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  Physicians Mutual - Vista Care Choices
Mass Mutual - Signature Care
State Generic Generic
Form Number P-146 MM-300-P
Rated Policy Definitions and Features
Product Rating Score 81 out of 100 62 out of 100
Alternate Plan of Care
Rating 8 out of 8

If otherwise eligible for benefits company may pay for services written under an Alternate Plan of Care. Must be a cost effective plan to provide benefits.

Rating 5 out of 8

Provides Qualified Long Term Care Services which may include: equipment purchases or rentals, permanent or temporary modifications to the residence (i.e. ramps or rails), or care services not normally covered under the Home and Community Based Services Benefit. Company reserves right to make final decision on requests under Alternate Plan of Care benefit.

Bed Reservation
Rating 3 out of 3

Covers up to 60 days per calendar year for any reason.

Rating 2 out of 3

Covers up to 30 days per calendar year for any reason.

Benefit Payout Options
Rating 5 out of 6

Reimbursement. Home Health Care paid on a monthly basis.

Rating 3 out of 6

Reimbursement. Home Health Care paid on a daily basis.

Care Coordinator
Rating 3 out of 4

Not required to receive benefits. Provides Resource Advisor at no cost through toll-free number. Will arrange Care Coordination at no cost if additional assistance is required.

Rating 2 out of 4

Called Personal Care Advisor. Not required to receive benefits. Does not count against Lifetime Maximum. Company will provide access to Personal Care Advisor upon request.

Elimination Period
Rating 6 out of 6

Calendar Day Elimination Period. Must be satisfied only once over the life of the policy. Need not incur expense.

Rating 4 out of 6

Must be satisfied only once over the life of the policy. Days need not be consecutive.

Exclusions & Limitations
Rating 6 out of 8

Excludes: intentionally self-inflicted injury or attempted suicide; alcoholism or drug addiction; injuries or sickness resulting from an act of war (whether declared or undeclared); and care outside of the US or its territories, except as described in the International Coverage.

Rating 4 out of 8

Excludes: care by a person in your family; care in excess of thirty days per year during a single claim period outside the US or Canada; care provided in facilities primarily for the treatment of alcohol or drug addiction and care provided in facilities primarily for treatment of Mental or Nervous Disorders.

Home Health Care
Rating 4 out of 5

Standard definition. Paid on a monthly basis.

Rating 3 out of 5

Standard definition. Paid on a daily basis.

Home Modification
Rating 3 out of 3

Covered up to a lifetime maximum equal to 2 times the monthly Facility Care Benefit at time of claim.

Rating 1 out of 3

May be considered under Alternate Plan of Care.

Medical Alert
Rating 3 out of 3

Covered under Home First Benefit (See Notes)

Rating 1 out of 3

May be considered under the Alternate Plan of Care.

Restoration of Benefits
Rating 1 out of 1

Included

Rating 0 out of 1

Offered as a rider, additional premium required.

Therapeutic Device
Rating 3 out of 3

Covered under Home First Benefit (See Notes)

Rating 1 out of 3

May be considered under Alternate Plan of Care.

Bonus
Rating 2 out of 5

Ambulance Service Benefit $75 per trip, Lifetime Maximum $300; First Time Cash Benefit, first time isured is eligible for benefits pays a one-time benefit of $1000.

Rating 1 out of 5

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