
Accident Medical Benefit
$25,000 per Injury
$1000 Deductible per Injury
Accepted at emergency rooms, urgent care centers, clinics
and physicians offices worldwide
No limitations to the number of occurrences
Covered Expenses include the following: (1) Hospital Room
& Board, or Surgical Center care and treatment; (2) Outpatient
Hospital Emergency Room; (3) Surgical Benefits; (4) Doctor’s
Visits In-Hospital; (5) Doctor Visits Out-Patient; (6) X-ray
and Laboratory; (7) Nursing care; (8) Physiotherapy; (9) Ambulance;
(10) Medical Equipment Rental Charges; (12) Medical Services
and Supplies (Blood, Blood Transfusions, Oxygen); (13) Prescription
Drugs; (14) Dental Treatment as a result of Injury to Natural
Teeth.
Medical benefits are payable on an excess basis. The other
benefits are paid in addition to any other coverage.
In-Hospital Indemnity Benefit
$150 per day In-Hospital benefit
Payable for up to 31 days with a Zero day waiting period
Eligible covered members include primary member and spouse
under the age of 70 and dependent children up to age 19 or 25
if a full time student.
Underwritten by United States Fire Insurance Company.
This is a reimbursement benefit.
You pay the provider at time of service and send us a claim
form and you will be reimbursed the covered amount.

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