Page 23 - Intertek 2022 Benefits Guide
P. 23
2022 Benefits Guide
Accident Coverage
Why Accident Coverage? Features
Accident coverage applies to non-work related ■ Guaranteed issue: No medical questions or tests
accidents only. If you elect to purchase accident are required for coverage
coverage, Voya’s plan pays a tax-free beneit directly ■ Flexible: You can use the beneit payments for any
to you to help ofset unexpected expenses associated purpose you like
with an accident (of the job only) for yourself or a ■ Portable: If you leave Intertek (or retire), you can
covered family member. take your coverage with you
Here is a brief summary of the covered medical
treatment or service. A full list of covered services will
Wellness Benefit be provided in your certiicate.
This beneit pays $50 per calendar year per insured
individual (employee, spouse, and children) if a covered Event Beneits
health screening test is performed, including blood Accident hospital care
tests, chest x-rays, stress tests, mammograms, and Surgery open abdominal, thoracic $1,200
colonoscopies. Hospital admission $1,250
Hospital coninement per day, up to
A full list of covered tests will be provided in your 365 days $375
certiicate. Transportation per trip, up to three
per accident $750
Plan Pays You Lodging per day, up to 30 days $180
Monthly Premium Accident care $90
Initial doctor visit
Employee $9.98 Urgent care facility treatment $225
Employee + spouse $16.85 Emergency room treatment $225
Employee + Children $19.03 Ground ambulance $360
Family $25.90 Air ambulance $1,500
Outpatient surgery (one per accident) $225
X-ray $45
Common injuries
Burns second degree, at least 36% of $1,250
the body
$350 crown, $90
Emergency dental work
extraction
Eye injury surgery $350
Ruptured disk surgical repair $800
Concussion $225
Dislocations Closed/open reduction
Hip joint $3,850/$7,700
Knee $2,400/$4,800
Fractures Closed/open reduction
Leg $2,500/$ 5,000
Ankle $1,800/$3,600
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Accident Coverage
Why Accident Coverage? Features
Accident coverage applies to non-work related ■ Guaranteed issue: No medical questions or tests
accidents only. If you elect to purchase accident are required for coverage
coverage, Voya’s plan pays a tax-free beneit directly ■ Flexible: You can use the beneit payments for any
to you to help ofset unexpected expenses associated purpose you like
with an accident (of the job only) for yourself or a ■ Portable: If you leave Intertek (or retire), you can
covered family member. take your coverage with you
Here is a brief summary of the covered medical
treatment or service. A full list of covered services will
Wellness Benefit be provided in your certiicate.
This beneit pays $50 per calendar year per insured
individual (employee, spouse, and children) if a covered Event Beneits
health screening test is performed, including blood Accident hospital care
tests, chest x-rays, stress tests, mammograms, and Surgery open abdominal, thoracic $1,200
colonoscopies. Hospital admission $1,250
Hospital coninement per day, up to
A full list of covered tests will be provided in your 365 days $375
certiicate. Transportation per trip, up to three
per accident $750
Plan Pays You Lodging per day, up to 30 days $180
Monthly Premium Accident care $90
Initial doctor visit
Employee $9.98 Urgent care facility treatment $225
Employee + spouse $16.85 Emergency room treatment $225
Employee + Children $19.03 Ground ambulance $360
Family $25.90 Air ambulance $1,500
Outpatient surgery (one per accident) $225
X-ray $45
Common injuries
Burns second degree, at least 36% of $1,250
the body
$350 crown, $90
Emergency dental work
extraction
Eye injury surgery $350
Ruptured disk surgical repair $800
Concussion $225
Dislocations Closed/open reduction
Hip joint $3,850/$7,700
Knee $2,400/$4,800
Fractures Closed/open reduction
Leg $2,500/$ 5,000
Ankle $1,800/$3,600
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