Transportation: Assists when you or your covered dependent require medical care or treatment as prescribed by an attending doctor that is not available within 100 miles of the accident or your or your covered dependent’s residence.
$600 limited to 3 round trips per benefit year for you and each covered dependent. Benefit is payable upon completion of the round trip. Excludes ground or air ambulance.
Transportation
Lodging Assistance: If you or your covered dependent are hospital confined more than 100 miles from your or your covered dependent’s residence due to an injury, the Accident policy can help with costs. Lodging $100 per day Limited to one benefit per day and 30 days per accident per benefit year.
Accidental Death and Dismemberment: If injury results in death or dismemberment, a lump sum benefit is payable.
Employee – $25,000 ; Spouse – $25,000 ; Child – $5,000
Accidental Death Benefit
Employee – $100,000 ; Spouse – $100,000 ; Child – $20,000 Either the accidental death or the common carrier accidental death benefit will be paid, but not both.
Common Carrier Death Benefit
Loss of Finger, Toe, Hand, Foot, Arm, Leg, Eye – $750 to $15,000
Dismemberment
Follow-up care: Helps with expenses for additional care or support that might be required after the initial treatment for an accident. Certain benefits may not be payable if provided on the same day. Follow-up Treatment* $25 per day, not to exceed 6 payments Physical Therapy* $25 per day, for up to 10 days of treatments Appliances $125 - Wheelchairs, leg or back braces, crutches or walkers Limited to one appliance per accident Rehabilitation Unit $150 per day; limited to 30 days per period of confinement and limited to 60 days per benefit year Prosthesis $500 limited to one per accident Serious Accidents: Serious accidents can result in life changing losses. Benefits are payable for the following conditions as a result of a covered accidental injury. Coma $20,000 Paralysis $50,000 for Quadriplegia; $25,000 for Paraplegia Payable only once per lifetime *Initial treatment must be provided within 72 hours of the accident. Important Definitions Hospital means an institution which is primarily engaged in providing, by and under the supervision of doctors, diagnostic and therapeutic services for medical diagnosis, treatment and care of injured, disabled, or sick persons; or rehabilitation services of injured, disabled, or sick persons. It must meet all of the following requirements: maintain clinical records on all patients; have every patient be under the care of a doctor; provide 24-hour nursing service provided by a licensed practical or registered nurse and supervised by a registered professional nurse; be licensed or be approved by the state or local licensing agency; meet other health and safety requirements found necessary by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO); and is not primarily a clinic, nursing, rest or convalescent home. Hospital confined or hospital confinement means admission to a hospital as an inpatient for at least 24 consecutive hours by a doctor for an injury. A hospital stay that does not result in charges to you or your covered dependent is not a hospital confinement under this policy unless there is no charge because the hospital is a United States government facility. State variations can exist; please contact Sun Life Financial for additional information. Limitations, exclusions, restrictions and reductions Please carefully review the Other Important Plan Provisions section for additional important plan limitations, exclusions, restrictions and reductions that may apply.
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