Option 1 | Option 2 | Option 3 | |
---|---|---|---|
AD&D Maximum Benefit Amount1 | $2,500 | $5,000 | $10,000 |
Accident Medical Expense ("AME") maximum benefit amount | $2,000 | $5,000 | $10,000 |
AME Deductible | $50 | $100 | $275 |
Monthly Cost Single | $19.95 | $29.95 | $39.95 |
Monthly Cost Family | $24.95 | $34.95 | $44.95 |
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 $10,000 | $2,500 | $2,500 | $2,500 | $1,000 |
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