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  • Accident

    BENEFITS AT A GLANCE

    The Accident Plan provides coverage up front and schedules benefits for a broad variety of emergency, hospital, and follow-up treatment services.

    Unless you tell Aflac otherwise, all benefits are paid in full – directly to you – even if you have other coverage.

    ACCIDENT ADVANTAGE DETAILS 

    Accident Advantage Off the Job Brochure and Outline of Coverage

    Emergency Room
    Accident Treatment
    $200 – ER with X-Ray
    $170 – ER without X-Ray
    Doctor Office or Other Facility Accident Treatment$150 – with X-Ray
    $120 – without X-Ray
    Initial Hospitalization$1,000 up to 18 hours
    $2,000 admitted directly to ICU
    Confinement in the Hospital$250/day up to 365 days
    Intensive Care UnitAdditional $400/day for 15 days
    Ambulance Benefit$200 ground or $1,500 air 
    Blood/Plasma/Platelets$200 per accident
    Major Diagnostic Testing and Imaging$200/calendar year
    Accident Follow-up$35/day up to 6 treatments
    Therapy$35/day up to 10 treatments
    AppliancesVariable $25 to $300
    Prosthesis$800 per accident
    Prosthesis Repair/Replace$800/lifetime
    Rehabilitation Facility$150/day
    Home Modification $3,000 per accident
    Accident Specific Sum InjuryVariable $35 to $12,500
    Accidental Death$10,000 Insured/Spouse ($5,000 Child)Hazardous Activity
    $40,000 Insured/Spouse ($10,000 Child) Other Accident
    $150,000 Insured/Spouse ($25,000 Child) Common-Carrier
    Accidental DismembermentVariable $300 to $40,000
    Wellness Benefit$60 per year 
    Family Support$20/day up to 30 days
    Organized Sporting EventAdditional 25% of the benefit payable to $1,000/year
    Transportation $600/round trip/3 years
    Family Lodging$125/night up to 30 days

    RATES

    CoverageAccident
    Advantage 
    OFF THE JOB
    Employee Only$19.76
    Employee + Spouse$28.08
    One Parent Family$32.89
    Two Parent Family$42.77

    Child(ren) Coverage: Dependent children are your natural children, stepchildren, legally adopted children, or children placed for adoption who are under age 26. 

    CLAIMS

    Aflac Smart Claim – Submit claims online to get paid faster or

    File a Paper Claim:

    EXCLUSIONS AND LIMITATIONS

    Refer to the Outline of Coverage for exact policy exclusions and limitations.

    Questions?

    We are here to assist with any of your benefits questions. Email us at enrollment@houze.org, call us toll-free at 1-800-523-7135.

    Benefits Contact




    Summary of Benefits

    Click below to download and review a Summary of Benefits document (.pdf).

    SUMMARY OF BENEFITS
    Houze & Associates