Examples of Accidental Injury Benefit in a sentence
If a Plan Participant incurs medical expenses for treatment or services as a direct result of a traumatic bodily injury sustained solely by accidental means, the Plan agrees to pay one hundred percent (100%) of the Allowable Charge for such medical expenses actually incurred up to the maximum amount per Benefit Period shown in the Schedule of Benefits for this Accidental Injury Benefit.
For services associated with an Accidental Injury, this Copayment shall not apply until the Enhanced Accidental Injury Benefit (see #9 below) has been exhausted.
After the Enhanced Accidental Injury Benefit has been exhausted, all remaining allowable charges for covered laboratory and radiology services are subject to the Deductible, Coinsurance and/or Copayment/Copay amounts required for other covered services.
The maximum Accidental Injury Benefit that we can pay per Life Insured is $50,000.
Dental services and treatment are not a Benefit of this Plan, except as specifically included in the Dental Accidental Injury Benefit.
For services associated with an Accidental Injury, this Copayment shall not apply until the Enhanced Accidental Injury Benefit (see #8 below) has been exhausted.
If a Life Insured is covered for the Accidental Injury Benefit, it will be shown on the Policy Schedule.
If a Member incurs medical expenses for treatment or services as a direct result of a traumatic bodily injury sustained solely through accidental means, We agree to pay one hundred percent (100%) of the Allowable Charge for such medical expenses actually incurred, up to the maximum amount per accident shown in the Schedule of Benefits for this Accidental Injury Benefit.
The Accidental Injury Benefit is payable in the amount specified if the Life Insured suffersan Accidental Injury event as listed in this document, on proof satisfactory to us.
The initial admission must be covered by the Accidental Injury Benefit for any follow up admissions (within 90 days)to be covered as well.This product information is intended as a summary only and should be read in conjunction with the Policy Booklet.