Accident Health Insurance Plans

 Guide to Accident Health Insurance Plans in the United States

 

Accident health insurance plans are attracting a lot of attention in the supplemental accident coverage market because it's so practical. This type of personal injury insurance plan falls into the indemnity category rather then the insurance category. Indemnity's compensate you for damage, loss, or injury in cash payments to you directly or the health care provider. These plans are guarantee issue and require no health questions when enrolling. Americans who have this clever type of accident plan receive benefits with any doctor, emergency room hospital, or urgent care type facility. Members can choose a benefit amount (policy face value) of $2,500, $5,000, $7,500, or $10,000. These principal sum benefits are paid per accident (per injury). Typical deductible (deductible is the dollar amount person must pay before insurance company pays) is $100 dollars and all other hospital bills are paid up to the policy max. If someone has the $10,000 benefit accident plan and gets injured, resulting into a a $10,000 dollar ACL knee surgery, it could potentially only cost the member $100 dollars out of pocket. Member can also choose any surgeon for the procedure which is comforting.

 

Personal accident insurance are membership plans that have monthly dues. These association benefits clearly state they are not insurance but a type of accident medical expense plan. Coverage is for bodily injuries and not disease or sickness. Emergency room coverage is the core focus. Other names for this type of plan include supplemental accident coverage, emergency room insurance, accident medical expense benefit, accident health insurance plan, 24 hour accident coverage, and accident medical coverage. Anyone who's had a high deductible insurance plan knows that a lot of bills come from the emergency room.

 

Association based membership benefits isn't anything new. The main benefit to these plans are affordable monthly dues, everyone qualifies, and benefits are paid in conjunction with any licensed medical care facility or doctor. The applications don't have any health questions during enrollment but automatic acceptance is only up to age 64 or 70.

 

In most circumstances these plans pay accidental injury benefits. Except for injuries a member sustains while under the influence of drugs / alcohol, during act of war, or if also covered on workers compensation. These are standard rules for just about any health insurance product. Injury benefits are paid to members per incident or per injury. During coverage, each accident is treated as a new event with new benefit payments, but subject to another $100 dollar deductible. Benefits are paid directly to members or the health care provider. Some plans only pay the health care provider, and other plans clearly state they pay the member directly. You'll have to review the policy to see how payment is handled.

 

Specific benefits covered by this type of personal injury insurance plan include: doctors fee for surgery (inpatient or outpatient), ambulance expenses, doctors visits, hospital emergency room care, anesthesia services, prescription drugs, nurse expenses, hospital confinement, operating room, laboratory tests, x-rays, MRI's, dental treatment to sound natural teeth, physical therapy, hospital room and board.