After satisfying the deductible amount you've selected, Liberty Select will pay the coinsurance you selected for covered expenses, up to a lifetime maximum of $2 million per insured person per coverage period.  This is not an HMO or PPO plan and you are not restricted to any provider networks.  You have the freedom to use any doctor or hospital.  Print your certificate of insurance immediately after you apply online.

• Hospital Charges: average semi-private room rate, medical care and treatment
• Outpatient Hospital or Ambulatory Surgical Center charges
• Physician Services for treatment and diagnosis
• Surgeon Services in the hospital or ambulatory Surgical Center
• Assistant Surgeon Services
• Anesthesia Services
• Intensive Care: up to three times the average semi-private room rate
• Inpatient prescription drugs and injections
• X-Ray Exams, Laboratory tests and analysis
• X-Ray and Radioactive isotope therapy, anesthesia, oxygen, casts, splints, crutches, braces, surgical dressings, artificial limbs or eyes, rental of medical supplies
• Blood or blood derivatives and their administration
• Ambulance Services
• Organ Transplants
• Acquired Immune Deficiency Syndrome (AIDS): $10,000 lifetime maximum
• Mammography, pap smear and screens

What is a family deductible?

With a family deductible benefit your insured family is only required to satisfy a maximum of three (3) deductibles during the coverage period.

What is a reasonable and customary charge?

A "reasonable and customary charge" is the charge typically made by physicians or suppliers of medical services, medicines and supplies within a specific geographic area.

Do I need precertification?

Pre-admission certification prior to eligible inpatient hospitalization or surgery by the covered individual within 48 hours is required. If admitted because of am emergency, simply call within a timely manner.

When does coverage terminate?

Coverage ends when the premium is not paid when due; you enter full-time active duty in the Armed Forces; you become eligible for Medicare, this applies to states where association membership is a requirement; the elected coverage period expires; Standard Security Life Insurance Company determines fraud or misrepresentation has been made in filing a claim for benefits; or a dependent ceases to be eligible. 

Can I continue coverage?

If your need for temporary health insurance continues, you may apply for another Secure STM plan. Your application is subject to eligibility, underwriting requirements and state availability of the coverage. The next coverage period is not continuous and any condition incurred during the last coverage period will be excluded as a pre-existing condition.

This website provides a brief description of the benefits, exclusions and other provisions of the policy Form SSL-STMP-1104. 

This is only a general summary of the features of the Liberty STM Medical Plan. Complete details may be found in the Master Policy. Benefits and policy provisions may vary by state.

Eligibility and Effective Date of Coverage:

Temporary Health Insurance Eligibility:
Liberty Select - Secure STM is offered to individuals, their spouse and dependent children under age 19 (or under age 25 if a full-time student) who have a social security number and can answer "no" to the health questions on the application. Children age 19 and over should apply separately. Child-only coverage is available for ages 2 through 18.

Child Only Coverage:

When applying for coverage ONLY on the child(ren), the minimum age is 2 years old. The 2-19 premium rate (male or female, based on the gender of the child applicant) for the youngest child is used; then the per child rate for each of the other siblings to be insured on the plan. Please enter the youngest child as the applicant, and all other child(ren) as the dependents. The parent or legal guardian must sign and date the application. Children age 19 and older must apply separately.

Effective Date of Coverage:

The insurance can be effective as early as 12:01 a.m. the next day after the transmission date. However, the applicant can choose a later effective date not to exceed 60 days from transmission date. Coverage ends on termination date listed in your policy.

If your payment is by credit card, the hard copy application does not have to be mailed to HPA, but the applicant should print a hard copy for his/her records. The acknowledgment of the applicant's name for credit card payment suffices as a signature under e-commerce law.

If your payment is by check, money order, or automatic check withdrawal, the hard copy of the application does not have to be mailed. However, the initial payment must be mailed in by check along with a voided check. Please note social security number with your initial payment. The initial payment must be received within 10 days from the transmission date or coverage is void.

Coverage under this policy will end on the termination date listed in the Schedule of Benefits.  Coverage will be considered void if payment is not received.

Who is the Insurance Company?

Standard Security Life Insurance Company of New York

Standard Security Life Insurance Company of New York is rated A (Excellent) for financial condition by A.M. Best Company.