For a list of standard exclusions and limitations, please refer to the end of this document. For a complete description of your available benefits, exclusions and limitations, see your certificate of insurance and any riders. What else is included? The Accident Insurance available through your employer includes the following additional benefits: Receive $50 Wellness Benefit Complete an eligible health screening test, and we’ll send you a benefit to use payment to use however you’d like. however Employees receive an annual benefit payment of $50. you’d like Spouses receive an annual benefit payment of $50. Children receive $50 per child - with no child limit . Additional non-insurance service(s) Voya Travel Assistance When traveling more than 100 miles from home, Voya Travel Assistance Access extra offers enhanced security for your leisure and business trips. You and your support next time dependents can take advantage of four types of services: pre-trip information, you travel emergency personal services, medical assistance services and emergency transportation services. Voya Travel Assistance services are provided by Europ Assistance USA, Bethesda, MD. Schedule of Benefits The following list is a summary of the benefits provided by Accident Insurance. You may be required to seek care for your injury within a set amount of time. Note that there may be some variations by state. For a list of standard exclusions and limitations, go to the end of this document. Your coverage includes a Health System Benefit. This means that if the services for your covered accident are provided at a facility that is owned by your employer/organization, the benefit amounts listed in the accident hospital care, accident care or common injuries sections below will be increased by 25%; to a maximum additional benefit of $1,000. Event Benefit Accident hospital care Surgery open abdominal, thoracic $1,500 Surgery exploratory or without repair $200 Blood, plasma, platelets $625 Hospital admission $1,500 Hospital confinement per day, up to 365 days $375 Critical care unit confinement per day, up to 15 days $600
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