A. This policy reimburses you dollar-for-dollar up to your calendar year maximum benefit for a covered accident. If you choose a deductible option other than $0, then your deductible must be satisfied before reimbursment. Covered expenses include hospital costs, surgical costs, x-rays, emergency room, physician, urgent care centers and more.
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A. The Critical Illness Rider pays a lump sum benefit upon initial diagnosis of a covered heart attack, stroke, or invasive cancer. Once you’re paid benefits for a critical illness, the rider will terminate — along with the premium you were paying for that portion of the policy.
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A. Premiums for accident coverage depend on your age, gender, the benefit amount and deductible you choose and whether the policy includes individual or family coverage.
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A. With a family plan, once out-of-pocket charges reach double the chosen deductible, additional claims for the year are paid from the first dollar.
Example: A family of four chooses a $250 deductible. If the husband has a claim for $200 and the wife has a claim for $200, neither has satisfied their $250 deductible. If a child then has a covered accident, he or she only has to satisfy $100 of the remaining family deductible ($500 - $400 = $100) before benefits are paid. Since the family deductible has been met, claims made over the rest of the year will be paid up to the maximum policy benefit.
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A. Absolutely. Because AIG Accident Expense Plus pays benefits regardless of other coverage you have, it can be of great value even when your primary plan has a relatively low deductible. Let’s assume, for example, you have an accident that requires an emergency room visit, x-rays, tests, a one-night hospital stay and medication administered at the hospital. The total bill is $5,000. Let’s also assume your major medical plan has a $3,000 deductible and pays 70% for x-rays, medicine, tests, emergency room fees, and the hospital stay. You’d be responsible for $3,600. Assuming you chose the $0 deductible option, your AIG Accident Expense Plus policy would reimburse you for the entire $5,000 of medical expenses.
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• Anyone who has a major medical plan with a high deductible, large co-pays, or limited access to health care providers.
• Anyone seeking to reduce their out-of-pocket health care expenses.
• Families with athletes at risk of injury.
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A. Yes, there is no coordination between AIG Accident Expense Plus and any other medical insurance policy. The AIG Accident Expense Plus policy pays under the terms of the contract in addition to any benefits received from your major medical policy.
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A. There are no medical qualifications for accident coverage. If you are between the ages of 18 and 64, you qualify. Qualification for the Critical Illness Rider depends on your answers to three simple health questions on the application.
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A. Not at all. Your AIG Accident Expense Plus policy is completely independent of other coverage you may have. In fact, you may want to purchase a benefit that’s even higher than your deductible to help cover co-payments or coinsurance in your medical policy in addition to the plan deductible.
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A. Yes. This is a stand-alone policy that you can keep regardless of the status of your major medical coverage.
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A. No. You have the flexibility to choose the amount of critical illness coverage that meets your needs. Available critical illness benefit amounts are $5,0002, $10,000, $15,000, $20,000 and $25,000.
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A. No, the decision to provide critical illness coverage for your spouse and/or children is optional; however, the primary insured must have critical illness coverage in order to provide coverage for the spouse and children.
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Contact Pacific Benefits Group
to get more information and a quote regarding accident and health insurance products.
1 Comprehensive medical coverage may be required in some states in order to apply for or maintain this policy.
2 The minimum benefit is $25,000 in the following states: DE, IA, KS, OK, SC, TX, VT, VA, WA, and WV
Policies issued by: American General Life Insurance Company
A subsidiary of American International Group, Inc., (AIG)
2727-A Allen Parkway, Houston, TX 77019
AIG Accident Expense Plus Policy Form Number 07120
Critical Illness Rider Form Number 07121
The underwriting risks, financial and contractual obligations and support functions associated with products issued by American General Life Insurance Company (AGL) are its responsibility. AIG does not underwrite any insurance policy referenced herein. American General Life does not solicit business in the state of New York. Policies and riders not available in all states.
AIG American General, www.aigag.com, is the marketing name for the insurance companies and affiliates comprising the domestic life operations of American International Group, Inc., including American General Life Insurance Company.
Important Note: All benefits payable are subject to the terms and conditions of the policy and rider, including benefit durations, limitations and exclusions. Not all benefits and exclusions are covered in every state. Please consult the policy form, rider and outline of coverage for details. There may be a charge for each rider selected. See the rider for details regarding the benefit descriptions, limitations and exclusions.
