Tacodeli - 2025 Benefit Guide (English)

Tacodeli

Supplemental Health Benefits

KNOW ABOUT YOUR ACCIDENT INSURANCE This insurance pays benefits directly to you to help offset the out-of-pocket expenses associated with an unexpected injury requiring medical treatment, such as deductibles or copays. Benefit payments are based on a schedule of injuries and treatments. The benefit is yours to use however you want, including paying for healthcare expenses, mortgage, rent, or other bills. *OVER 80 INJURIES AND SERVICES COVERED Below is a short list of injuries and services that may qualify for a benefit payment: Ambulance services Burns & Lacerations (cuts) Concussions Emergency room and urgent care Fractures/dislocations Hospital admissions and stays Medical appliances (e.g., crutches, wheelchairs) Physical Therapy

EXAMPLE CLAIM: Jim crashed his bicycle and was taken to the emergency room for treatment. He was diagnosed with a torn ligament. He required surgery to repair his torn ligament, and he missed several days of work. Fortunately, Jim’s Gold Accident plan paid him $4,781.25 to help keep him afloat financially while he made a full recovery.

Injuries & Treatment

Silver Plan Benefits

Gold Plan Benefits

COVERAGE OPTIONS: Coverage is available to employees, spouses and dependent children.

Ambulance

$300

$400

Emergency Room

$150

$200

ORGANIZED & PERSONAL SPORTS BENEFIT The plan will pay benefits when you or covered family member are injured while participating in an organized sport or personal sporting activity for physical fitness. Enhances benefit payout by 25% WELLNESS BENEFIT Critical Illness Insurance includes an annual benefit of $50 for any covered person when they take a qualified health screening test. Over 40 different screenings qualify, including: • Cholesterol screening • Mammogram • Immunizations, e.g., Covid-19

Diagnostic MRI

$200

$300

Fractured Wrist

$400

$800

Surgical repair of ACL

$750

$1,000

Crutches

$100

$150

3 Follow Up Visits

$150

$225

Physical Therapy

$500

$750

Sports Injury Benefit

$637.50

$956.25

Total Benefit

$3,187.50 $4,781.25

*Please refer to the benefit plan summaries for a full schedule of benefits

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