Accident Protection

 

 

Annual Enrollment

There will not be any premium increase or plan design change for the 2017 plan year. The Accident Protection Plan from UnitedHealthcare provides financial protection from expenses incurred due to qualifying injuries from a covered accident. These benefits are paid directly to you and can be used at your discretion. Employees have the ability to enroll in this plan during Annual Enrollment without medical underwriting.

 

Accident Protection Premiums

Coverage Monthly Premium
Employee Only $9.15
Employee + Spouse $13.60
Employee + Child(ren) $12.36
Family $16.81
 

Plan Benefits

24 Hour Coverage/On and Off-the-Job Coverage 

Accidental Death & Dismemberment Initial Care Hospital Admission
Life
Both hands or feet or combination
One hand or foot
Two or more fingers or toes or combination
Oe finger or toe Child benefit – 50% of employee/spouse
$20,000
$20,000
$10,000
$4,000
$2,000
Ground Ambulance $200   $800
Air Ambulance $1,200 Hospital Inpatient Stay
(per day up to 365 days)
$160
Emergency Room Treatment $100 Hospital Intensive Care
Unit (ICU) Admission
$2,500
Accidental Death Common Carrier
(while on public transportation)
Child benefit – 50% of employee/spouse
$80,000 Physician Office Urgent Care (per visit)
$40
Hospital ICU Inpatient Stay
(per day up to 30 days)
$500
Waiver Premium Yes

 

Enhanced Benefits

Enhanced Benefit Coverage (sample of benefits included) Scheduled Benefit
Follow Up Care
Major Diagnostic Exam $160
Follow Up Physician Visit $40
Medical Appliances (equipment) $140
Physical Therapy (per day up to six days} $30

Prosthetic

•One device
•Two or more devices

$500
$1,000
Rehabilitation Unit (per day up to 30 days) $80
Common Injuries (for complete list, see Summary of Benefits)

Abdominal/Thoracic (abdomen/chest) Surgery

•Surgery to repair
•Exploratory without repair

$1,000
$100
Blood/Plasma/Platelets $280
Burns
•2nd Degree (at least 36% of body surface)
•3rd Degree (9-34 sq. inches)
•3rd Degree (35 or more sq. inches)
Skin Graft – 25% of burn benefit
$500
$1,000
$8,000
Coma $10,000
Concussion (once per 12 month period) $140

Dental Emergency

Broken teeth repaired with crown(s)
Broken teeth resulting in extractions

$200
$80
Eye Surgery $200

 

Watch Now! Accident Protection Plan Brainshark: A customized multimedia presentation designed to inform and educate eligible employees about their UnitedHealthcare benefits. Watch this short video from UnitedHealthcare about the benefits they provide LSU employees! 

 

ACCIDENT PROTECTION

UnitedHealthcare Customer Service: 1-888-299-2070

Policy #303972

Visit unitedhealthcare

 

Job Aids & RESOURCES

Change benefits

Manage (Add/Remove) Dependents

*Accident Protection Insurance and Dependents can only be changed during Annual Enrollment or due to a Qualifying Event.

List of Qualifying Events

Modify/Change Personal Information (Name/Address)

premium rate sheet

summary of benefits

  BENEFICIARY FORM

how to file a claim

claim form

coverage policy