An increasing number of brokers are offering voluntary group accident insurance to help their clients fill some of the out-of-pocket gaps that come with today’s high deductible medical plans. If you’re not already offering group accident insurance, here are four things you should know.
1. Accident, medical and disability insurance go hand-in-hand.
With employees being asked to take on greater costs with today's higher deductible medical plans, offering accident insurance coverage can be an affordable solution to help cover out-of pocket expenses in the event of an accident.
It can make a real difference because it pays a lump-sum cash benefit on top of what is paid by any other insurance. The cash payment can help cover medical deductibles and copayments, and other out-of-pocket health-related expenses.
Should an employee go out on disability as a result of the accident, accident insurance complements disability income insurance too. It can pay for everyday expenses like groceries, child care and mortgages they need to keep up with. It's a payment few employees can afford to be without.
Voluntary group accident insurance plans like Guardian's Accident Insurance can help your clients strike a balance between rising health care costs and wanting to give their employees the best possible benefits package.
2. Benefit payments depend on the type of injury and services needed during treatment and recovery.
Accident insurance helps employees handle out-of-pocket costs that add up after an accidental injury. Most accident insurance policies pay for certain types of injuries and procedures and services provided in the treatment of those injuries. This can include:
- Emergency room treatment
- Hospital stays
- Occupational or physical therapy
- Chiropractic visits
When evaluating a plan that will help your clients get the most out of their coverage, review what circumstances will pay a benefit and how extensive it is.
3. Clients can get more than just accident insurance
Voluntary group accident insurance is not a standardized product. What's included with accident insurance policies can vary from one company to the next and so can extras that come with them, such as optional riders. Each insurance company may offer significantly different products and services from another company. Be aware of benefits that can add even more value to a plan beyond just accident coverage.
For example, the following riders* can be added to a Guardian Accident Insurance plan for even greater coverage:
- Wellness rider. Employees can receive a wellness benefit payment of $50 - $150 per year when they complete certain routine wellness procedures or screenings.
- AD&D rider (accidental death & dismemberment). Covered employees can receive a benefit of up to $50,000 for an accidental death or accidental dismemberment.
- Hospital confinement for sickness rider. Adding this rider provides an additional benefit payment for each day a covered employee is in the hospital due to sickness.
- Disability rider. This rider provides a benefit payment of up to $350 a week for up to 52 weeks if a covered employee or covered spouse becomes disabled and unable to work.
4. How it works is simple
Accident insurance helps the covered person focus on getting better without worrying about their finances. Payments go right to the covered employee – not to the doctors or the hospital. Payments are made regardless of other insurance and the money can be used any way the insured employee chooses – for out-of-pocket medical expenses, travel costs, child care, groceries, or any other expense.
Here’s an example of how simply Guardian’s Accident Insurance works
When a covered employee's daughter has a collision while playing centerfield for her little league team, she's taken to the hospital in an ambulance and given an MRI to check for injuries. The MRI confirms a concussion and she stays the night in the hospital for observation.
Here's the breakdown on what a Guardian Accident Insurance may cover. And since the child was injured while playing organized sports, payments are increased by 20% under our child organized sport benefit.
In this example, Guardian pays a certain amount for each covered procedure.
ORGANIZED SPORT BENEFIT
|Emergency Room Visit||$150||$30|
(her stay was over 20 hours)
|2 follow-up doctor visits||$25 X 2 = $50||$10|
This is a hypothetical example. A person’s eligibility for benefits is determined on a case-by case basis, taking into consideration the factual circumstances presented as well as the terms and conditions of his/her policy