Accident Product Summary

Insured Person

Eligibility Ages

Plan Choices

Features and Benefits

  • Member
  • Spouse or Domestic Partner
  • Dependent Children

Member and Spouse or Domestic Partner 18-70

*NY- 64

Children 0-26

*NY- 24

Accident Plus

 

Accident Platinum

  • Guaranteed issue and guaranteed renewable
  • No pre-existing condition exclusions
  • Effective at application date
  • Portable
  • Cash benefits directly to insured

Innovative Benefits

First Accident Benefit

$100 is paid directly to the member the very first time there’s a claim made

Sports Package

When a member is injured during an organized sporting activity, the benefit amount of all claims will be increased by 25% (Up to $1,000 per insured per calendar year)

Rehabilitation Package

The policy will pay:

  • $1,000 towards Rehabilitation Admission
  • $150 per day for Rehabilitation Confinement (immediately following a hospital stay, max 30 days)
  • $75 per day for Recovery that immediately follows hospital confinement

*Recovery benefit is not paid if Rehabilitation Admission Benefit is paid*

Covered Benefits

Initial Care

Ambulance, ER Treatment, Initial Doctor’s Office Visit, Urgent Care, Emergency Dental

Hospital Features

Hospital Admission, Hospital Confinement, ICU Admission, ICU Confinement

Follow-Up Care/ Treatment

Abdominal and Thoracic Surgery, Appliances, Blood (Plasma, Platelets), Concussion, Accident Follow-Up, Treatment, Lodging Benefit, Major Diagnostic, Internal Organ Loss, Physical Therapy (max 6 visits), Prosthetics, Tendon, Ligament, Rotator Cuff, Transportation (roundtrip 100+ mi), X-Rays

Injury Features and Benefits

Burns, Skin Graft, Coma Injury, Dislocation, Eye, Fracture, Herniated Disc, Knee Cartilage Torn, Laceration, Loss of Hands, Feet and Sight, Loss of Fingers or Toes