, Third Party Insurance National Accounts (Business Wire via Yahoo! Finance)
NEW YORK----DWS Investments, the US retail unit of Deutsche Bank’s global Asset Management division, today announced the appointment of Scott Brooks as a Director responsible for Third Party Insurance National Accounts.

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