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The following limited benefit insurance is under the Group Accidental Death and Dismemberment and Medical Care Insurance policy and is an added benefit of your membership featuring:


Insurance Highlights:

$2,000 Accident Medical/Dental Expense benefit*, (per incident with $100 deductible) & $7,500 Accidental Death & Dismemberment benefit* (Freedom) or
$5,000 Accident Medical/Dental Expense benefit* (per incident with $100 deductible) & $10,000 Accidental Death & Dismemberment benefit* (Freedom Plus)
Your family is covered 24 hours a day, 7 days a week, Worldwide!

These insurance benefits are available as part of your membership in the Freedom or Freedom Plus Packages.

Persons Insured*
Coverage includes all members, spouse, and dependent children. Dependent children under 18 years of age (under 23 years if a full-time student at an institution of higher learning) are eligible, subject to state requirements. Any dependent child of an insured who is permanently mentally or physically challenged and incapable of self-support is eligible for coverage, at any age.

When Coverage Applies*
You are protected 24 hours a day - worldwide - while on business or pleasure.  This does not cover loss due to sickness.

 

Insurance Benefits Included in Membership

 

The following limited benefit insurance is under the Group Accidental Death and Dismemberment and Medical Care Insurance policy and is an added benefit of your membership featuring:

Accidental Death & Dismemberment Benefit:

Pays the beneficiary up to the benefit amount listed for the member’s death or loss of certain body parts in a covered accident or a portion or that amount for the accidental death of a family member, if this is a family membership, (50% for covered spouse, 20% for covered dependent children).

$7,500.00 (Freedom)$10,000.00 (Freedom Plus)

Accident Medical/Dental Expense Reimbursement:

Pays part of the expenses you are charged by a hospital, doctor, or certain other charges, up to a maximum of the amount listed if you are injured in a covered accident.  $100 deductible applies.

$2,000.00 (Freedom)$5,000.00 (Freedom Plus)

All benefits provided by this insurance are subject to the terms, definitions, conditions, exclusions and limitations, of the group policy. To obtain more information about this insurance, please ask to speak to a licensed agent or click on the link above.

All members of the Freedom and Freedom Plus Programs are enrolled into the American Consumer Health Association to be eligible to receive these benefits.  The insurance benefits are underwritten by The United States Life Insurance Company in the City of New York, a member company of American International Group, Inc¹, NAIC # 70106. United States Life is domiciled in the state of New York with a principal place of business of 830 Third Avenue NY, NY 10022-6565 and licensed in all states, plus DC, except PR.  These benefits are under Group AD&D & Medical Care Insurance Policy (Form No. G-19000) issued to American Consumer Health Association.

¹The underwriting risks, financial obligations and support functions associated with the products issued by The United States Life Insurance Company in the City of New York are its responsibility. The United States Life Insurance Company in the City of New York is responsible for its own financial condition and contractual obligations. 

THIS IS NOT BASIC HEALTH INSURANCE.  THIS OFFER INCLUDES DISCOUNTS AND/OR SERVICES PLUS ADDED LIMITED BENEFIT INDEMNITY INSURANCE.  NONE OF THESE, INIDIVIDUALLY OR IN COMBINATION ARE A SUBSTITUTE FOR BASIC HEALTH COVERAGE, MAJOR MEDICAL INSURANCE OR ANY OTHER MEDICAL EXPENSE REIMBURSEMENT INSURANCE PLAN.

GENERAL EXCLUSIONS

No benefits will be paid by this policy for any loss or Injury that is caused by, results from, or is contributed to by:

1.        Intentionally self-inflicted Injury, suicide or attempted suicide, while sane.

2.        War or any act of war, whether declared or not.

3.        Active participation in a riot or insurrection.

4.        Service in the military, naval or air service of any country, or international organization.

5.        Piloting or serving as a crewmember or riding in any aircraft except as a fare-paying passenger on a regularly scheduled or charter airline.

6.        Work related injuries covered under Worker’s Compensation, Employer’s Liability Laws, or similar occupational benefits

7.        Medical mishap or negligence, including malpractice

8.        While traveling outside the United States, Canada, Mexico, or any United States possessions, except for a Medical Emergency or a covered Accidental Death or Accidental Dismemberment..

9.        Treatment provided in a governmental hospital, benefits provided under a government program (except Medicaid or Medicare), and any other services for which no charge is normally made in the absence of insurance.

10.     Treatment by an Immediate Family member or a member of the Covered Person’s household.

11.     Alcoholism, drug addiction or the use of any drug or narcotic except as prescribed by a Doctor.

12.     Cosmetic care, except for Medically Necessary reconstructive plastic surgery.  Reconstructive plastic surgery is defined as:

a.     Surgery to restore normal bodily functions; or

b.     Surgery to improve functional impairment by anatomic alteration made necessary as a result of a congenital birth defect; or

c.     Breast reconstruction following a mastectomy.

13.     Dental treatment, except for Injury to sound, natural teeth.

14.     Hernia, adenoids, tonsils, varicose veins, appendix, disorder of the reproductive organs, voluntary abortion, or elective sterilization with 6 months after the Covered Person’s effective date of insurance.

15.     Rest care, convalescent care, or rehabilitative care.

16.     Treatment of Mental or Nervous Disorders.

In addition to the General Exclusions, no benefits will be paid by this policy for Injury or death to which a contributing cause is:

1         The Covered Person’s violation or attempt to violate any duly enacted law, or the commission or attempt to commit an assault or a felony, or that occurs while the Insured is engaged in an illegal activity or occupation.

2         Injury or death from an Accident where the Covered Person’s intoxication would be considered a contributing cause to the Accident.  Intoxication is determined according to the laws and/or regulations of the jurisdiction in which the Accident occurred.  It will be considered a contributing cause if:

a.        An investigation into the cause of the Accident by a police department or other government body makes such determination; or

b.       It meets a “prudent and reasonable” test.  “Prudent and reasonable” means that a review of the circumstances of the Accident by an ordinarily prudent person would find that the most reasonable interpretation of the facts indicate that intoxication was a causal factor.

3                     Loss for which the Covered Person would not be responsible in the absence of this Coverage.

In addition to the General Exclusions, Accident Medical/Dental Expense Benefits will not be paid for:

1.     Treatment of hernia, Osgood-Schlatter’s Disease, osteochronditis, appendicitis, osteomyelitis, cardiac disease or conditions, pathological fractures, congenital weakness, or detached retina unless caused by Injury, whether or not caused by a Covered Accident.

2.        Pregnancy, childbirth, miscarriage, abortion or any complications of any of these conditions.

3.        Mental and Nervous Disorders (except as provided in the Group Policy).

4.        Damage to or loss of dentures or bridges, or damage to existing orthodontic equipment (except as specifically covered by the Group Policy).

5.        Expense incurred for treatment of Temporomandibular or Craniomandibular joint dysfunction and associated myofacial pain (except as provided by the Group Policy).

6.        Covered medical expenses for which the Covered Person would not be responsible in the absence of this Coverage.

7.        Any expense paid or payable by any other valid and collectible group insurance plan.

8.        Conditions that are not caused by a Covered Accident.

9.        Any treatment, service or supply not specifically covered by the Group Policy.

 

 

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Please note that this is not health insurance and we do not make payments directly to medical service providers. It is a discount program, and you are obligated to pay for the health care services. You will receive discounts for medical services at certain health care providers who have contracted with the plan. This plan is administered by CAREINGTON International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034. The program and its administrators have no liability for providing or guaranteeing service or the quality of service rendered. Note to Utah residents: this contract is not protected by the Utah Life and Health Guaranty Association.

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