Agent Guide | Home Health Care
Riders Routine Annual Physical Examination Benefit Rider 1 •One benefit per year for a routine annual physical examination, subject to a 12-month waiting period.
Benefit $150
Accidental Death $10,000 Max. Dismemberment Benefit
Accidental Death & Dismemberment Benefit Rider 1 •Benefits for accidental death or an accidental bodily injury resulting in the loss of finger, toe, hand, arm, foot, leg or sight. To be covered, death or dismemberment must occur within 90 days of the covered accident and while this policy and rider are in force. •Lifetime maximum is $10,000.
Sight, both eyes Sight, one eye
$5,000 $2,500 $5,000 $2,500
Hand/arm/foot/leg (multi) Hand/arm/foot/leg (single)
Finger or toe (multiple) Finger or toe (single)
$500 $250
Benefit $100 per piece Home Medical Equipment Limited to Mobility assistance Transfer aids Bathroom safety Home accommodations Personal medical equipment
Home Medical Equipment Benefit Rider 1 •Benefits paid when you need home medical equipment prescribed by your physician while receiving Home Health Care Services and/or Home Health Care Aide benefits. •Lifetime maximum is $500. Ambulance Benefit Rider 1 •Benefits paid for transportation in an ambulance for emergency care, including transportation from one medical facility to another when health care services are provided during the trip. •Lifetime maximum is $2,500. Accident Expense Benefit Rider 1 •Benefits for dislocations, fractures or knee ligament tears when treated by a health care practitioner in a hospital emergency room, urgent care facility or physician’s office within 48 hours of the covered accident. •Lifetime maximum is $10,000.
Benefit $200 per trip Per each one-way trip 4 trips per year
Max Amount per Accident Option 1 Option 2 $1,250 $2,500 Max. Dismemberment Benefit
Option 1 Option 2 $1,250 $2,500 $1,000 $2,000 $500 $1,000 $500 $1,000 $250 $500
Fracture, hip or skull
Dislocation Hip
Tear, knee ligament or meniscus Dislocation Knee Fracture, all other
1 See the Rider and/or Outline of Coverage for state-specific details.
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