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Legion Accident Medical Expense Plan 3,000

Underwritten by AXIS Insurance Company

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Overview

Monthly cost

Insurance type

Accident Medical Expense Insurance

Plan brochure

View brochure

Other non-insurance benefits included with this plan

Association for Entrepreneurship USA

This plan is only available to members of the Association For Entrepreneurs USA and the AFEUSA Association Dues is the monthly membership dues. Through your membership in AFEUSA, you will enjoy discounts on a variety of Health, Travel, Consumer and Business services. For more information regarding AFEUSA association and its benefits, please visit https://afeusa.org.

Through your membership in AFEUSA, you will enjoy discounts on a variety of Health, Travel, Consumer and Business services.

Benefit is not insurance and is not affiliated with the Insurance Carrier.

SingleCare

A prescription savings service offering fast and easy access to consistently low prices on prescription drugs. Save up to 80% on prescriptions, and on average, 45% lower than retail. In many cases, less than the cost through an insurance plan. You will only pay for the prescriptions you need, at the pharmacy of your choice. There are no membership fees, no premiums, and zero cost to join.

Use SingleCare for your prescriptions when:

Your prescriptions are not covered by your health insurance
Your prescription is subject to a deductible
Your copay is higher than the SingleCare price

This benefit is not insurance and does not provide coverage, it only provides discounts and services.

Benefit is not insurance and is not affiliated with the Insurance Carrier.

Benefit details

Outpatient Accident Medical Expense Benefits

The Company will pay Outpatient Accident Medical Expense Benefit amount for the Covered Medical Expenses listed below that result directly from a Covered Injury.

Outpatient Accident Medical Expense Benefits are only payable:

When Covered Medical Expenses incurred exceed any applicable Deductible specified in the Schedule of Benefits;
As long as the first Covered Medical Expense has been incurred within the number of days specified in the Schedule of Benefits;
Until the Maximum Benefit Period shown in the Schedule of Benefits has expired; or
Until Benefits paid equal the Benefit Maximum shown in the Schedule of Benefits.

No benefits will be paid for any Covered Medical Expenses incurred that are in excess of Usual and Customary Charges.

Deductible per Covered Accident

$250

Benefit Maximum per Plan Year

$3,000

First Expense Incurral Period from Covered Accident

72 hours

Benefit Percent Payable of Usual & Customary Charges

80%

Maximum Benefit Period from Covered Accident

90 days

Accidental Death and Dismemberment Benefits

The Company will pay the Benefit Amount for any one of the Covered Losses listed below, subject to all applicable conditions and exclusions, if the Insured Person suffers a Loss within the applicable time period specified in the Schedule of Benefits.

If the Insured Person sustains more than one Loss as a result of the same Covered Accident, the Company will pay the Benefit for the Loss for which the largest benefit is payable.

Primary Insured Principal Sum

$3,000

Insured Spouse Principal Sum

$3,000

Insured Dependent Principal Sum

$3,000

Time Period for Loss from date of Covered Accident

365 days

Loss of life

100% of principal sum

Loss of two or more members

100% of the principal sum

Loss of one member

50% of the principal sum

Loss of thumb and index finger of same hand

25% of the principal sum

Loss of four fingers of same hand

25% of principal sum

Limitations & exclusions

In addition to the Common Exclusions, the Company will not pay Outpatient Accident Medical Expense Benefits for any Covered Medical Expense, treatment or services resulting from:

Treatment of sickness, disease or bacterial infections, except infections that result from an Accidental injury, or infections which result from the Accidental, involuntary or unintentional ingestion of a contaminated substance;
Treatment of all types of hernia, Osgood-Schlatter’s Disease, osteochondritis, appendicitis;
Osteomyelitis, cardiac disease or conditions, pathological fractures, congenital weakness;
Detached retina unless caused by a Covered Accident;
Mental disorder or psychological or psychiatric care or treatment whether or not caused by a Covered Accident;
Pregnancy, childbirth, miscarriage, abortion or any complications of any of these conditions;
Mental and nervous disorders;
Damage to or loss of dentures or bridges, or damage to existing orthodontic equipment;
Expenses incurred for treatment of temporomandibular or craniomandibular joint dysfunction and associated myofacial disorders;
Injury covered by Workers’ Compensation, Employer’s Liability Laws or similar occupational benefits, including any insurance policy that provides benefits to the Insured Person for injuries resulting from an occupational accident, or while engaging in an occupation for monetary gain from sources other than the Policyholder.
Cosmetic and elective surgery;
Any elective treatment, health treatment, or examination, including any service, treatment or supplies that: (a) are deemed by us to be experimental; and (b) are not recognized and generally accepted medical practices in the United States;
Eyeglasses, contact lenses, hearing aids, examinations or prescriptions for them, or repair or replacement of existing artificial limbs, orthopedic braces, or orthotic devices;
Expenses payable by any automobile insurance policy without regard to fault;
Conditions that are not caused by a Covered Accident;
Any treatment, service or supply not specifically covered by the Certificate; or
Injuries paid under medical payment coverage or no-fault coverage contained in an automobile insurance policy or liability insurance policy.