Page 25 - ABM 2021 Benefit Guide EDU
P. 25
VOLUNTARY HOSPITAL
ACCIDENTAL INJURY INDEMNITY
INSURANCE Hospital indemnity coverage, available through
Cigna, pays a beneit when you are admitted to
Cigna the hospital for a covered stay. This coverage
Accidental injury coverage is designed to help can complement your health insurance to help
meet the out-of-pocket expenses and extra you pay for the costs associated with a hospital
bills which can follow an accidental injury, stay. It can also provide funds which can be
whether minor or catastrophic. When you have used to help pay the out-of-pocket expenses
an accident, Cigna will provide cash beneits your medical plan may not cover, such as
directly to you to help cover expenses that may coinsurance, copays, and deductibles.
not be fully covered by your medical insurance. Pre-existing condition limitations apply.
As outlined below, you have the option to A summary of the plan can be found on
choose between the Low Plan and the High Beneitfocus.
Plan.
Summary of Beneits* Summary of Beneits*
Low Plan High Plan Hospital Admission (per coninement, per $1,000
Ambulance (ground) $400 $500 calendar year)
Ambulance (air) $1,200 $2,000 Hospital Coninement (per day beneit) $200
Emergency Room $200 $300 Hospital ICU Coninement (per day beneit) $350
Treatment
Urgent Care $150 $150
Primary Care Physician $150 $150 SHORT TERM
Physician Follow-Up $50 $125
Physical Therapy $50 $75 DISABILITY—AFLAC
Appliance Beneit $175 $175
Hospitalization Beneits No one plans on becoming disabled; yet, it’s
Hospital/ICU Admission $1,000 $1,500 something that can happen to anyone.
Hospital Coninement $200 $300
(per day beneit)
ICU Coninement $400 $600 If you get sick or hurt and couldn’t work, how
(per day beneit) would you pay all the bills that don’t stop just
Covered Injuries and Surgical Procedures
Burns Up to $7,500 Up to $10,000 because your paycheck has? Voluntary short
Coma $5,000 $15,000 term disability can provide up to 60% of your
Concussion $100 $200 salary if you’re sick or hurt and unable to work.
Tendon, Ligament, and $200/$200/$100 $600/$600/$200
Rotator Cuf Visit abm.hrintouch.com or call 855.889.6526
Dislocations (separated Up to $2,500 Up to $3,000
joint) for more information.
Fracture (broken bone) Up to $2,500 Up to $5,000
* This list is not all-inclusive.
ABM 25
ACCIDENTAL INJURY INDEMNITY
INSURANCE Hospital indemnity coverage, available through
Cigna, pays a beneit when you are admitted to
Cigna the hospital for a covered stay. This coverage
Accidental injury coverage is designed to help can complement your health insurance to help
meet the out-of-pocket expenses and extra you pay for the costs associated with a hospital
bills which can follow an accidental injury, stay. It can also provide funds which can be
whether minor or catastrophic. When you have used to help pay the out-of-pocket expenses
an accident, Cigna will provide cash beneits your medical plan may not cover, such as
directly to you to help cover expenses that may coinsurance, copays, and deductibles.
not be fully covered by your medical insurance. Pre-existing condition limitations apply.
As outlined below, you have the option to A summary of the plan can be found on
choose between the Low Plan and the High Beneitfocus.
Plan.
Summary of Beneits* Summary of Beneits*
Low Plan High Plan Hospital Admission (per coninement, per $1,000
Ambulance (ground) $400 $500 calendar year)
Ambulance (air) $1,200 $2,000 Hospital Coninement (per day beneit) $200
Emergency Room $200 $300 Hospital ICU Coninement (per day beneit) $350
Treatment
Urgent Care $150 $150
Primary Care Physician $150 $150 SHORT TERM
Physician Follow-Up $50 $125
Physical Therapy $50 $75 DISABILITY—AFLAC
Appliance Beneit $175 $175
Hospitalization Beneits No one plans on becoming disabled; yet, it’s
Hospital/ICU Admission $1,000 $1,500 something that can happen to anyone.
Hospital Coninement $200 $300
(per day beneit)
ICU Coninement $400 $600 If you get sick or hurt and couldn’t work, how
(per day beneit) would you pay all the bills that don’t stop just
Covered Injuries and Surgical Procedures
Burns Up to $7,500 Up to $10,000 because your paycheck has? Voluntary short
Coma $5,000 $15,000 term disability can provide up to 60% of your
Concussion $100 $200 salary if you’re sick or hurt and unable to work.
Tendon, Ligament, and $200/$200/$100 $600/$600/$200
Rotator Cuf Visit abm.hrintouch.com or call 855.889.6526
Dislocations (separated Up to $2,500 Up to $3,000
joint) for more information.
Fracture (broken bone) Up to $2,500 Up to $5,000
* This list is not all-inclusive.
ABM 25
