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The information providedis for informational purposes only and does not provide any coverage. Not allMASA MTS products and services are available to residents of all states. For acomplete list of coverage and exclusions, please refer to the applicable memberservices agreement or policy for your state. The benefits listed, and thedescriptions thereof, do not represent the full terms and conditions applicablefor usage and may only be offered in some memberships or policies. Premiums and benefits vary depending on the plan selected. MASA MTS utilizesthird-party transportation service providers and does not own or lease anyvehicles. MASA, MASA Global, MASA MTS and MASA TRS are registered service marksof MASA Holdings, Inc., a Delaware corporation and an affiliated company withMedical Air Services Association, Inc. (MASA), Medical Air Services Associationof Florida, Inc. (MASAF), and MASA Insurance Services, Inc. (MISI). DE, IA,KY, MD, ND, PA, WA, and WV residents: MISI, with its principal place ofbusiness at 1250 S. Pine Island Road, Suite 500, Plantation, FL 33324, offersinsurance coverage through Obsidian Insurance Company. Coverage is notavailable in all states and is subject to the company underwriting guidelinesand the issued policy. Policy forms and policy terms may vary by state andterritory. National Producer #19897480. FL residents: MASA MTS providesinsurance coverage whereby MASAF is a prepaid limited health serviceorganization licensed under Chapter 636, Florida Statutes, license number:65-0265219 and is doing business as MASA MTS with its principal place ofbusiness at 1250 S. Pine Island Road, Suite 500, Plantation, FL 33324. WYresidents: Getmasa.com; 800-643-9023, MASA provides a membership plan and notinsurance coverage and the range of discounts for air ambulance servicesprovided under such membership will vary depending on the provider and theservices offered. TN residents: MASA provides a membership plan and notinsurance coverage. TennCare Medicaid covers air ambulance transport servicesand requires no out-of-pocket expense by the enrollee for air ambulancetransport services. Some state laws prohibit Medicaid beneficiaries frombeing offered air ambulance memberships or being accepted into air ambulancemembership programs. If an individual submits an air ambulance membershipagreement application, the applicant must attest to the fact that the applicantis not currently, nor plans to be, enrolled in Medicaid. If a member has a highdeductible health plan (“HDHP”) that is compatible with a health savingsaccount (“HSA”), benefits may become available under the MASA membership forexpenses incurred for medical care (as defined under Internal Revenue Code(IRC) section 213 (d)) once a member satisfies the applicable statutoryminimum deductible under IRC section 223(c) for HDHP coverage that iscompatible with a HSA.


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