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The following insurance benefits are provided to PrudentChoicePlus™ members as added separate benefits at no additional cost to members.

$5,000 Accident Medical/Dental Benefit*
Pays for medical expenses resulting from a covered accident up to the maximum benefit amount per covered incident. Subject to a $100 deductible.

     Some covered expenses include:
          • Ambulance
          • Hospital room and board
          • Ancillary hospital expenses including operating room, lab tests and anesthesia
          • Registered nurse services for private duty nurse while confined to a hospital
          • X-ray expenses
          • Prescription drug expenses
          • Dental expenses including dental x-ray

$15,000 Accidental Death & Dismemberment*
Accidental Death and Dismemberment (AD&D) provides additional funds in the event of a fatal accident or an accident that result in the loss of a limb or eyesight.

If Your Injury results in any of the following losses within 365 days after the date of the Covered Accident, The amount shown below will be paid for that loss. If multiple losses occur, only one Benefit Amount, the largest, will be paid for all losses due to the same Covered Accident.

Covered Loss Indemnity % of Principal Sum ($15,000)
Life; Both Hands or Both Feet; Sight of Both Eyes 100% of Principal Sum
One Hand and One Foot; Either Hand or Foot and Sight of One Eye 100% of Principal Sum
Either Hand or Foot, or Sight of One Eye 50% of the Principal Sum
Thumb and Index Finger of the Same Hand 25% of the Principal Sum

* This is a brief summary of benefits only. These benefits are underwritten by an A.M. Best rated insurance company and subject to the exclusions, limitations, terms and conditions of coverage as set forth in the insurance certificate provided in your membership materials and the Policy issued to U.S. Benefits Association for PrudentChoicePlus™ members. All PrudentChoicePlus™ members are enrolled into the U.S. Benefits Association to be eligible to receive these benefits. These benefits are provided at PrudentChoice's expense to all active members as added separate benefits at no additional cost to members. Coverage may vary or may not be available in all states.

 

This plan is not available in the following states: AK, AL, CT, FL, KS, ME, MS, MT, NM, SD and VT. For the plan in AL, ME, MS, and NM, please click here www.myprudentchoice.com. For the Florida plan, please click here www.prudentchoiceflorida.com.

PRUDENTCHOICE IS NOT HEALTH INSURANCE AND IS NOT INTENDED TO REPLACE INSURANCE.

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