Page 17 - ABM 2021 Benefit Guide RDU
P. 17
VOLUNTARY ACCIDENTAL INJURY
INSURANCE
Cigna
Accidental injury coverage is designed to help meet the out-of-pocket expenses and extra bills
which can follow an accidental injury, whether minor or catastrophic. When you have an accident,
Cigna will provide cash beneits directly to you to help cover expenses that may not be fully
covered by your medical insurance. As outlined below, you have the option to choose between the
Low Plan and the High Plan.
Summary of Beneits*
Low Plan High Plan
Ambulance (ground) $400 $500
Ambulance (air) $1,200 $2,000
Emergency Room Treatment $200 $300
Urgent Care $150 $150
Primary Care Physician $150 $150
Physician Follow-Up $50 $125
Physical Therapy $50 $75
Appliance Beneit $175 $175
Hospitalization Beneits
Hospital/ICU Admission $1,000 $1,500
Hospital Coninement (per day beneit) $200 $300
ICU Coninement (per day beneit) $400 $600
Covered Injuries and Surgical Procedures
Burns Up to $7,500 Up to $10,000
Coma $5,000 $15,000
Concussion $100 $200
Tendon, Ligament, and Rotator Cuf $200/$200/$100 $600/$600/$200
Dislocations (separated joint) Up to $2,500 Up to $3,000
Fracture (broken bone) Up to $2,500 Up to $5,000
ABM 17
INSURANCE
Cigna
Accidental injury coverage is designed to help meet the out-of-pocket expenses and extra bills
which can follow an accidental injury, whether minor or catastrophic. When you have an accident,
Cigna will provide cash beneits directly to you to help cover expenses that may not be fully
covered by your medical insurance. As outlined below, you have the option to choose between the
Low Plan and the High Plan.
Summary of Beneits*
Low Plan High Plan
Ambulance (ground) $400 $500
Ambulance (air) $1,200 $2,000
Emergency Room Treatment $200 $300
Urgent Care $150 $150
Primary Care Physician $150 $150
Physician Follow-Up $50 $125
Physical Therapy $50 $75
Appliance Beneit $175 $175
Hospitalization Beneits
Hospital/ICU Admission $1,000 $1,500
Hospital Coninement (per day beneit) $200 $300
ICU Coninement (per day beneit) $400 $600
Covered Injuries and Surgical Procedures
Burns Up to $7,500 Up to $10,000
Coma $5,000 $15,000
Concussion $100 $200
Tendon, Ligament, and Rotator Cuf $200/$200/$100 $600/$600/$200
Dislocations (separated joint) Up to $2,500 Up to $3,000
Fracture (broken bone) Up to $2,500 Up to $5,000
ABM 17
