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ASSOCIATION MEMBERSHIP ENROLLMENT ACKNOWLEDGEMENT I hereby enroll for membership in the Med Sense Guaranteed Association (MSGA). As a member of MSGA, I understand that I will be able to access membership products, benefits and services. I acknowledge that member benefits are subject to change without notice.
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| Limited Benefit Medical Insurance Benefits: |
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Hospital Indemnity
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Surgery
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Anesthesia
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Doctor Office Visits (Injury or Illness)
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Doctor Office Visits (Wellness)
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Diagnostics X-rays, Labs
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Emergency Room Visits
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Ambulance
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Accidental Injury
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Accidental Death and Dismemberment
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Prescription Drug / Discount Vision
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