Page 26 - Megatel Homes LLC Benefit Guide 8-1-2025v3
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Voluntary Accident (On and Off The Job):


       Lincoln Financial




       Don’t  let an  accident catch  you off guard. Protect  your  family’s  finances  with  Accident  Insurance
       from  Lincoln  Financial.  An  accident  insurance  policy  supplements  your  medical  coverage  and
       provides a cash benefit for injuries you or an insured family member sustain from an accident. This
       benefit  can  be  used  to  pay  out  of  pocket  medical  expenses,  help  supplement  your  daily  living
       expenses and cover unpaid time off work.
                                                                                                Open      Closed
       Benefit                            Amount               Dislocations                     Reduction  Reduction
       Initial Care                       Class 1              Joint/Joint Group                Class 1
       Emergency Room                     $150                 Lower jaw (Temporomandibular)     $1,300     $650
       Urgent Care Center                 $100                 Shoulder (Glenohumeral)           $4,500     $2,250
       Initial Physician Office Visit     $100                 Collarbone and breastbone         $1,800     $900
       Emergency Transportation           Class 1              (Sternoclavicular)
       Ground Ambulance                   $400                 Elbow                             $2,000     $1,000
       Air Ambulance                      $1,000
                                                               Wrist (Radiocarpal and/or intercarpal)   $1,800     $900
                                          Open     Closed
       Fractures                          Reduction  Reduction   Hand                            $1,800     $900
                                                               Fingers                            $550      $275
       Bone/Bone Group                    Class 1              Hip                               $9,000      $4,500
       Skull, depressed (Cranial bones)     $6,000    $3,000    Knee                             $3,200      $1,600
       Skull, non-depressed (Cranial bones)   $3,000    $1,300   Ankle                           $2,400      $1,200
       Bones of face (Except nose and lower   $2,500   $1,250
       jaw)                                                    Foot                              $1,900      $950
                                                               Toes                               $500     $250
       Nose (Nasal bones)                   $2,250    $1,125
       Lower jaw (Mandible)                $12,250   $1,125    Partial Dislocation - 25% of the closed
                                                               reduction amount for the joint/joint
       Shoulder blade (Scapula)             $3,000   $1,500    group
       Collarbone (Clavicle)                $2,400    $1,200
       Breastbone (Sternum)                 $1,000    $500
       Rib                                  $1,200    $600      SPECIFIED INJURY BENEFITS
       Upper arm (Humerus)                  $2,400    $1,200    Fractures and dislocations require treatment within 90 days
       Forearm (elbow to wrist)             $3,200    $1,600    of  an  accident.  Burns  and  lacerations  require  treatment
       Elbow                                 $900   $450        within  72  hours  of  an  accident.  Dental  care  requires
       Hand (Metacarpals, except fingers)   $2,250   $1,125     treatment within 30 days of an accident.
       Fingers (Phalanges)                   $500    $250
       Vertebral body (Except vertebral processes)   $2,900    $1,450   If an insured person sustains both a fracture & dislocation
       Vertebral process                    $2,700    $1,350    as the result of the same accident, the maximum amount
       Tail bone (Coccyx)                   $1,000    $500      payable is up to 200% of the amount payable for the injury
       Pelvis (Except tail bone and hip bones)   $4,000    $2,000   with the highest applicable benefit amount.
       Hip bones (Illium, ischium and/or pubis)   $6,000    $3,000    Additional limitations apply as described in the policy.
       Thigh (Femur)                        $4,500    $2,250
       Knee cap (Patella)                   $2,600    $1,300
       Lower leg (Tibia and/or fibia)       $3,200    $1,600    INITIAL CARE & EMERGENCY BENEFITS
       Ankle (Talus)                        $2,600    $1,300
       Foot (Metatarsals and calcaneus, except toes)   $2,250    $1,125   Most Initial Care/Emergency benefits require treatment or
       Toes (Phalanges)                      $500    $250       service  within  72  hours  of  an  accident  and  are  payable
       Chip Fracture - 25% of the closed reduction              once per accident per insured person.
       amount for the bone/bone group


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