Option 1 | Option 2 | Option 3 | Option 4 | |
---|---|---|---|---|
AD&D Maximum Benefit Amount1 | $2,500 | $5,000 | $7,500 | $10,000 |
Accident Medical Expense ("AME") maximum benefit amount | $2,000 | $5,000 | $7,500 | $10,000 |
AME Deductible | $50 | $100 | $250 | $275 |
Monthly Cost Single | $29.95 | $39.95 | $44.95 | $54.95 |
Monthly Cost Family | $34.95 | $44.95 | $54.95 | $64.95 |
Option 5 | Option 6 | Option 7 | |
---|---|---|---|
AD&D Maximum Benefit Amount1 | $10,000 | $10,000 | $10,000 |
Accident Medical Expense ("AME") maximum benefit amount | $15,000 | $20,000 | $25,000 |
AME Deductible | $275 | $275 | $275 |
Monthly Cost Single | $74.95 | $84.95 | $94.95 |
Monthly Cost Family | $79.95 | $89.95 | $99.95 |
Maximum Benefit Accident Medical Expense (AME) Per Covered Accident | AME Dental Sub-Limit2 | AME Physical Therapy Sub-Limit2 | AME Orthopedic Appliance Sub-Limit2 | AME Transportation Sub-Limit2 |
---|---|---|---|---|
Option 1 $2,000 | $500 | $500 | $500 | $200 |
Option 2 $5,000 | $1,250 | $1,250 | $1,250 | $500 |
Option 3 $7,500 | $1,875 | $1,875 | $1,875 | $750 |
Option 4 $10,000 | $2,500 | $2,500 | $2,500 | $1,000 |
Option 5 $15,000 | $3,750 | $3,750 | $3,750 | $1,500 |
Option 6 $20,000 | $5,000 | $5,000 | $5,000 | $2,000 |
Option 7 $25,000 | $6,250 | $6,250 | $6,250 | $2,500 |