Personal Sickness Indemnity Plan

Hospital Confinement Sickness Indemnity Limited Benefit Insurance

*This plan is part of our "Mommy Package" for maternity.  We will pay towards the birth of a child, as long as it is not delivered within the first 10 months of the policy effective date.

Plan Benefits:

·         Physician Visits

·         Initial Hospitalization

·         Hospital Confinement

·         Major Diagnostic Exams

·         Surgical

·         Plus…more

There are three levels to this plan. For Physician Visits Benefit and Hospital Confinement Benefit, Aflac will pay the amount for the level chosen. Please call for more details.

·        

Initial Hospitalization Benefit – Aflac will pay $250 per period of hospital confinement when a covered person is confined to a hospital for at least 24 hours for a covered sickness.

·         Major Diagnostic Exams – Aflac will pay $150 when a covered person requires one of the following exams for a covered sickness: CT scan, MRI, EEG, Thallium stress test, Myelogram, Angiogram or Arteriogram.

·         Surgical Benefit – Aflac will pay $100 - $2,000 when a covered person has surgery performed for a covered sickness or an ambulatory surgical center.

·         Rehabilitation Unit Benefit – Aflac will pay $50 per day for each day a covered person is charged when confined in a hospital and transferred to a bed in a rehabilitation unit of a hospital for a covered sickness.

·         Ambulance Benefit – Aflac will pay $100 for ground ambulance and $1,000 for air ambulance if, because of a covered sickness, a covered person requires transportation to or from a hospital.

Continuation Coverage Benefit:

Aflac will waive all monthly premiums due for the policy and riders for up to 2 months if you meet all of the following conditions: (1) your policy has been in force for at least 6 months; (2) we have received premiums for at least 6 consecutive months; (3) your premiums have been paid through payroll deduction and you leave your employer for any reason; (4) you or your employer notifies us in writing within 30 days of the date your premium payment cease because of your leaving employment; (5) and you re-establish premium payments through your new employers payroll deduction process or direct payment to Aflac.

Guaranteed Renewable:

The policy is guaranteed renewable for your lifetime, subject to Aflac’s right to change the applicable table of premium rates by class upon any renewal date.

*This information is for illustration purposes only and does not imply coverage.  Refer to the policy and riders for complete details, limitations and exclusions.