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MEDMUTUAL PROTECT

A Medical Mutual Company

Affordable Cost Solution, Hospital Confinement Indemnity, Outpatient Fixed Indemnity, Specified Disease, Accident, Dental and the SimpliCare discount plan — pulled straight from the agent resource library for Team Savage agents.

Affordable Cost Solution (ACS) — Fixed Indemnity

Policy Form ACS-1. No deductibles — every payable benefit is paid in full, in addition to any other health coverage the client carries. Client selects their own hospital or physician; benefits reset each policy year. Underwritten by Reserve National Insurance Company.

BenefitBenefit AmountLimitations
Benefits Payable in the Hospital
Hospital Confinement, Day 1-5$4,000/day180 days/policy year
Hospital Confinement, Day 6-30$2,000/day
Hospital Confinement, Day 31-180$500/day
Alternate Daily BenefitAlso available at $2,000 / $1,000 / $500 per day for the same day tiers
Intensive Care Unit$1,000/day10 days/policy year — paid in addition to Hospital Confinement
Inpatient Doctor Visits$75/day10 visits/policy year
Benefits Payable Out of Hospital
Outpatient Chemotherapy / Radiation$1,000/day20 days/policy year
Benefits Payable In or Out of Hospital
Surgeon's Indemnity Benefit$12,000 or $6,000 (select one)Max selected amount for all surgical operations in a policy year; payable for inpatient or outpatient surgery
Anesthesiologist's Indemnity Benefit25% of Surgeon's Indemnity BenefitPaid in addition to Surgeon's Indemnity Benefit
Day of Surgery Indemnity Benefit125% of Surgeon's Indemnity BenefitPaid in addition to Surgeon's + Anesthesiologist's benefits
Optional Out-of-Hospital Indemnity Rider (S-ACS-OP / ACS-OP): Outpatient Doctor Visits $50/visit (1/day, 4/policy yr); Ambulance — Air $1,500 (2 trips/yr), Ground $500 (4 trips/yr); Preventive — Pap Smear $100 (1/yr), Diabetes Blood Test $50 (1/yr), Prostate Exam $75 (1/yr, age 50+), Colonoscopy $500 (1/5 yrs, age 50+), Mammogram $125 (female age 35+); Outpatient X-Ray $75 / MRI or CT Scan $750 / Lab Test $50 (combined $2,000/policy yr max); Emergency Room $500; Prescription $25 per script ($500/policy yr max for all prescription drugs). Not available in UT, ID or KS.
Hospital Confinement Indemnity (HDI)

Policy Form HDI with Riders HDI-SRG-1 and HDI-AMB. Choose the daily hospital confinement benefit level that fits the client's budget — coverage supplements any existing health insurance, including Medicare, and pays regardless of other coverage.

Option 1 Option 2 Option 3 Option 4
DurationOption 1Option 2Option 3Option 4
First 10 days$100/day$500/day$1,000/day$2,000/day
Next 21 days$50/day$250/day$500/day$1,000/day

Benefit renews each policy year.

Surgery Benefit Rider (HDI-SRG-1)

Payable for either inpatient or outpatient surgery — hospitalization is not required.

Surgeon's Benefit by Surgical Schedule:
A: $50–$1,000 · B: $100–$2,000 · C: $150–$3,000 · D: $200–$4,000

Anesthesiologist's Benefit: 25% of Surgeon's Benefit. Day of Surgery Benefit: 125% of Surgeon's Benefit.

Ambulance Benefit Rider (HDI-AMB)

Ground Ambulance: $600 (4 trips/policy year)

Air Ambulance: $5,000 (2 trips/policy year)

Outpatient Fixed Indemnity (OP-1)

Policy Form OP-1 — Supplemental Outpatient Fixed Indemnity Policy. No deductibles, no coordination of benefits, client's choice of hospital/physician. Designed to supplement existing health insurance for outpatient procedures and emergency trips.

Option 1 Option 2
BenefitOption 1Option 2
Preventive Care Indemnity Benefits
Colonoscopy (age 50+, 1/5 policy yrs)$500
Mammogram (female age 35+)$125
Pap Smear (1/policy yr)$100
Prostate Exam (age 50+, 1/policy yr)$75
Diabetes Blood Test (1/policy yr)$50
Outpatient X-Rays & Lab Tests
MRI or CT Scan$750$500
X-ray$75$50
Lab Test$50$25
Max Benefit per Policy Year$2,000$1,000
Outpatient Doctor Visits
Office/Clinic Visit (1/day, 4/policy yr)$50$25
Ambulance Benefit
Air Ambulance (2 trips/policy yr)$1,500$1,500
Ground Ambulance (4 trips/policy yr)$500$250
Emergency Room Indemnity
ER Visit (1/policy yr)$500$300
Prescription Indemnity
Per Prescription$25$10
Max Benefit per Policy Year$500$250
Specified Disease Insurance (SD-3)

Policy Form SD-3 (SD-1 in Virginia) — $5,000,000 lifetime max for outpatient and inpatient services caused by a covered specified disease. Pays in addition to any other coverage. 5 plan options; 3 of the 5 include a Wellness Benefit.

DeductibleCoinsuranceMax BenefitWellness Benefit*
$0100%$10,000Not included
$0100%$25,000Not included
$50080%$1,000,000Included
$2,50080%$1,000,000Included
$5,000100%$1,000,000Included

*Wellness Benefit pays up to $200 once per calendar year, after a 90-day waiting period. Not available in CO, IL or MI.

Covered In/Out-of-Hospital Benefits

Emergency Room / Urgent Care (if treatment is caused by a covered disease) · Hospital Stay & Services · Surgery · ICU · Anesthesia · Prosthesis · Physician Treatment · Outpatient Surgery · Outpatient Anesthesia · Physical Therapy · Ambulance · Doctor's Visits · X-Rays & Lab Tests. Once the deductible is met, MedMutual Protect pays 80% or 100% (by plan) of covered expenses up to the policy max.

Optional Cancer First Occurrence Rider (CFO)

Pays a one-time lump sum on a covered person's first diagnosis of cancer — payable only once per covered person, for the lifetime of the policy.

Benefit amounts: $25,000 or $50,000

Coverage is for specified diseases including:

Cancer Stroke Coronary Artery / Cardiovascular Disease Major Organ Transplant End Stage Renal Failure Diabetes COVID-19 Addison's Disease Cushing's Disease Gallbladder Disease Gastrointestinal Disease Hyper/Hypothyroidism Pancreatitis Pneumonia Psoriasis Shingles Viral Hepatitis Gout Ebola Virus Disease
Accident Insurance (SA-2)

Policy Form SA-2 — pays for covered accidental injuries regardless of any other health coverage. Same 5-option plan design as Specified Disease; premiums vary by age band and state (confirm current rates before quoting).

DeductibleCoinsuranceMax Benefit
$0100%$10,000
$0100%$25,000
$50080%$1,000,000 · FirstHealth Network
$2,50080%$1,000,000 · FirstHealth Network
$5,000100%$1,000,000 · FirstHealth Network

Covered In/Out-of-Hospital Benefits

Emergency Room* / Urgent Care Center · Hospital Stay & Services · Surgery · ICU · Anesthesia · Prosthesis · Physician Treatment · Outpatient Surgery · Outpatient Anesthesia · Physical Therapy · Ambulance · Doctor's Visits · X-Rays & Lab Tests. *ER treatment must occur within 48 hours of the covered accident and incurs expenses in excess of the selected deductible.

Optional Accidental Death & Dismemberment (AD&D)

Pays if a covered person's injury from a covered accident results in death within 90 days of the accident. Age minimum varies by state.

Age 19+: $50,000 · Age under 19: $10,000

Dental Insurance (KHD20)

Policy Form KHD20 — no restrictive network, use any dentist. Lump-sum reimbursement per covered service, up to $1,500 per covered person per calendar year, paid directly to the client or their dentist. Guaranteed renewable at the client's option. No waiting period or deductible for Preventive Care.

Basic Coverage Major Coverage
BenefitBasic CoverageMajor Coverage
Annual Benefit Maximum$1,000$1,500
Preventive Services (up to $150/visit, no waiting period)
Routine Exams, X-Rays, Cleanings, Fluoride✓✓
Basic Services (3-month waiting period; subject to combined max)
Fillings, Replacement/Repair to Existing✓✓
Replacement/Repair to Existing Bridges✓✓
Replacement, Repair or Adjustment to Existing Dentures✓✓
Major Services (6-month waiting period; subject to combined max)
Inlay and Onlay—✓
Crowns—✓
Root Canal—✓
Dentures—✓
Bridges—✓
Orthodontic treatment, dental implants and cosmetic dental care are covered only if for treatment of an accidental injury that occurs while the policy is in force. See policy for the full list of coverages.
SimpliCare — Discount & Telemedicine Program

MedMutual Protect SimpliCare is a companion discount membership, not insurance — a low-cost add-on value point for any household. Members present their ID at a participating provider to receive discounts immediately, no claims filing required.

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Member Only $19.99/mo · Member & Family $29.99/mo

Plus a one-time $20 application fee. Register online or by calling DialCare at 1-855-335-2255, then log in at member.dialcare.com.

Telemedicine & Mental Wellness

  • DialCare Urgent Care — unlimited, no-cost phone/video doctor visits, 24/7/365, for colds, flu, rashes and more
  • DialCare Mental Wellness — virtual/telephonic licensed counseling for depression, anxiety, grief, relationship issues; $40 consult fee applies

Dental & Vision Discounts

  • Careington dental network — 20%-50% off routine exams, cleanings, major work incl. dentures, root canals, crowns
  • EyeMed Vision Care Access network — 20%-40% off eyewear, exams, glasses & contacts at 90,000+ providers

Hearing & Prescriptions

  • Hearing aid discounts of 30%-60% at 7,000+ network providers; 45-day satisfaction guarantee
  • Rx discounts of 15%-80% on generics, 15%-25% on brand-name, at 60,000+ pharmacies incl. Safeway, CVS, Walgreens, Rite Aid
This plan is not insurance and does not meet Minimum Creditable Coverage requirements under state law or the ACA's minimum essential coverage requirements. Discounts vary by provider/service; not available in Vermont or Washington.
Other Products

These lines are part of the MedMutual Protect / MedMutual of Ohio family but don't have their own agent brochure in this library yet — use the links below or ask your upline for current forms and rates.

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Vision

Vision Insurance

Standalone vision coverage — listed on MedMutual Protect's product lineup alongside Dental. Confirm current plan design and rates with your upline.

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Home Health Care

Home Health Care

Available under the Under-65 and Senior Solution product tiers per the availability sheet. No standalone brochure in the current library — confirm plan details with your upline before quoting.

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Medicare Supplement

Medicare Supplement Plans

Senior Solution tier. Underwritten by United Insurance Company of America or Reserve National Insurance Company. Use the public site or your standard Med Supp resources to quote.

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ACA Plans

ACA Individual & Family Plans**

**ACA plans are brokered through Summerset Marketing Company, not written directly through MedMutual Protect's supplemental line.

Agent Tools

Where to write business, pull marketing pieces, and keep up with product training.

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Individual Agent Portal (StratusAMS)

Sign in to quote and manage individual and supplemental business as a MedMutual Protect agent.

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Producer Resource Hub

Roadmap to Success, Career Guide, product overview, and the licensing checklist for new and growing agents.

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Find an Agent Directory

Public-facing directory clients use to locate their MedMutual Protect agent — good to confirm your own listing.

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SimpliCare Virtual Care

Public sign-up page for the SimpliCare discount and telemedicine membership — a value-add to point clients to alongside their policy.

Underwriting & Eligibility: Guidelines apply to the HDI, ACS, OP1 and SD3/SD1 products — agents cannot bind coverage; all acceptance and rating decisions are made by MedMutual Protect's Home Office Underwriting Department after reviewing the full application. Applicants are issued as Standard or Declined based on the guidelines, and a number of states carry special underwriting requirements. A height-and-weight eligibility chart applies — any applicant who exceeds the maximum weight for their height is uninsurable; check current guidelines with your upline before quoting a case with height/weight or health-history concerns.
Underwritten by
Reserve National Insurance Co., Fidelity Security Life Insurance Co. (FSL), United Insurance Co. of America, and MedMutual Life Insurance Co.
Customer Care
1-800-654-9106
Coverage
Varies by state — confirm before quoting. **ACA plans are brokered through Summerset Marketing Company.