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Any Questions?
 Please contact us with any enrollment and membership questions. We are here to help you!
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Your Contact
Darrell Fryer
Phone: (949) 248-3112
darrell@capistranoinsurance.com
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INFORMATION
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RATES
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OPTIONS
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Cali-SmartCare • USHG - CIA
CaliSmartCare PPO 1
Association benefits include Limited Benefit Health Insurance with $250 daily hospital confinement, $50 provider office visits, $50 Routine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $2,000 Accident Medical Expense, up to $10,000 Accidental Death & Dismemberment, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, Mutual of Omaha Life and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 99
$129.00
per Month
for Member
$189.00
per Month
for Member plus One (Spouse or Child)
$249.00
per Month
for Member plus Family
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Cali-SmartCare • USHG - CIA
CaliSmartcare PPO 2
Association benefits include Limited Benefit Health Insurance with $250 daily hospital confinement, up to $2,000 for surgical procedure (as per surgical schedule), $50 provider office visits, $50 Routine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $2,000 Accident Medical Expense, up to $10,000 Accidental Death & Dismemberment, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, Mutual of Omaha Life and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 99
$189.00
per Month
for Member
$299.00
per Month
for Member plus One (Spouse or Child)
$389.00
per Month
for Member plus Family
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Cali-SmartCare • USHG - CIA
CaliSmartCare PPO 3
Association benefits include Limited Benefit Health Insurance with $500 daily hospital confinement, $100 Emergency Room benefit, up to $2,500 for surgical procedures (as per surgical schedule), $75 provider office visits, $75 Routine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $2,000 Accident Medical Expense, up to $20,000 Accidental Death & Dismemberment, $2,500 Critical Illness benefit, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, Mutual of Omaha Life and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 99
$259.00
per Month
for Member
$459.00
per Month
for Member plus One (Spouse or Child)
$619.00
per Month
for Member plus Family
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Cali-SmartCare • USHG - CIA
CaliSmartCare PPO 4
Association benefits include Limited Benefit Health Insurance with $1,000 daily hospital confinement, $150 Emergency Room benefit, up to $5,000 for surgical procedures (as per surgical schedule), $100 provider office visits, $100 Rountine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $5,000 Accident Medical Expense, up to $30,000 Accidental Death & Dismemberment, $5,000 Critical Illness benefit, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, Mutual of Omaha Life and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 64
$359.00
per Month
for Member
$669.00
per Month
for Member plus One (Spouse or Child)
$899.00
per Month
for Member plus Family
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Cali-SmartCare • USHG - CIA
CaliSmartCare PPO 5
Association benefits include Limited Benefit Health Insurance with $1,500 daily hospital confinement, $250 Emergency Room benefit, up to $5,000 for surgical procedures (as per surgical schedule), $100 provider office visits, $100 Rountine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $5,000 Accident Medical Expense, up to $40,000 Accidental Death & Dismemberment, $10,000 Critical Illness benefit, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, Mutual of Omaha Life and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 64
$429.00
per Month
for Member
$819.00
per Month
for Member plus One (Spouse or Child)
$1,099.00
per Month
for Member plus Family
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Cali-PrimeCare Rx • USHG - CIA
CaliPrimeCare Rx 1
Association benefits include Limited Benefit Health Insurance with $250 daily hospital confinement, $50 provider office visits, $50 Routine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $2,000 Accident Medical Expense, up to $10,000 Accidental Death & Dismemberment, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, $10,000 Mutual of Omaha Life, Premier Ancillary and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 64
$149.00
per Month
for Member
$219.00
per Month
for Member plus One (Spouse or Child)
$289.00
per Month
for Member plus Family
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Cali-PrimeCare Rx • USHG - CIA
CaliPrimeCare Rx 2
Association benefits include Limited Benefit Health Insurance with $500 daily hospital confinement, $100 Emergency Room benefit, up to $2,500 for surgical procedures (as per surgical schedule), $50 provider office visits, $50 Routine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $2,000 Accident Medical Expense, up to $20,000 Accidental Death & Dismemberment, $2,500 Critical Illness benefit, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, $10,000 Mutual of Omaha Life, Premier Ancillary and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 64
$229.00
per Month
for Member
$389.00
per Month
for Member plus One (Spouse or Child)
$529.00
per Month
for Member plus Family
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Cali-PrimeCare Rx • USHG - CIA
CaliPrimeCare Rx 3
Association benefits include Limited Benefit Health Insurance with $750 daily hospital confinement, $150 Emergency Room benefit, up to $5,000 for surgical procedures (as per surgical schedule), $75 provider office visits, $50 Routine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $5,000 Accident Medical Expense, up to $30,000 Accidental Death & Dismemberment, $5,000 Critical Illness benefit, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, $10,000 Mutual of Omaha Life, Premier Ancillary and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 64
$299.00
per Month
for Member
$549.00
per Month
for Member plus One (Spouse or Child)
$729.00
per Month
for Member plus Family
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Cali-PrimeCare Rx • USHG - CIA
CaliPrimeCare Rx 4
Association benefits include Limited Benefit Health Insurance with $1,000 daily hospital confinement, $250 Emergency Room benefit, up to $5,000 for surgical procedures (as per surgical schedule), $100 provider office visits, $50 Rountine Wellness, $25 DXL, $10 Prescription Drug benefit, up to $5,000 Accident Medical Expense, up to $50,000 Accidental Death & Dismemberment, $10,000 Critical Illness benefit, CIA benefits, ConsultADoctor, Compass - Patient Advocacy, NVA Vision, $10,000 Mutual of Omaha Life, Premier Ancillary and VIIAD.
States Not Available: AL, AK, AZ, AR, CO, CT, DE, DC, FL, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, PR, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY
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CIA Administration Fee
$20.00
per Month
Enrollment Processing Fee
$99.00
One-time Fee
Product
Ages 18 to 64
$349.00
per Month
for Member
$629.00
per Month
for Member plus One (Spouse or Child)
$859.00
per Month
for Member plus Family
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Life • Mutual of Omaha
MOO Buy-Up Plan
Guaranteed Term Life Insurance
Current members can choose to add on additional life insurance in the following amounts: $10,000, $25,000, $75,000 or $100,000
Accidental Death and Dismemberment
Members that choose a Buy Up option will also have Accidental Death and Dismemberment benefits.
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United Concordia Dental • United Concordia
United Concordia Dental (Add-On)
AWA dental product is fully insured through United Concordia. Dental has a $1,000 yearly maximum per person with a $50/$150 deductible per person/ per family. Dental includes the Preventive Incentive Program that provides 100% coverage In-Network for Diagnostic/Preventive Services (Excluded from Annual Program Maximum). A 6-month waiting period applies to Class III Major Services. Dental work started prior to members effective date is not covered.
States Not Available: KY
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Product
Ages 18 to 64
$39.95
per Month
for Member
$69.95
per Month
for Member plus One (Spouse or Child)
$109.95
per Month
for Member plus Family
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United Concordia Dental • United Concordia
United Concordia Dental (Stand-Alone)
AWA dental product is fully insured through United Concordia. Dental has a $1,000 yearly maximum per person with a $50/$150 deductible per person/ per family. Dental includes the Preventive Incentive Program that provides 100% coverage In-Network for Diagnostic/Preventive Services (Excluded from Annual Program Maximum). A 6-month waiting period applies to Class III Major Services. Dental work started prior to members effective date is not covered.
States Not Available: KY
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Enrollment Processing Fee
$33.00
One-time Fee
Monthly Administration Fee
$2.00
per Month
Product
Ages 18 to 64
$39.95
per Month
for Member
$69.95
per Month
for Member plus One (Spouse or Child)
$109.95
per Month
for Member plus Family
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