Page 31 - 2019 CommScope AE
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Accident Insurance
Accident insurance can help you offset some of the cost of an unexpected injury.
Accident insurance pays a cash beneit in the event you or a covered family member experience a speciic injury
resulting from a covered accident. It is NOT a replacement for medical insurance. It is intended to help you with
additional costs like medical member copays and deductibles but also costs like travel or lodging that can come
with a serious accident. The exact amount of payment depends on what coverage you elect and the event. A
snapshot of how the payouts vary for accident care, emergency care and some common injuries is shown below.
Accident Hospital Care Common Injuries
Surgery open abdominal, thoracic $800 Burns second degree, at least 36% of $1,000
Surgery exploratory or without repair $125 the body
Blood, plasma, platelets $400 Burns third degree, at least nine but less $4,500
than 35 square inches of the body
Hospital admission $1,000
Hospital coninement per day, up to $300 Burns third degree, 35 or more square $10,000
inches of the body
365 days Skin grafts
Critical care unit coninement per day, up to $475 25% of the burn
beneit
15 days
Rehabilitation facility coninement per day, $125 Emergency dental work $250 crown, $60
extraction
up to 90 days Eye injury removal of foreign object
Coma duration of 14 or more days $11,500 Eye injury surgery $60
Transportation per trip, up to three $500 $225
per accident Torn knee cartilage surgery with no repair $150
Lodging per day, up to 30 days $120 or if cartilage is shaved
Torn knee cartilage surgical repair $500
Accident Care Laceration1 treated no sutures $20
Initial doctor visit $60 Laceration1 sutures up to 2" $40
Emergency room treatment $150 Laceration1 sutures 2"–6" $160
Ground ambulance $240 Laceration1 sutures over 6" $320
Air ambulance $1,000 Dislocations Up to maximum
Follow-up doctor treatment $60 beneit of $5,100
Medical equipment $40 Fractures Up to maximum
Physical or occupational therapy up to six $30 beneit of $4,480
per accident Accidental death Up to maximum
Speech therapy up to 6 per accident $30 beneit of
$85,000
Prosthetic device (one) $500
Prosthetic device (two or more) $800
Major diagnostic exam $80
Outpatient surgery (one per accident) $150
X-ray $30
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Accident insurance can help you offset some of the cost of an unexpected injury.
Accident insurance pays a cash beneit in the event you or a covered family member experience a speciic injury
resulting from a covered accident. It is NOT a replacement for medical insurance. It is intended to help you with
additional costs like medical member copays and deductibles but also costs like travel or lodging that can come
with a serious accident. The exact amount of payment depends on what coverage you elect and the event. A
snapshot of how the payouts vary for accident care, emergency care and some common injuries is shown below.
Accident Hospital Care Common Injuries
Surgery open abdominal, thoracic $800 Burns second degree, at least 36% of $1,000
Surgery exploratory or without repair $125 the body
Blood, plasma, platelets $400 Burns third degree, at least nine but less $4,500
than 35 square inches of the body
Hospital admission $1,000
Hospital coninement per day, up to $300 Burns third degree, 35 or more square $10,000
inches of the body
365 days Skin grafts
Critical care unit coninement per day, up to $475 25% of the burn
beneit
15 days
Rehabilitation facility coninement per day, $125 Emergency dental work $250 crown, $60
extraction
up to 90 days Eye injury removal of foreign object
Coma duration of 14 or more days $11,500 Eye injury surgery $60
Transportation per trip, up to three $500 $225
per accident Torn knee cartilage surgery with no repair $150
Lodging per day, up to 30 days $120 or if cartilage is shaved
Torn knee cartilage surgical repair $500
Accident Care Laceration1 treated no sutures $20
Initial doctor visit $60 Laceration1 sutures up to 2" $40
Emergency room treatment $150 Laceration1 sutures 2"–6" $160
Ground ambulance $240 Laceration1 sutures over 6" $320
Air ambulance $1,000 Dislocations Up to maximum
Follow-up doctor treatment $60 beneit of $5,100
Medical equipment $40 Fractures Up to maximum
Physical or occupational therapy up to six $30 beneit of $4,480
per accident Accidental death Up to maximum
Speech therapy up to 6 per accident $30 beneit of
$85,000
Prosthetic device (one) $500
Prosthetic device (two or more) $800
Major diagnostic exam $80
Outpatient surgery (one per accident) $150
X-ray $30
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