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Supplemental Accident Benefit

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Higher Deductibles Don't Have to be Scary!

You may choose an optional Supplemental Accident benefit to reduce your out-of-pocket expenses for unexpected injuries.
    Accident Insurance Accidents happen. Unexpected injuries can hurt your budget. A simple arm fracture treated in the doctor's office can cost $324. However, an open-arm fracture can result in a hospital stay, surgery, and physical therapy — for a total cost of more than $23,000!**
  • Select a maximum benefit amount: $500, $1,000, $2,500, $5,000, or $10,000, per accident, per covered person.
  • Helps cover your deductible or other out-of-pocket medical expenses (before the health insurance starts paying covered expenses).
  • Expenses must be eligible for payment under the health insurance and incurred within 90 days of an injury.*
  • Any benefit amount paid by the Supplemental Accident benefit will first be credited to the deductible and coinsurance of the health insurance.*
  • Any remaining benefit payment will be made either to your health care provider under your assignment of benefits, or to you if you have already paid your provider.
  • Additional premium is required for the optional Supplemental Accident benefit rider.
  • Exclusions and limitations of the health plan apply to this optional benefit, see product brochure for details.

Savings Examples - Supplemental Accident Benefit





Health Plan deductible

Coinsurance maximum
(80/20 to $15,000) for
open-arm fracture
costing $23,000**

Supplemental Accident
Coverage

Your out-of-pocket covered expenses for
the calendar-year


Additional yearly
Supplemental Accident
premium for a single person

Additional yearly
Supplemental Accident
premium for a family


Health Plan Only

$5,000

$3,000




$0


$8,000



N/A



N/A


Health Plan with up to $2,500 Supplemental
Accident Benefit

$5,000

$3,000




-$2,500


$5,500




$240



$420


Health Plan with up to $5,000 Supplemental
Accident Benefit

$5,000

$3,000




-$5,000


$3,000



$300



$525



1 UnitedHealth Group Annual Form 10-K for year ending 12/31/10. *Saver plans: This rider will cover some expenses not otherwise covered under a Saver plan. This type of expense will not be credited toward deductible or coinsurance. **Examples are as of 07/27/09, are for illustration purposes only, and assume all expenses are covered. All these services received from network providers in ZIP Codes 495-- and 110--. Your actual savings may be more or less than this illustration and will vary by several factors. Please see the product brochure for more information. For costs, benefits, exclusions, limitations, eligibility, and renewal terms, call a licensed advisor to discuss your health insurance options at (800) 444-8990.
© 2010 Golden Rule Insurance Company.
Not intended for use in New Mexico.
UnitedHealthOneSM is a brand name used for products underwritten, administered, and/or provided by:
Golden Rule Insurance Company (Indiana domiciled, CA certificate of authority number 4407),
American Medical Security Life Insurance Company (Wisconsin domiciled, CA certificate of authority number 08079),
PacifiCare Life and Health Insurance Company(Indiana domiciled, CA certificate of authority number 5813),
PacifiCare Life Assurance Company (Colorado domiciled, CA certificate of authority number 5814),
Oxford Health Insurance, Inc.,
Oxford Health Plans (NJ), Inc., or
UnitedHealthcare Insurance Company.
UnitedHealthcare Services, Inc.,
Dental Benefit Providers, Inc.,
Spectera, Inc.
Health Insurance plans are medically underwritten and availability varies by state. Coverage may be provided by multiple policies/certificates
Additional Products are provided by:
Careington International Corporation,
EyeMed Vision Care, or
International Medical Group, Inc. (Indiana domiciled)
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