Group Supplemental Plans – Accident Insurance

Accident Insurance

Accident Insurance is a supplemental insurance policy that pays cash benefits directly to you (unless you assign otherwise) after a covered injury, helping to cover expenses that your primary health insurance might not fully address.

These benefits can be used for a wide range of costs, from medical bills and deductibles to everyday living expenses.

Key Features

• Supplemental Coverage: It is designed to work in tandem with your major medical plan, filling potential coverage gaps. It is not a replacement for comprehensive health insurance.
• Direct Cash Payouts: Benefits are paid directly to you via check or direct deposit, not to the doctors or hospitals, giving you flexibility in how you use the funds.
• Wide Range of Covered Incidents/Expenses: Coverage extends to various injuries and associated costs, including:
  • Emergency room visits and initial treatment.
  • Hospital stays and intensive care unit (ICU) confinement.
  • X-rays, CT scans, MRIs, and other major diagnostic exams.
  • Surgical procedures, anesthesia, and physical/occupational/speech therapy.
  • Medical appliances like wheelchairs, crutches, and braces.
  • Ambulance transportation.
  • Family support and family lodging benefits for treatment far from home.
  • Specific injuries like fractures, dislocations, lacerations, concussions, and burns.
  • Accidental death and dismemberment benefits.
• Wellness Benefit: Many Aflac accident plans offer an annual wellness benefit, providing a cash payout for covered preventive care exams.
• Portability: If purchased as an individual plan, the coverage is generally portable, meaning you can keep it even if you change jobs or retire.
• No Network Restrictions: You have the freedom to choose your own healthcare providers.
• No Waiting Period for Coverage: Aflac generally does not have a waiting period for coverage to go into effect, so you can file claims immediately after a covered accident occurs.

How It Works

• An Accident Occurs: You or a covered family member sustains an injury from a covered accident.
• Treatment is Received: You seek necessary medical treatment and keep all related documentation, such as physician's notes and receipts.
• A Claim is Filed: You file a claim with Aflac, which can often be done online or through their mobile app.
• Cash Benefits Paid: Upon approval of the claim, Aflac pays cash benefits directly to you, which you can use as needed to ease the financial stress of the accident.

Who Should Consider It?

Accident insurance may be particularly beneficial for:

• Individuals with an active lifestyle or children involved in sports.
• People with high-deductible health insurance plans and significant out-of-pocket costs.
• Primary wage earners seeking extra financial security for their families.
• Self-employed individuals or those in high-risk occupations not covered by traditional workers' compensation.