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rag/equitable_accident_insurance_plan.txt
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PLAN: Equitable Accident Insurance Plan
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UID: Equitable Accident Plan
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Category: Accident
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Type: None
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Marketing Name: Equitable Accedent lan
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Average Price: $43.02
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Short Description: This accident plan provides cash benefits for a wide range of injuries — from fractures and dislocations to hospital stays and emergency care — helping cover out-of-pocket costs for both minor and major accidents.
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Long Description: The Equitable Accident Insurance Plan offers financial protection for unexpected injuries by paying cash benefits directly to you. Coverage includes a broad range of injuries such as fractures, dislocations, burns, lacerations, and even paralysis. Benefits also cover medical treatments like X-rays, physical therapy, and hospital stays. The money can be used however you need — whether for medical bills, daily expenses, or lost income — giving you peace of mind after an accident.
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PRICING:
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Coverage 4: $63.74
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Coverage 3: $46.37
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Coverage 2: $39.69
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Coverage 1: $22.28
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DETAILS:
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BURNS:
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Skin graft - Child: Pays 50% of the full burn benefit.
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Skin graft - Spouse: Pays 50% of the full burn benefit.
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Skin graft - Employee: Pays 50% of the full burn benefit.
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21–40 sq. cm third degree - Child: 1000
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41–65 sq. cm third degree - Child: 2000
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21–40 sq. cm second degree - Child: 400
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21–40 sq. cm third degree - Spouse: 1000
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41–65 sq. cm second degree - Child: 800
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41–65 sq. cm third degree - Spouse: 2000
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66–160 sq. cm third degree - Child: 6000
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161–225 sq. cm third degree - Child: 14000
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21–40 sq. cm second degree - Spouse: 400
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41–65 sq. cm second degree - Spouse: 800
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66–160 sq. cm second degree - Child: 1200
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66–160 sq. cm third degree - Spouse: 6000
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161–225 sq. cm second degree - Child: 1600
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161–225 sq. cm third degree - Spouse: 14000
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21–40 sq. cm third degree - Employee: 1000
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41–65 sq. cm third degree - Employee: 2000
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66–160 sq. cm second degree - Spouse: 1200
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161–225 sq. cm second degree - Spouse: 1600
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21–40 sq. cm second degree - Employee: 400
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41–65 sq. cm second degree - Employee: 800
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66–160 sq. cm third degree - Employee: 6000
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161–225 sq. cm third degree - Employee: 14000
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66–160 sq. cm second degree - Employee: 1200
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161–225 sq. cm second degree - Employee: 1600
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More than 225 sq. cm third degree - Child: 20000
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More than 225 sq. cm second degree - Child: 2000
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More than 225 sq. cm third degree - Spouse: 20000
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More than 225 sq. cm second degree - Spouse: 2000
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More than 225 sq. cm third degree - Employee: 20000
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More than 225 sq. cm second degree - Employee: 2000
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SURGERY:
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Open surgery - Child: 3000
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Open surgery - Spouse: 3000
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Open surgery - Employee: 3000
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Torn knee cartilage - Child: 1500
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Torn knee cartilage - Spouse: 1500
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Torn knee cartilage - Employee: 1500
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Ruptured/herniated disc - Child: 1500
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Ruptured/herniated disc - Spouse: 1500
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Ruptured/herniated disc - Employee: 1500
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Tendon/Ligament/Rotator cuff tear - Child: 1500
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Exploratory surgery or debridement - Child: 800
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Tendon/Ligament/Rotator cuff tear - Spouse: 1500
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Exploratory surgery or debridement - Spouse: 800
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Tendon/Ligament/Rotator cuff tear - Employee: 1500
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Exploratory surgery or debridement - Employee: 800
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Laparoscopic surgery or hernia repair - Child: 1000
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Laparoscopic surgery or hernia repair - Spouse: 1000
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Laparoscopic surgery or hernia repair - Employee: 1000
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Miscellaneous surgery requiring general anesthesia not otherwise listed (once per 24-hour period, even though multiple surgical procedures may be performed) - Child: 1000
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Miscellaneous surgery requiring general anesthesia not otherwise listed (once per 24-hour period, even though multiple surgical procedures may be performed) - Spouse: 1000
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Miscellaneous surgery requiring general anesthesia not otherwise listed (once per 24-hour period, even though multiple surgical procedures may be performed) - Employee: 1000
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HOSPITAL:
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Ambulance (Air) - Child: 2000
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Ambulance (Air) - Spouse: 2000
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Ambulance (Air) - Employee: 2000
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Ambulance (Ground) - Child: 400
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Ambulance (Ground) - Spouse: 400
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Ambulance (Ground) - Employee: 400
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ER admission or urgent care facility - Child: 200
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ER admission or urgent care facility - Spouse: 200
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ER admission or urgent care facility - Employee: 200
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Hospital admission (once per benefit year) - Child: 2000
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Hospital admission (once per benefit year) - Spouse: 2000
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Hospital admission (once per benefit year) - Employee: 2000
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Rehabilitation unit (per day, up to 30 days per covered accident) - Child: 100
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Hospital confinement (per day up to 365 days per covered accident) - Child: 400
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Rehabilitation unit (per day, up to 30 days per covered accident) - Spouse: 100
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Hospital confinement (per day up to 365 days per covered accident) - Spouse: 400
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Rehabilitation unit (per day, up to 30 days per covered accident) - Employee: 100
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Hospital confinement (per day up to 365 days per covered accident) - Employee: 400
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Transportation (100 or more miles up to three times per covered accident) - Child: 500
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Transportation (100 or more miles up to three times per covered accident) - Spouse: 500
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Transportation (100 or more miles up to three times per covered accident) - Employee: 500
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Family Lodging Maximum Lodging night stays: one benefit per day, 30 days per benefit year - Child: 100
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Family Lodging Maximum Lodging night stays: one benefit per day, 30 days per benefit year - Spouse: 100
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Family Lodging Maximum Lodging night stays: one benefit per day, 30 days per benefit year - Employee: 100
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Intensive care unit confinement (per day up to 15 days; payable in addition to any hospital confinement benefit) - Child: 500
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Intensive care unit confinement (per day up to 15 days; payable in addition to any hospital confinement benefit) - Spouse: 500
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Intensive care unit confinement (per day up to 15 days; payable in addition to any hospital confinement benefit) - Employee: 500
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Intensive care unit admission (once per benefit year; payable instead of hospital admission benefit if confined immediately to ICU) - Child: 400
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Intensive care unit admission (once per benefit year; payable instead of hospital admission benefit if confined immediately to ICU) - Spouse: 3000
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Intensive care unit admission (once per benefit year; payable instead of hospital admission benefit if confined immediately to ICU) - Employee: 3000
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FRACTURES:
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Foot - Child: $1,500 / $750
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Hand - Child: $1,500 / $750
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Heel - Child: $1,500 / $750
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Ankle - Child: $1,500 / $750
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Elbow - Child: $1,500 / $750
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Foot - Spouse: $1,500 / $750
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Hand - Spouse: $1,500 / $750
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Heel - Spouse: $1,500 / $750
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Wrist - Child: $1,500 / $750
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Ankle - Spouse: $1,500 / $750
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Elbow - Spouse: $1,500 / $750
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Wrist - Spouse: $1,500 / $750
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Foot - Employee: $1,500 / $750
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Forearm - Child: $1,500 / $750
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Hand - Employee: $1,500 / $750
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Heel - Employee: $1,500 / $750
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Ankle - Employee: $1,500 / $750
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Elbow - Employee: $1,500 / $750
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Forearm - Spouse: $1,500 / $750
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Knee cap - Child: $1,500 / $750
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Shoulder - Child: $1,500 / $750
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Wrist - Employee: $1,500 / $750
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Knee cap - Spouse: $1,500 / $750
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Lower jaw - Child: $1,500 / $750
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Shoulder - Spouse: $1,500 / $750
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Collarbone - Child: $1,500 / $750
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Forearm - Employee: $1,500 / $750
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Lower jaw - Spouse: $1,500 / $750
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Collarbone - Spouse: $1,500 / $750
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Knee cap - Employee: $1,500 / $750
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Shoulder - Employee: $1,500 / $750
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Lower jaw - Employee: $1,500 / $750
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Collarbone - Employee: $1,500 / $750
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Hip or thigh - Child: $10,000 / $5,000
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Hip or thigh - Spouse: $10,000 / $5,000
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Multiple ribs - Child: $2,000 / $1,000
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Multiple ribs - Spouse: $2,000 / $1,000
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Skull (simple) - Child: $7,000 / $3,500
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Hip or thigh - Employee: $10,000 / $5,000
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Skull (simple) - Spouse: $7,000 / $3,500
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Multiple ribs - Employee: $2,000 / $1,000
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Skull (depressed) - Child: $12,000 / $6,000
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Skull (simple) - Employee: $7,000 / $3,500
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Vertebral process - Child: $2,000 / $1,000
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Skull (depressed) - Spouse: $12,000 / $6,000
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Vertebral process - Spouse: $2,000 / $1,000
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Skull (depressed) - Employee: $12,000 / $6,000
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Vertebral process - Employee: $2,000 / $1,000
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Bones of face or nose - Child: $2,000 / $1,000
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Leg (tibia or fibula) - Child: $6,000 / $3,000
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Bones of face or nose - Spouse: $2,000 / $1,000
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Leg (tibia or fibula) - Spouse: $6,000 / $3,000
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Upper jaw or upper arm - Child: $2,000 / $1,000
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Upper jaw or upper arm - Spouse: $2,000 / $1,000
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Bones of face or nose - Employee: $2,000 / $1,000
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Leg (tibia or fibula) - Employee: $6,000 / $3,000
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Pelvis (excluding coccyx) - Child: $8,000 / $4,000
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Upper jaw or upper arm - Employee: $2,000 / $1,000
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Pelvis (excluding coccyx) - Spouse: $8,000 / $4,000
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Rib, finger, toe or coccyx - Child: $1,500 / $750
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Rib, finger, toe or coccyx - Spouse: $1,500 / $750
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Pelvis (excluding coccyx) - Employee: $8,000 / $4,000
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Rib, finger, toe or coccyx - Employee: $1,500 / $750
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Vertebrae (body of) or sternum - Child: $5,000 / $2,500
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Vertebrae (body of) or sternum - Spouse: $5,000 / $2,500
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Vertebrae (body of) or sternum - Employee: $5,000 / $2,500
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Chip fractures and other fractures not reduced (not treated by a doctor) - Child: Pays 25% of the full amount if the bone is treated, with or without surgery.
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Chip fractures and other fractures not reduced (not treated by a doctor) - Spouse: Pays 25% of the full amount if the bone is treated, with or without surgery.
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Chip fractures and other fractures not reduced (not treated by a doctor) - Employee: Pays 25% of the full amount if the bone is treated, with or without surgery.
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LACERATIONS:
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Single laceration under 5 cm with suture - Child: 65
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Single laceration under 5 cm with suture - Spouse: 65
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Single laceration under 5 cm with suture - Employee: 65
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Laceration(s) with no sutures and treated by a physician - Child: 35
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Laceration(s) with no sutures and treated by a physician - Spouse: 35
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Laceration(s) with no sutures and treated by a physician - Employee: 35
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Lacerations 5–15 cm with sutures (total of all lacerations) - Child: 250
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Lacerations 5–15 cm with sutures (total of all lacerations) - Spouse: 250
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Lacerations 5–15 cm with sutures (total of all lacerations) - Employee: 250
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Lacerations greater than 15 cm with sutures (total of all lacerations) - Child: 500
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Lacerations greater than 15 cm with sutures (total of all lacerations) - Spouse: 500
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Lacerations greater than 15 cm with sutures (total of all lacerations) - Employee: 500
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DISLOCATIONS:
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Shoulder - Child: $3,000 / $1,500
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Lower jaw - Child: $1,500 / $750
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Shoulder - Spouse: $3,000 / $1,500
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Lower jaw - Spouse: $1,500 / $750
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Shoulder - Employee: $3,000 / $1,500
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Lower jaw - Employee: $1,500 / $750
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Elbow or wrist - Child: $1,500 / $700
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Elbow or wrist - Spouse: $1,500 / $700
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Elbow or wrist - Employee: $1,500 / $700
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Finger(s) or toe(s) - Child: $1,000 / $500
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Finger(s) or toe(s) - Spouse: $1,000 / $500
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Finger(s) or toe(s) - Employee: $1,000 / $500
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Incomplete dislocation - Child: 25% of the applicable non -surgical procedure
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Incomplete dislocation - Spouse: 25% of the applicable non -surgical procedure
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Incomplete dislocation - Employee: 25% of the applicable non -surgical procedure
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Collarbone or bones of the hand - Child: $4,000 / $2,000
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Collarbone or bones of the hand - Spouse: $4,000 / $2,000
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Knee, ankle or bones of the foot - Child: $5,000 / $2,500
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Knee, ankle or bones of the foot - Spouse: $5,000 / $2,500
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Collarbone or bones of the hand - Employee: $4,000 / $2,000
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Knee, ankle or bones of the foot - Employee: $5,000 / $2,500
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Hip (surgery required /no surgery required) - Child: $10,000 / $5,000
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Hip (surgery required /no surgery required) - Spouse: $10,000 / $5,000
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Hip (surgery required /no surgery required) - Employee: $10,000 / $5,000
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EMERGENCYDENTAL:
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Emergency dental crown - Child: 200
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Emergency dental crown - Spouse: 200
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Emergency dental crown - Employee: 200
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Emergency dental extraction) - Child: 65
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Emergency dental extraction) - Spouse: 65
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Emergency dental extraction) - Employee: 65
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Wellness screening benefit (once per benefit year) - Child: 50
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Wellness screening benefit (once per benefit year) - Spouse: 50
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Wellness screening benefit (once per benefit year) - Employee: 50
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MEDICALSERVICES:
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Anesthesia - Child: 100
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Anesthesia - Spouse: 100
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Anesthesia - Employee: 100
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Medical devices - Child: 500
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Medical devices - Spouse: 500
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Prosthesis (one) - Child: 750
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Prosthesis (two) - Child: 1500
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Prescription drug - Child: 50
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Prosthesis (one) - Spouse: 750
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Prosthesis (two) - Spouse: 1500
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Medical devices - Employee: 500
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Prescription drug - Spouse: 50
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Prosthesis (one) - Employee: 750
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Prosthesis (two) - Employee: 1500
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Prescription drug - Employee: 50
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Blood, plasma or platelet transfusion - Child: 200
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Blood, plasma or platelet transfusion - Spouse: 200
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Blood, plasma or platelet transfusion - Employee: 200
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Epidural pain management (up to 2 times per covered accident) - Child: 100
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Epidural pain management (up to 2 times per covered accident) - Spouse: 100
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Epidural pain management (up to 2 times per covered accident) - Employee: 100
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Diagnostic exam (one-time per benefit year): X-ray (once per covered accident) - Child: 100
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Diagnostic exam (one-time per benefit year): X-ray (once per covered accident) - Spouse: 100
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Diagnostic exam (one-time per benefit year): X-ray (once per covered accident) - Employee: 100
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Physical and occupational therapy (per visit, up to 10 times per covered accident) - Child: 100
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Physical and occupational therapy (per visit, up to 10 times per covered accident) - Spouse: 100
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Physical and occupational therapy (per visit, up to 10 times per covered accident) - Employee: 100
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Diagnostic exam (one-time per benefit year): Arteriogram, angiogram, CT, CAT, EKG, EEG or MRI - Child: 200
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Diagnostic exam (one-time per benefit year): Arteriogram, angiogram, CT, CAT, EKG, EEG or MRI - Spouse: 200
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Physician’s follow-up treatment office visit (per visit, up to 10 times per covered accident) - Child: 75
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Diagnostic exam (one-time per benefit year): Arteriogram, angiogram, CT, CAT, EKG, EEG or MRI - Employee: 200
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Physician’s follow-up treatment office visit (per visit, up to 10 times per covered accident) - Spouse: 75
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Accident emergency treatment (non-ER or non-urgent care facility) (one time per covered accident) - Child: 150
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Accident emergency treatment (non-ER or non-urgent care facility) (one time per covered accident) - Spouse: 150
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Physician’s follow-up treatment office visit (per visit, up to 10 times per covered accident) - Employee: 75
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Accident emergency treatment (non-ER or non-urgent care facility) (one time per covered accident) - Employee: 150
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WELLNESSBENEFIT:
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ACCIDENTALDISMEMBERMENT:
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Loss of sight or loss of an eye — one eye - Child: 5000
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Loss of sight or loss of an eye — one eye - Spouse: 10000
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Loss of hearing or loss of an ear — one ear - Child: 5000
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Loss of hearing or loss of an ear — one ear - Spouse: 10000
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Loss of sight or loss of an eye — one eye - Employee: 10000
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Loss of hearing or loss of an ear — one ear - Employee: 10000
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Loss of a finger or loss of a toe — one finger or one toe - Child: 500
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Loss of a finger or loss of a toe — one finger or one toe - Spouse: 1000
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Loss of a finger or loss of a toe — one finger or one toe - Employee: 1000
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Loss of a finger or loss of a toe — two or more fingers or toes - Child: 1500
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Loss of a finger or loss of a toe — two or more fingers or toes - Spouse: 3000
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Loss of a finger or loss of a toe — two or more fingers or toes - Employee: 3000
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Loss of hand — one hand, Loss of foot — one foot, Loss of leg — one leg or loss of arm — one arm - Child: 10000
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Loss of hand — one hand, Loss of foot — one foot, Loss of leg — one leg or loss of arm — one arm - Spouse: 10000
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Loss of hand — one hand, Loss of foot — one foot, Loss of leg — one leg or loss of arm — one arm - Employee: 10000
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LIFEANDDISMEMBERMENTLOSSES:
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Accidental Death - Child: 25000
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Accidental Death - Spouse: 50000
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Accidental Death - Employee: 50000
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Accidental Death Common Carrier (If a person wo is covered dies in an accident while riding a commercial vehicle, like a plane, train, bus, ferry, or subway, the insurance pays a larger benefit than a standard accidental death) - Child: 100000
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Accidental Death Common Carrier (If a person wo is covered dies in an accident while riding a commercial vehicle, like a plane, train, bus, ferry, or subway, the insurance pays a larger benefit than a standard accidental death) -Spouse: 200000
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Accidental Death Common Carrier (If a person wo is covered dies in an accident while riding a commercial vehicle, like a plane, train, bus, ferry, or subway, the insurance pays a larger benefit than a standard accidental death) - Employee: 200000
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Catastrophic loss: loss of arm or loss of hand — both arms or both hands, loss of leg or loss of foot — both legs or both feet, loss of hand and loss of foot or loss of arm and loss of leg — one hand and one foot or one arm and one leg, loss of an ear — both ears, irrecoverable loss of hearing — both ears, loss of an eye — both eyes, irrecoverable loss of sight — both eyes, irrecoverable loss of speech or ability to speak, or any combination equaling two or more losses from: loss of arm, loss of hand, loss of leg, loss of foot, loss of an ear or loss of an eye - Child: 25000
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Catastrophic loss: loss of arm or loss of hand — both arms or both hands, loss of leg or loss of foot — both legs or both feet, loss of hand and loss of foot or loss of arm and loss of leg — one hand and one foot or one arm and one leg, loss of an ear — both ears, irrecoverable loss of hearing — both ears, loss of an eye — both eyes, irrecoverable loss of sight — both eyes, irrecoverable loss of speech or ability to speak, or any combination equaling two or more losses from: loss of arm, loss of hand, loss of leg, loss of foot, loss of an ear or loss of an eye - Spouse: 25000
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Catastrophic loss: loss of arm or loss of hand — both arms or both hands, loss of leg or loss of foot — both legs or both feet, loss of hand and loss of foot or loss of arm and loss of leg — one hand and one foot or one arm and one leg, loss of an ear — both ears, irrecoverable loss of hearing — both ears, loss of an eye — both eyes, irrecoverable loss of sight — both eyes, irrecoverable loss of speech or ability to speak, or any combination equaling two or more losses from: loss of arm, loss of hand, loss of leg, loss of foot, loss of an ear or loss of an eye - Employee: 25000
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