Page 8 - 2017-18 Centennial Benefits Guide Staff
P. 8
Voluntary Coverage
Voluntary coverage is offered Accident Coverage
through Assurity. Employees have Accidents happen. When they do, medical attention is needed right away.
access to Accident, Critical Illness This plan pays a beneit directly to you to help with the expenses related
and Hospital Indemnity coverage to an accident; doctor’s ofice visits, x-rays, stitches, hospitalization,
at discounted group rates. ambulance rides, and more. A sample of the beneits contained in this
Available to employee, spouse, policy are below.
and children
Coverage is guaranteed issue; Initial Accident Treatment $150
Emergency room, urgent care or primary
no medical questions will be care physician
asked Medical Services $100/$500
Ambulance (ground/air)
All beneits are paid directly Physician follow-up $35
$35
to YOU. You choose how Physical therapy $100
Appliance beneit
you spend the beneit; pay Diagnostic exams/medical imaging $200
a medical bill or help pay Hospital Beneits
$1,000
expenses around the house Hospital admission beneit $200 per day (max 180 days)
Hospital daily beneit
Pays in addition to medical ICU admission beneit Same as hospital admission beneit
coverage ICU daily beneit $400 per day (max 15 days)
Schedule of Fractures
Coverage is portable; take it Skull depressed $2,500
$1,000
Skull non-depressed
with you if you no longer work Hip $1,500
for Centennial Thigh $1,500
Rates lock in at your current Vertebrae (body) $800
$300
Vertebral processes
age and do not increase unless Leg $1,500
you make a plan change Bones of the face or nose $350
Upper jaw, maxilla $350
Upper arm (elbow to shoulder) $350
Lower jaw, mandible $300
Shoulder blade $300
Sternum $300
Kneecap (patella) $300
Hand/wrist $300
Forearm $300
Foot (except toes) $300
Coccyx $200
Ankle $300
Collarbone (clavicle) $300
Rib $250
Finger/toe $50
Open reduction (requires surgery) 2x non-surgical beneit (above)
8 2017–18 Benefits Enrollment
Voluntary coverage is offered Accident Coverage
through Assurity. Employees have Accidents happen. When they do, medical attention is needed right away.
access to Accident, Critical Illness This plan pays a beneit directly to you to help with the expenses related
and Hospital Indemnity coverage to an accident; doctor’s ofice visits, x-rays, stitches, hospitalization,
at discounted group rates. ambulance rides, and more. A sample of the beneits contained in this
Available to employee, spouse, policy are below.
and children
Coverage is guaranteed issue; Initial Accident Treatment $150
Emergency room, urgent care or primary
no medical questions will be care physician
asked Medical Services $100/$500
Ambulance (ground/air)
All beneits are paid directly Physician follow-up $35
$35
to YOU. You choose how Physical therapy $100
Appliance beneit
you spend the beneit; pay Diagnostic exams/medical imaging $200
a medical bill or help pay Hospital Beneits
$1,000
expenses around the house Hospital admission beneit $200 per day (max 180 days)
Hospital daily beneit
Pays in addition to medical ICU admission beneit Same as hospital admission beneit
coverage ICU daily beneit $400 per day (max 15 days)
Schedule of Fractures
Coverage is portable; take it Skull depressed $2,500
$1,000
Skull non-depressed
with you if you no longer work Hip $1,500
for Centennial Thigh $1,500
Rates lock in at your current Vertebrae (body) $800
$300
Vertebral processes
age and do not increase unless Leg $1,500
you make a plan change Bones of the face or nose $350
Upper jaw, maxilla $350
Upper arm (elbow to shoulder) $350
Lower jaw, mandible $300
Shoulder blade $300
Sternum $300
Kneecap (patella) $300
Hand/wrist $300
Forearm $300
Foot (except toes) $300
Coccyx $200
Ankle $300
Collarbone (clavicle) $300
Rib $250
Finger/toe $50
Open reduction (requires surgery) 2x non-surgical beneit (above)
8 2017–18 Benefits Enrollment
