Tables in accordions
Accident Insurance
Benefits Include
Emergency room and urgent care visit with X-ray
Ground ambulance
Physical therapy
Accident visit with physician
Accident physician follow-up visit
Leg brace, crutches, etc.
Inpatient surgery
Treatment for fractures
Treatment for dislocations
Treatment for burns
Hospital admission and confinement
Benefit Amount
$350 per accident
$400 per trip
$50 per visit
$100 per visit
$75 per visit
$50-$100 per appliance
$1,500
Up to $9,500
Up to $8,000
$100 to $20,000
$1,200 per confinement + $200 per day*
Coverage For
You only
You and your spouse
You and dependent children
Your family
Monthly Accident Insurance Premium
$9.67
$15.86
$19.85
$26.04
Critical Illness Benefits
Benefits Include
• Invasive cancer
• Heart attack
• Stroke
• Kidney failure
• Severe burn
• Benign brain tumor
• Major organ failure (includes bone marrow/stem cell transplant)
• Severe Coronary Artery Disease
• Heart attack
• Stroke
• Kidney failure
• Severe burn
• Benign brain tumor
• Major organ failure (includes bone marrow/stem cell transplant)
• Severe Coronary Artery Disease
• Non-invasive cancer
• Advanced Alzheimer’s or Parkinson’s disease
• Advanced Alzheimer’s or Parkinson’s disease
Coronavirus-related hospitalization of five or more days
Mammography screening
Annual preventive health screening exam
Benefit Amount
100% of coverage amount
50% of coverage amount
25% of coverage amount
$200 per calendar year
$100 per calendar year
Critical Illness Costs
Age
18–25
26–30
31–35
36–40
41–45
46–50
51–55
56–60
61–65
66+
$10,000 Coverage Option
$4.87
$5.84
$6.51
$8.01
$9.66
$10.19
$16.86
$15.91
$26.17
$54.36
$30,000 Coverage Option
$9.46
$12.35
$14.37
$18.86
$23.81
$25.41
$45.43
$42.57
$73.34
$157.93
Hospital Indemnity
Benefits Include
Hospital admission
Intensive care unit (ICU) admission
Hospital confinement
Hospital intensive care
Benefit Amount
$1,200
$1,200
+ $200 per day*
+ $400 per day*
Coverage For
You only
You and your spouse
You and dependent children
Your family
Monthly Hospital Indemnity Premium
$16.19
$32.52
$26.17
$42.49