Page 38 - Aflac Flipbook 2023

AFLAC ACCIDENT ADVANTAGE – OPTION 1 BENEFIT OVERVIEW

BENEFIT NAME BENEFIT AMOUNT
$500 when admitted for a hospital confinement of at least 18 hours or $750 when admitted directly to an
INITIAL ACCIDENT HOSPITALIZATION BENEFIT
intensive care unit of a hospital for a covered accident, per calendar year, per covered person
ACCIDENT HOSPITAL CONFINEMENT BENEFIT $150 per day, up to 365 days per covered accident, per covered person
SECOND HOSPITALIZATION OPINION BENEFIT $35, one payment per covered accident, per covered person
INTENSIVE CARE UNIT CONFINEMENT BENEFIT Additional $300 per day for up to 15 days, per covered accident, per covered person
Payable once per 24-hour period and only once per covered accident, per covered person
Hospital emergency room with X-ray: $130
ACCIDENT TREATMENT BENEFIT Hospital emergency room without X-ray: $100
Office or facility (other than a hospital emergency room) with X-ray: $80
Office or facility (other than a hospital emergency room) without X-ray: $50
AMBULANCE BENEFIT $120 ground ambulance transportation or $800 air ambulance transportation
BLOOD/PLASMA/PLATELETS BENEFIT $100 once per covered accident, per covered person
MAJOR DIAGNOSTIC AND IMAGING EXAMS
BENEFIT $100 per calendar year, per covered person
ACCIDENT FOLLOW-UP TREATMENT BENEFIT $25 for one treatment per day (up to a max of 6 treatments), per covered accident, per covered person
THERAPY BENEFIT $25 for one treatment per day (up to a max of 10 treatments), per covered accident, per covered person
Benefits are payable for the medical appliances listed below:
Back brace: $200 Wheelchair: $200 Walker: $25
APPLIANCES BENEFIT Body jacket: $200 Leg brace: $50 Walking boot: $25
Knee scooter: $200 Crutches: $25 Cane: $25
Payable once per covered accident, per covered person
PROSTHESIS BENEFIT $375 once per covered accident, per covered person
PROSTHESIS REPAIR OR REPLACEMENT BENEFIT $375 once per covered person, per lifetime
REHABILITATION FACILITY BENEFIT $75 per day
HOME MODIFICATION BENEFIT $1,000 once per covered accident, per covered person
Pays benefits for the treatments listed below:
DISLOCATIONS............................$40–$1,500 EMERGENCY DENTAL WORK
BURNS .........................................$75–$7,500 Broken tooth repaired with crown.................. $75
SKIN GRAFTS ............ 50% of the burns benefit Broken tooth resulting in extraction ...............$25
........................amount paid for the burn involved COMA ................................................... $7,500
EYE INJURIES PARALYSIS
Surgical repair ...........................................$250 Quadriplegia ........................................... $7,500
ACCIDENT SPECIFIC-SUM INJURIES BENEFITS Removal of foreign body by a physician .........$50 Paraplegia ..............................................$3,750
LACERATIONS Hemiplegia .............................................$3,000
Not requiring sutures.................................... $20 SURGICAL PROCEDURES ............$150–$750
Less than 5 centimeters ...............................$40 MISCELLANEOUS SURGICAL
PROCEDURES .................................$80–$190
At least 5 cm but not more than 15 cm ....... $150
PAIN MANAGEMENT (NON-SURGICAL)
Over 15 centimeters ...................................$300
FRACTURES ................................$75–$1,500 Epidural ..................................................... $100
CONCUSSION (BRAIN) ............................$50

ACCIDENTAL-DEATH BENEFIT Common-Carrier Other Accident Hazardous Activity
Accident Accident
INSURED $80,000 $20,000 $5,000
SPOUSE $80,000 $20,000 $5,000
CHILD $10,000 $6,000 $5,000
ACCIDENTAL-DISMEMBERMENT BENEFIT $200–$20,000
WELLNESS BENEFIT $60 once per calendar year
FAMILY SUPPORT BENEFIT $20 per day (up to 30 days), per covered accident
ORGANIZED SPORTING ACTIVITY BENEFIT Additional 25% of the benefits payable, limited to $1,000 per policy, per calendar year
CONTINUATION OF COVERAGE BENEFIT Waives all monthly premiums for up to two months, if conditions are met
WAIVER OF PREMIUM BENEFIT Yes
TRANSPORTATION BENEFIT $200 per round trip, up to 3 round trips per calendar year, per covered person
FAMILY LODGING BENEFIT $75 per night, up to 30 days per covered accident

REFER TO THE FOLLOWING PAGES AND POLICY FOR COMPLETE BENEFIT DETAILS, DEFINITIONS, LIMITATIONS AND EXCLUSIONS.