HOME - ABOUT US - SERVICES - CONTACT US
 
LIFE INSURANCE - INDIVIDUAL HEALTH INSURANCE - GROUP HEALTH INSURANCE - SUPPLEMENTAL INSURANCE - LONG TERM CARE - ANNUITIES
 
FREE On-Line Insurance Quotes from Landeche Insurance
 Individual Health Insurance - Group Health Insurance - Life Insurance - Dental & Vision - Supplemental Insurance - Annuities
 
FREE Instant Quotes directly from companies we represent
Humana One - Coventry One - Dignity Planning

Free Supplemental Benefits Insurance Quotation

For your free Supplemental Benefits Insurance Quotation
please complete this 2 part Quotation Request Form

Part 1
Choose the Benefits You Require

Base Policy Benefit

Accident Expense

The Accident Expense Benefit pays for covered expenses resulting from an accident not to exceed selected calendar year benefit amounts. It pays for treatment rendered in a hospital, emergency room, a physician's office, or a subsequent impatient hospitalization that immediately follows a covered physician's office visit or hospital emergency room visit that occurs within 90 days of the accident.

Coverage is a available from $1,000 to $5,000 per person in $500 increments and from $6,000 to $10,000 per person in $1,000 increments. It is available with no deductible or optional calendar year deductibles.

Amount Selected:

Applicant:

Spouse:

Child(ren):

Deductible Choices

Optional Supplemental Benefits

Hospital Admission

The Hospital Admission Benefit pays for a covered person's first occurence hospital admission due to sickness, injury or complication of pregnancy. The benefit is paid directly to the insured person, nit to exceed the calendar year benefit amount selected for confinements of at least one day.

Coverage is available from $500 to $2,000 per person in $250 increments. The benefit is not payable more than once per calendar year per person.
 

Amount Selected:

Applicant:

Spouse:

Child(ren):

Hospital
Daily Room

The Hospital Daily Room Benefit pays the selected benefit amount for each day of hospital confinement due to sickness, injury or complication of pregnancy, not to exceed the selected benefit period per confinement (minimum 24-hour confinement). The benefit is paid directly to the insured person.

Coverage is available from $200 to $1,000 per person in $100 increments. There is a choice of no elimination period, 1 day or days.
 

Amount Selected:

Applicant:

Spouse:

Child(ren):

Benefit Period (Days)

Elimination Period (Days)

Hospital
Intensive Care

The Hospital Intensive Care Benefit pays the selected benefit amount for each day of intensive care unit confinement due to sickness or injury, not to exceed 60 days per confinement. The benefit is paid directly to the insured person, and there is no elimination period.

Coverage is available from $400 to $2,000 per person in $200 increments.
 

Amount Selected:

Applicant:

Spouse:

Child(ren):

Outpatient Surgery

The Outpatient Surgery Benefit pays up to the selected calendar year benefit amount for surgery performed in an outpatient facility due to a covered sicknedd or complication of pregnancy. ( In WI, pays the entire calendar year benefit amount selected.)

Coverage is available from $100 to $1,000 per person in $100 increments.
 

Amount Selected:

Applicant:

Spouse:

Child(ren):

Critical Illness

The First Occurence Critical Illness Benefit pays a lump sum benefit directly to the insured person upon the first diagnosis of a covered condition while this policy is in force.
Heart Attack
Stroke
Major Organ Transplant
Muscular Dystrophy
Kidney Failure
Life-threatening Cancer
Multiple Sclerosis

First Major Heart Surgery Benefit - A benefit of 25% of the amount selected is paid for the first major heart surgery.

First Angioplasy Benefit - A benefit of 10% of the amount selected is paid for the first angioplasty.

Coverage is available from $10,000 to $50,000 per person in increments of $5,000.

Amount Selected:

Applicant:

Spouse:

Child(ren):

Heart Attack & Stroke

The First Occurrence Heart Attack and Stroke Benefit pays a lump sum benefit directly to the insured person upon the first diagnosis of a heart attack while this policy is in force.

First Major Heart Surgery Benefit - A benefit of 25% of the amount selected is paid for the first major heart surgery.

First Angioplasty Benefit - A benefit of 10% of the amount selected is paid for the first angioplasty.

Coverage is available from $10,000 to $50,000 per person in $5,000 increments.
This benefit is not available if the Critical Illness Benefit is selected.

Amount Selected:

Applicant:

Spouse:

Child(ren):

Cancer

The First Occurrence Cancer Benefit pays a lump sum benefit directly to the insured person upon the first diagnosis of life-threatening cancer while this policy is in force.

Coverage is available from $10,000 to $50,000 per person in $5,000 increments.
This benefit is not available if the Critical Illness Benefit is selected.

Amount Selected:

Applicant:

Spouse:

Child(ren):

Accidental Death
& Dismemberment

The Accidental Death & Dismemberment Benefit pays if a covered person suffers loss of life, sight or limb(s) due to injuries received ina covered accident. It pays for loss occuring within 90 days* of an accident. Benefits are doubled for covered accidents occuring while the covered person is a fare-paying passenger on a common carrier.

Accidental Death coverage is available from $10,000 to $50,000 per person in $5,000 increments. 100% of the amount selected is payable for loss of life; 50% of the amount selected is paid for loss of both hands or both feet, sight of both eyes, or one hand and one foot; 25% of the amount selected is paid for loss of one hand or one foot, or sight of one eye. The total amount payable under this benefit will not exceed the amount payable for loss of life.
*Not applicable in PA; 180 days in OR.
 

Amount Selected:

Applicant:

Spouse:

Child(ren):

 

 

Landeche Insurance, LLC
2001 Belmont Place, Metairie, LA 70001

Phone: 504-228-7184
We are here to help!

E-mail: info@landecheinsurance.com

©2010 Landeche Insurance, LLC

Website Design by Surfing Gator
Find us on the New Orleans Website Directory