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.
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 Only||Health Plan with up to $2,500 Supplemental Accident Benefit|
|Health Plan deductible||$5,000||$5,000|
|Coinsurance maximum (80/20 to $15,000) for open-arm fracture costing $23,000**||$3,000||$3,000|
|Supplemental Accident Benefit
|Your out-of-pocket covered expenses for the calendar-year (after benefit)||$8,000||$5,500|