| Benefit | Plan A | Plan B | Plan C |
| First Occurrence Benefit | $2,000 | $2,000 | $2,000 |
| Wellness Benefit | $75 / year | $100 / year | $100/year |
| Waiver of Premium | Premium | Premium | Premium |
| Hospital Confinement | $100/day | $200/day | $400/day |
| Inpatient Drugs and Medicines | $10/day | $10/day | $10/day |
| Physicians Attendance | $20/day | $30/day | $30/day |
| Ambulance | $100 per confinement | $200 per confinement | $200 per confinement |
| Private Duty Nursing Services | $100/day | $100/day | $100/day |
| Government or Charity Hospital | $100/day | $100/day | $100/day |
| Hospice Care Center | $100/day | $100/day | $100/day |
| Hospice Care Team | $100/day | $100/day | $100/day |
| Extended Care Facility | $100/day | $100/day | $100/day |
| Extended Benefits (after 70 days of hospital confinement) | $100/day | $200/day | $200/day |
| Home Nursing | $100/day | $100/day | $100/day |
| Inpatient Surgery | $1,500 Schedule | $3,000 Schedule | $3,000 Schedule |
| Outpatient Surgery | 150% of inpatient | 150% of inpatient | 150% of inpatient |
| Second Surgical Opinion | $200 | $200 | $200 |
| Anesthesia | 25% of surgical benefit | 25% of surgical benefit | 25% of surgical benefit |
| Ambulatory Surgical Center | $250/day | $250/day | $250/day |
| Radiation and Chemotherapy | $5,000 per 12 months | $10,000 per 12 months | $20,000 per 12 months |
| Blood, Plasma, and Platelets | $5,000 per 12 months | $10,000 per 12 months | $20,000 per 12 months |
| Prosthesis | $2,000 | $2,000 | $2,000 |
| Physical or Speech Therapy | $25/day | $25/day | $25/day |
| New or Experimental Treatment | $5,000 per 12 months | $10,000 per 12 months | $20,000 per 12 months |
| Skin Cancer | Actual charges up to $150 | Actual charges up to $300 | Actual charges up to $300 |
| Outpatient Lodging | $50/day | $100/day | $100/day |
| Non-Local Transportation | Airfare or $0.50/mile | Airfare or $0.50/mile | Airfare or $0.50/mile |
| Family Member Lodging | $50/day | $100/day | $100/day |
| Family Member Transportation | Airfare or $0.50/mile | Airfare or $0.50/mile | Airfare or $0.50/mile |
| Hospital Intensive Care | N/A | $300/day | $300/day |