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What Accident Benefits are Available? 2017 Beneits Enrollment
This chart includes some of the beneits provided by accident insurance. The beneit
amounts paid depend on the type of injury and care received. You may be required Wellness
to seek care for your injury within a set amount of time. Note there may be some Benefit
variation by state. For a complete description of your available beneits, along with This coverage provides an
applicable provisions, exclusions and limitations, see your certiicate of insurance and annual benefit payment if you
complete a health screening
any riders. test. You may only receive a
benefit once per year, even if
you complete multiple health
Event Benefit screening tests.
Accident Hospital Care Examples of health screening
Surgery (open abdominal, thoracic) $2,500 tests include but are not limited
Hospital admission $1,400 to: Pap test, serum cholesterol
Hospital confinement (per day up to 365) $300 test for HDL and LDL levels,
mammography, colonoscopy,
Coma (duration of 14 or more days) $7,000 and stress test on bicycle or
Transportation (per trip, up to 3 per accident) $400 treadmill.
Medical equipment $250 X The annual benefit is
Physical therapy (per treatment up to 6) $50 $50 for completing a
health screening test
Burns (second degree at least 36% of body) $1,250 X If your spouse and/or
Emergency dental work (while hospital confined) $250 a crown, $125 extraction children are covered for
Eye injury (surgery) $300 accident insurance, they
Concussion $250 are also covered by the
Wellness Benefit; your
Dislocations Closed/Open Reduction spouse’s benefit amount
Hip Joint $2,500/$5,000 is also $50; the benefit
Knee $1,500/$3,000 for child coverage is $25
with an annual maximum
Fractures Closed/Open Reduction of $100 for all children’s
Hip $2,500/$5,000 benefits
Leg $1,250/$2,500 Scan Here to Learn
Ankle $500/$1,000
Collarbone $500/$1,000 More About Your
Rib or ribs $450/$900 Compass Accident
Emergency Care Benefits Insurance Plan
Ground ambulance $200
Air ambulance $1,000
Accident insurance is underwritten by ReliaStar Life Insurance Company, a member of the Voya family of
®
companies. Voya Employee Beneits is a division of this company. Policy Form #RL-ACC2-POL-12; Certiicate
Form #RL-ACC2-CERT-12; and Rider Forms: Spouse Accident Rider Form #RL-ACC2-SPR-12, Children’s Accident
Rider Form #RL-ACC2-CHR-12, Wellness Beneit Rider Form #RL-ACC2-WELL-12. Product availability and
speciic provisions may vary by state.
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This chart includes some of the beneits provided by accident insurance. The beneit
amounts paid depend on the type of injury and care received. You may be required Wellness
to seek care for your injury within a set amount of time. Note there may be some Benefit
variation by state. For a complete description of your available beneits, along with This coverage provides an
applicable provisions, exclusions and limitations, see your certiicate of insurance and annual benefit payment if you
complete a health screening
any riders. test. You may only receive a
benefit once per year, even if
you complete multiple health
Event Benefit screening tests.
Accident Hospital Care Examples of health screening
Surgery (open abdominal, thoracic) $2,500 tests include but are not limited
Hospital admission $1,400 to: Pap test, serum cholesterol
Hospital confinement (per day up to 365) $300 test for HDL and LDL levels,
mammography, colonoscopy,
Coma (duration of 14 or more days) $7,000 and stress test on bicycle or
Transportation (per trip, up to 3 per accident) $400 treadmill.
Medical equipment $250 X The annual benefit is
Physical therapy (per treatment up to 6) $50 $50 for completing a
health screening test
Burns (second degree at least 36% of body) $1,250 X If your spouse and/or
Emergency dental work (while hospital confined) $250 a crown, $125 extraction children are covered for
Eye injury (surgery) $300 accident insurance, they
Concussion $250 are also covered by the
Wellness Benefit; your
Dislocations Closed/Open Reduction spouse’s benefit amount
Hip Joint $2,500/$5,000 is also $50; the benefit
Knee $1,500/$3,000 for child coverage is $25
with an annual maximum
Fractures Closed/Open Reduction of $100 for all children’s
Hip $2,500/$5,000 benefits
Leg $1,250/$2,500 Scan Here to Learn
Ankle $500/$1,000
Collarbone $500/$1,000 More About Your
Rib or ribs $450/$900 Compass Accident
Emergency Care Benefits Insurance Plan
Ground ambulance $200
Air ambulance $1,000
Accident insurance is underwritten by ReliaStar Life Insurance Company, a member of the Voya family of
®
companies. Voya Employee Beneits is a division of this company. Policy Form #RL-ACC2-POL-12; Certiicate
Form #RL-ACC2-CERT-12; and Rider Forms: Spouse Accident Rider Form #RL-ACC2-SPR-12, Children’s Accident
Rider Form #RL-ACC2-CHR-12, Wellness Beneit Rider Form #RL-ACC2-WELL-12. Product availability and
speciic provisions may vary by state.
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