Page 22 - 2018 Franke Enrollment

Accident Insurance

Accidents can happen in an instant affecting you or a loved one. Accident
Insurance is designed to help families plan for the healthcare bumps
ahead and take some of the uncertainty and inancial insecurity out of
getting better. The tax-free beneit resulting from non-work-related
injuries or accidents covers more than 150 events.

Plan Summary

Beneit Amount
Initial and Emergency Care
Emergency Care Treatment $200
Physician Ofice Visit $100
Diagnostic Exam $25
Ground/Air Ambulance $200/$600
Hospitalization
Hospital Admission Beneit $1,000
Hospital Daily Beneit $200 per day (up to 365 days per accident)
ICU Daily Beneit $400 per day (up to 365 days per accident)
Schedule of Fractures
Skull $2,000
Hip or Thigh $2,000
Vertebrae or Pelvis $1,500
Upper Arm $1,000
Shoulder or Collarbone $1,000
Leg $1,000
Ankle $800
Kneecap $800
Lower Arm $800
Foot $800
Hand or Wrist $800
Upper Jaw $600
Lower Jaw $600
Bones of the Face or Nose $600
Vertebral Processes $600
Rib $200
Coccyx $200
Finger or Toe $100
Sternum $100
Heel $100
Chip Fracture 25% of closed fracture beneit
Open Reduction (requires surgery) 2 × non-surgical beneit (above)

22 2018 Benefits Enrollment