NGL PrimeCare
Robert Russell

PrimeCare
Limited Benefit Medical Plans

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Why Choose NGL PrimeCare

PrimeCare Limited Benefit Medical Plan from the NSBA is designed to reduce members' exposure to unexpected out-of-pocket healthcare expenses not covered by other insurance. These plans also provide basic protection for people who are temporarily without major medical insurance.

Limitations and Exclusions

There are no Pre-Existing Condition Exclusions.

Training Deck

FOR AGENT TRAINING USE ONLY.

State Availability

View the states available.

Provider Networks

Search our national network of hospitals and doctors.

NSBA

Access to innovative services and benefits.

PrimeCare Brochure

Download the PrimeCare Marketing Brochure.

NGL PrimeCare Online Enrollment

Easy to Qualify - Easy to Enroll

PrimeCare Limited Benefit Medical Plan is Guaranteed Issue

No underwriting questions No knockout questions No Pre-ex limitations No waiting periods No SSN required

PrimeCare Limited Benefit Medical Plans

Underwritten by National Guardian Life Insurance Company


Covered Services and Benefit Amounts STANDARD SELECT PREMIUM
Hospital Confinement Daily Income Benefit1
Non-Critical Care Unit daily benefit $600 $800 $1200
Maximum benefit for non-Critical Care Unit per Coverage Year 90 days 90 days 90 days
Critical Care Unit daily benefit $1500 $2000 $2500
Maximum benefit for Critical Care per Coverage Year 15 days 15 days 15 days
Surgery Benefit
For Surgery performed as Inpatient
Per Surgery benefit limit up to $12502 Up to $15002 Up to $20002
Maximum number per Coverage Year 1 1 1
For Surgery performed as an Outpatient
Per Surgery benefit limit Up to $12502 Up to $15002 Up to $20002
Maximum number per Coverage Year 1 1 1
Administration of Anesthesia Benefit
For anesthesia performed as an Inpatient
Per administration amount 20% of the corresponding Surgery benefit 20% of the corresponding Surgery benefit 20% of the corresponding Surgery benefit
Maximum benefit per administration $200 $200 $200
For anesthesia performed as an Outpatient
Per administration amount 20% of the corresponding Surgery benefit 20% of the corresponding Surgery benefit 20% of the corresponding Surgery benefit
Maximum benefit per administration $200 $200 $200
Outpatient Doctor Visits Benefit
Established Patient per visit amount $75 $75 $75
Established Patient maximum visits per Coverage Year 7 days 7 days 8 days
Consultation per visit amount $100 $100 $100
Consultation maximum visits per Coverage Year 1 1 1
Emergency Room Benefit
For the treatment of a Sickness
Per visit benefit $50 $50 $50
Maximum number of visits per Coverage Year 3 3 3
For the treatment of an Accident
Per visit benefit $500 $500 $500
Maximum number of visitts per Coverage Year 2 2 2
Diagnostic X-Ray & Laboratory Tests Benefit
Per day benefit $75 $75 $75
Maximum number of days per Coverage Year 6 6 6
Specialty Diagnostic Radiology Tests Benefit
Specialty radiology - MRI
Per visit benefit $1000 $1000 $1000
maximum number of visits per Coverage Year 1 1 1
Speciality Radiology - CT scan
Per visit benefit $300 $300 $400
Maximum numver of visits per Coverage Year 1 1 1
All other Specialty radiology
Per visit benefit $50 $50 $100
Maximum number of visits per Coverage Year 1 1 1
Ambulance Benefit
Ground Ambulance N/A
Per trip benefit $300 $300
Maximum number of trips per Coverage Year 1 1
Air Ambulance N/A
Per trip benefit $300 $300
Maximum number of trips per Coverage Year 1 1
Therapeutic and Rehabilitative Care Visits Benefit
Per visit benefit $50 $50 $50
Maximum number of visits per Coverage Year 6 6 6
Home Health Care Benefit
Per visit benefit $100 $100 $100
Maximum number of visits per Coverage Year 5 5 5
Wellness Care Visits Benefit
Annual physical
Per visit benefit $100 $100 $100
Maximum number of visits per Coverage Year 1 1 1
Electrocardiogram
Per visit benefit $50 $50 $50
Maximum number of visits per Coverage Year 1 1 1
Stress Test
Per visit benefit 1 Day 1 day 1 day
Maximum number of visits per Coverage Year 1 1 1
Mammogram screening
Per visit benefit $75 $75 $75
Maximum number of visits per Coverage Year 1 1 1
Routine Immunization benefit
Per visit benefit $50 $50 $50
Maximum number of visits per Coverage Year 5 5 5
Select Select Select


1. Confinements for mental illness, alcoholism, and substance abuse are limited as shown in Description of Coverage
2. $1 multiplied by the relative value unit for the specific Surgery noted on the Centers for Medicare and Medicaid Services (CMS) National Physician Fee Schedule Relative Value
Coverage Year is Jan 1 to Dec 31. Benefits reset on Jan 1.


National Guardian Life Insurance Company (NGL) is consecutively rated A- (Excellent) from A.M. Best Company, the world's oldest and most authoritative insurance rating information source. The A- (Excellent) rating further attests to NGL's financial strength and ability to meet policyholder obligations. Since 1910, NGL has been one of America's most successful and highly rated independent mutual life insurance companies. NGL specializes in providing individual and group insurance products in the health insurance marketplace. Dedicated to the highest standards of quality and integrity, NGL offers products that are among the safest and most stable in the industry.