Coverage
The length of time you have to be confined in a hospital incurring a charge to be paid on the hospital confinement benefit
23 or more hours
The physician visit benefit pays this dollar amount per visit
$25
Donating an organ within the first ____ months of the policy is not covered
12
The ground ambulance benefit pays this dollar amount per trip
$100
A policyholder goes to the emergency room and is confined for 18 hours what would be the total payout
$100
Confinement has to be 23 or more hours
What is the lifetime maximum benefit of the hospital confinement benefit
No lifetime maximum, each confinementhas to be separated by 90 days
The invasive diagnostic exam pays this amount per day, per 24 hour period
$100
Benefits for a covered sickness within the first ____ days of the policy are not covered
30
For any coverage but individual, the physician visit benefit pays this many visits per year
6 visits
Policyholder has a colonoscopy in their primary care physicians office. How much does this benefit pay
Physician benefit-$25
Invasive diagnostic exams must be performed in a hospital or an ambulatory surgical center. Doctors office does not qualify
The rehab facility benefit is limited to this many days per period of hospital confinement
15 days, and is limited to 30 days per calendar year per covered person
The daily hospital confinement benefit pays $100 per day up to this many days per period of confinement
365 days
Being pregnant or giving birth within this time on a new policy does not pay benefits
10 months
(Complications of pregnancy will be covered to the same extent as a sickness and pregnancy due to an actor of rape or incest will be covered to the same extent as an injury)
The air ambulance benefit pays this dollar amount per trip up to two times per year per covered person
$1,000
Policyholder goes to the hospital through the emergency room and is confined for 48 hours, during that time they have a CT scan, what would the benefit payout be
$1,450
ER-$100
Initial Confinement-$1,000
Daily hospital confinement-$200
Medical diagnostic and imaging-$150
Individual coverage pays out benefits for this many physician benefits per calendar year
3 visits
The daily hospital intensive care unit confinement benefit pays $100 up to this many days of confinement
30 days per confinement. Confinement’s have to be separated by 90 days
Newborn children are automatically covered for this many days without notifying Aflac of new desired coverage
31 days
This benefit pays $150 per calendar year when A covered person requires one of the following exams and a charge is incurred CT scan, MRI, EEG, thallium stress test, myelogram, angiogram, or arteriogram
Medical diagnostic and imaging benefit
Policyholder is taken to hospital by ground ambulance through ER, has an EEG, held for evaluation but not confined, taken back home by ground ambulance
$450
Ambulance-$100
ER-$100
EEG-$150
Ambulance-$100
Ambulance rides are covered for how many trips per person per calendar year
2 Trips
The surgical benefit has a range of payouts between these dollar amounts
$50-$1,000
Having elective surgery that is not medically necessary within this many months of the effective date of coverage is not covered
12 months
The hospital emergency room benefit is not payable on the same day as this benefit
Hospital short stay
Policyholder is air lifted to hospital, goes through ER, has heart surgery (angioplasty one vessel $500), is confined to the ICU for 3 days, and then transfered to a rehabilitation facility for 11 days. What would this pay
$4,000
Air ambulance-$1,000
ER-$100
Surgery-$500
Hospital confinement-$1,000
ICU Confinement-$300
Rehab-$1,100