Page 13 - Looks Salon Colonial Benefits Brochure Book

Accident Assist Benefit Comparison

Benefit Preferred Plan Premier Plan

Accident emergency treatment $125 $150

Accidental injury due to auto accident $250 $250

Air ambulance $2,000 $2,000
Ambulance - ground or water $200 $300

Observation room $150/day $150/day

X-ray $30 $40

Burn $1,000-$12,000 $2,000-$18,000

Burn - skin graft 50% of burn benefit 50% of burn benefit

Coma $12,500 $15,000

Concussion $150 $200
Dislocation - Non-surgical $100-$2,250 $125-$2,500

Dislocation - Incomplete 25% of benefit 25% of benefit

Dislocation - Surgical $200-$4,500 $250-$5,000

Emergency dental work $100-$300 $200-$600

Eye injury $300 $400
Fracture - Non-surgical $250-$3,000 $275-$3,750

Fracture - Chip 25% of benefit 25% of benefit

Fracture - Surgical $500-$6,000 $550-$7,500

Hearing-loss injuries $120 $120

Knee cartilage $650 $750

Laceration $30-$600 $30-$600

Ruptured disc $750 $1,250
Tendon/ligament - One $650 $750

Tendon/ligament - Two+ $1,300 $1,500

Hospital admission $1,000 $1,500

Hospital confinement $250/day $300/day

Sub-acute ICU $325/day $400/day
ICU admission $2,000 $2,500