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Accident Insurance

Wellbeing Assistance Standard Benefit

This benefit can help pay for routine preventive tests and services.

100
Wellbeing assistance standard................................................................. $_____________
Payable once per covered person per calendar year; subject to a 30-day waiting period.

„ Blood test for triglycerides „ Mammography
„ Bone marrow testing „ Pap smear
„ Breast ultrasound „ PSA (blood test for prostate cancer)
„ CA 15-3 (blood test for breast cancer) „ Serum cholesterol test for HDL and LDL levels
„ CA 125 (blood test for ovarian cancer) „ Serum protein electrophoresis
„ Carotid Doppler (blood test for myeloma)
„ CEA (blood test for colon cancer) „ Skin cancer biopsy
„ Chest X-ray „ Stress test on a bicycle or treadmill
„ Colonoscopy „ Thermography
„ Echocardiogram (ECHO) „ ThinPrep pap test
„ Electrocardiogram (EKG, ECG) „ Virtual colonoscopy
„ Fasting blood glucose test
For more information, „ Flexible sigmoidoscopy
talk with your „ Hemoccult stool analysis
benefits counselor.

ColonialLife.com

ID, MD, MO, ND: Waiting period does not apply
WV: Includes human papillomavirus screening test

THIS POLICY PROVIDES LIMITED BENEFITS.
This information is not intended to be a complete description of the insurance coverage available. The insurance or its
provisions may vary or be unavailable in some states. The policy has exclusions and limitations which may affect any
benefits payable. Applicable to policy form IAC4000 (including state abbreviations where used, for example: IAC4000-TX).
For cost and complete details of coverage, call or write your Colonial Life benefits counselor or the company.
Underwritten by Colonial Life & Accident Insurance Company, Columbia, SC
©2021 Colonial Life & Accident Insurance Company. All rights reserved. Colonial Life is a
registered trademark and marketing brand of Colonial Life & Accident Insurance Company.
IAC4000 – WELLBEING ASSISTANCE STANDARD BENEFIT | 1-21 | 101781-2