Page 59 - Aflac Flipbook 2023
P. 59

BENEFIT NAME  BENEFIT AMOUNT
 Days 1–7: $1,000 per day; Days 8–15: $1,300 per day
 HOSPITAL INTENSIVE CARE UNIT BENEFIT
 Limited to 15 days per period of confinement; no lifetime maximum
 $500 per day; limited to 15 days per period of confinement; no lifetime
 STEP-DOWN INTENSIVE CARE UNIT BENEFIT
 maximum
 PROGRESSIVE BENEFIT FOR HOSPITAL  An indemnity of $2 will accumulate for the named insured and the
 INTENSIVE CARE UNIT/STEP-DOWN INTENSIVE  covered spouse for each calendar month the policy remains in force
 CARE UNIT CONFINEMENT  after the effective date

 FIRST–OCCURRENCE BENEFIT:
 •  NAMED INSURED/SPOUSE  $7,500; lifetime maximum $7,500 per covered person
 •  DEPENDENT CHILDREN  $10,000; lifetime maximum $10,000 per covered person
 SUBSEQUENT SPECIFIED HEALTH  $3,500; subsequent occurrence limitations apply; no lifetime maximum
 EVENT BENEFIT

 Tier One:  Tier Two:
 $4,000 when a covered person  $2,000 when a covered person
 undergoes one of the following:  undergoes one of the following:
 • Heart Valve Surgery  • Coronary Angioplasty       LIMITED BENEFIT
 • Surgical Treatment of Abdominal  • Transmyocardial Revascularization
 Aortic Aneurysm  (TMR)
 • Atherectomy                  AFLAC CRITICAL
 SPECIFIED HEART SURGERY BENEFITS  • Coronary Stent Implantation
 • Cardiac Catheterization
 • Automatic Implantable   CARE PROTECTION
 Cardioverter Defibrillator
 (AICD) Placement
 • Pacemaker Placement
 Tier One and Tier Two benefits are payable only once per covered person,
 per lifetime. Subsequent occurrence limitations apply
 SUBSEQUENT TIER ONE SPECIFIED  $1,000; subsequent occurrence limitations apply; no lifetime maximum  T h e   f o l l o w i n g   i n f o r m a t i o n
 HEART SURGERY BENEFIT
 HOSPITAL CONFINEMENT BENEFIT  $300 per day; no lifetime maximum  o n l y   p e r t a i n s   t o
 $25; limited to one payment per recommended hospital confinement,
 SECOND HOSPITALIZATION OPINION BENEFIT
 per covered person
 $125 each day when a covered person receives any of the following treatments:  C r i t i c a l   C a r e   P r o t e c t i o n   -

 • Rehabilitation Therapy  • Home Health Care         O p t i o n   3
 • Physical Therapy  • Dialysis
 • Speech Therapy  • Hospice Care
 CONTINUING CARE BENEFIT  • Occupational Therapy  • Extended Care
 • Respiratory Therapy  • Physician Visits
 • Dietary Therapy/Consultation  • Nursing Home Care
 Treatment is limited to 75 days for continuing care received for the most  E a c h   " O p t i o n "   h a s   i t s   o w n   b r o h u r e   w i t h   i t s
 recent covered specified health event or specified heart surgery. No lifetime
 maximum                         s p e c i f i c   b e n e f i t s .   O p t i o n   3   i s   s h o w n   a s   a n
 AMBULANCE BENEFIT  $250 ground or $2,000 air; no lifetime maximum  e x a m p l e .
 $.50 per mile, per covered person whom special treatment is prescribed, for
 TRANSPORTATION BENEFIT
 a covered loss. Limited to $1,500 per occurrence; no lifetime maximum
 LODGING BENEFIT  $75 per day; limited to 15 days per occurrence; no lifetime maximum
 Premium waived, from month to month, during total inability (after 180
 WAIVER OF PREMIUM BENEFIT
 continuous days)
 Waives all monthly premiums for up to 2 months, when all conditions for this
 CONTINUATION OF COVERAGE BENEFIT
 benefit are met
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