Page 18 - My FlipBook
P. 18
Beneit Resource
Guide
Accident Insurance
Guardian accident insurance pays Accidental Death/Dismemberment
beneits to you if you or a covered Employee $25,000
dependent have medical expenses as a Spouse $12,500
Each child
$5,000
result of an accident. Paralysis (paraplegia/quadriplegia) 50%/100% of death
beneit, respectively
X Coverage is for non-occupational Wellness (payable once per year per covered person)
accidents (off-the-job only) Beneit $50
Covered Treatment/Services
X Coverage is fully portable; it’s Accident emergency room treatment $175
yours to keep if you change jobs Accident physician follow-up $50 up to 6 treatments
$1,000
Air ambulance
or retire Ambulance $150
X Policy includes a $50 wellness Appliance $125
$300
Blood/plasma/platelets
beneit per year Burns Up to $12,000
50% of burn beneit
X 20% beneit increase for accidents Burns—skin grafts 20% increase to child
Child organized sport—beneit is paid if the covered
occurring when involved in an accident occurred while your covered child is beneits
organized sport (child only) participating in an organized sport that is governed
by an organization that requires formal registration to
X Policy is offered as guaranteed participate. $25 per visit up to 6 visits
Chiropractic visits
issue at each open enrollment Coma $10,000
period as well as for new hires Concussion $75
$150
throughout the year Diagnostic exam (major) $75/$300
Emergency dental work—extraction/crown
Epidural pain management $100, 2x per accident
Eye injury $300
Family care $20/day, up to 30 days
Hernia repair $150
Hospital admission $1,000
Hospital coninement $225/day, up to 365 days
Hospital ICU admission beneit $2,000
Hospital ICU coninement $450/day, up to 15 days
Initial physician’s ofice/urgent care facility treatment $75
Joint replacement (hip/knee/shoulder) $2,500/$1,250/$1,250
Knee cartilage (torn/exploratory) $500/$250
Lacerations up to $400
Lodging $125/day, up to 30 days
for companion hotel stay
Occupational or physical therapy $25
Prosthetic device or artiicial limb (one/multiple) $500/$1,000
Rehabilitation unit coninement $150/day up to 15 days
Ruptured disc (with surgical repair) $500
Surgery up to $1,250
Hernia $150
18
Guide
Accident Insurance
Guardian accident insurance pays Accidental Death/Dismemberment
beneits to you if you or a covered Employee $25,000
dependent have medical expenses as a Spouse $12,500
Each child
$5,000
result of an accident. Paralysis (paraplegia/quadriplegia) 50%/100% of death
beneit, respectively
X Coverage is for non-occupational Wellness (payable once per year per covered person)
accidents (off-the-job only) Beneit $50
Covered Treatment/Services
X Coverage is fully portable; it’s Accident emergency room treatment $175
yours to keep if you change jobs Accident physician follow-up $50 up to 6 treatments
$1,000
Air ambulance
or retire Ambulance $150
X Policy includes a $50 wellness Appliance $125
$300
Blood/plasma/platelets
beneit per year Burns Up to $12,000
50% of burn beneit
X 20% beneit increase for accidents Burns—skin grafts 20% increase to child
Child organized sport—beneit is paid if the covered
occurring when involved in an accident occurred while your covered child is beneits
organized sport (child only) participating in an organized sport that is governed
by an organization that requires formal registration to
X Policy is offered as guaranteed participate. $25 per visit up to 6 visits
Chiropractic visits
issue at each open enrollment Coma $10,000
period as well as for new hires Concussion $75
$150
throughout the year Diagnostic exam (major) $75/$300
Emergency dental work—extraction/crown
Epidural pain management $100, 2x per accident
Eye injury $300
Family care $20/day, up to 30 days
Hernia repair $150
Hospital admission $1,000
Hospital coninement $225/day, up to 365 days
Hospital ICU admission beneit $2,000
Hospital ICU coninement $450/day, up to 15 days
Initial physician’s ofice/urgent care facility treatment $75
Joint replacement (hip/knee/shoulder) $2,500/$1,250/$1,250
Knee cartilage (torn/exploratory) $500/$250
Lacerations up to $400
Lodging $125/day, up to 30 days
for companion hotel stay
Occupational or physical therapy $25
Prosthetic device or artiicial limb (one/multiple) $500/$1,000
Rehabilitation unit coninement $150/day up to 15 days
Ruptured disc (with surgical repair) $500
Surgery up to $1,250
Hernia $150
18
