Home Page |  About Us  |  FAQ's  |  Providers  | Applications  | California Birth Profiles  Contact Us 

HomeDental Plans Short Term PPO Plans
Short Term PPO Plans for Individuals & Families

Online Quote Form

Individual & Family Plans                          Child Only Plans - Ages 0-18                                       Senior Plans - Ages 65+

First Name * Last Name Email * Daytime Phone * ZIP Code * Get Quote* Health Plans Dental Plans Group Health Plans Term Life Insurance

Gender Age or Date of Birth Tobacco User ? Full-time Student? Applicant M F / / Spouse M F / / Child M F / / Child M F / / Child M F / / Child M F / / Child M F / /

* Child under one year: use age "0"

Requested Effective Date:   August   September  October

*What is your current health plan premium? (optional)    $  /month

Remember My Quote Information

Conditions covered by workers' compensation or similar laws

Conditions arising from any act of war, invasion, armed aggression or release of nuclear energy.

Any services provided by a local, state, county or federal government agency including any foreign government.

Any services to the extent that you are entitled to receive Medicare benefits for those services, whether or not Medicare benefits are actually paid.

Services provided by relatives, and professional services received from a person who lives in your home or who is related to you by blood, marriage or adoption.

Private duty nursing, including inpatient or outpatient service of a private duty nurse.

Custodial care.

Services provided in a facility that provides continuous skilled nursing care.

Diagnostic admissions.

Dental care and treatment or treatment on or to the teeth and gums unless covered under accidental injury.

Dental implants.

Orthodontic services, braces and other orthodontic appliances.

Hearing aids and routine hearting tests.

Eyeglasses and eye examinations.

Certain eye surgeries including those solely for the purpose of correcting refractive defects of the eye such as nearsightedness (myopia) and astigmatism.

Cosmetic surgery.

*Does not apply to reconstructive surgery to restore a bodily function or to correct a deformity caused by injury or medically necessary reconstructive surgery performed to restore symmetry incident to mastectomy.

Sex change operations or related treatment and study.

Maternity care.

Well Baby and Well Child Care.

All services related to the evaluation of treatment of infertility, including reversal of sterilization.

Services primarily for weight reduction or treatment of obesity, or any care which involves weight reduction as the main method of treatment.

Orthopedic shoes (except when joined to braces) or shoe inserts.

Items which are furnished primarily for your personal comfort or convenience.

Consultations provided by telephone or facsimile machines.

Nutritional counseling and food supplements except as stated in your plan agreement.

Educational services except as specifically provided or arranged by BC Life & Health.

Treatment furnished in a non contracting California hospital except for a medical emergency as defined in the Policy booklet.

Routine physical exams

Smoking cessation

Durable Medical Equipment (DME)

Outpatient Drugs and medications

Outpatient speech therapy

Treatment of sexual dysfunction

Organ and tissue transplants