| 28 | Accident Insurance Accident Insurance also pays benefits for accident- related transportation, lodging, family care, prosthetic devices, burns, eye injuries, lacerations, dislocations, fractures and more. ACCIDENT INSURANCE: BI-WEEKLY PREMIUMS Employee Only $4.69 Employee + Spouse/ Domestic Partner $7.70 Employee + Child(ren) $8.91 Family $11.92 Your coverage also includes accidental death and dismemberment benefits. If you are severely injured or pass away due to an accident additional benefits may apply. Watch the accident insurance video Accident Insurance through Voya pays you benefits for specific injuries and events resulting from a covered accident. You can purchase coverage for yourself, spouse/domestic partner, and your children under age 26. If you leave UnityPoint Health, you can take this coverage with you. The amount paid depends on the type of injury and care received. For those who experience an accident claim and visit a UnityPoint Health facility, you will receive an additional 25% benefit up to $1,000. You can use the payments for any purpose you choose. Here are some examples of payment provided: EVENT/CONDITION BENEFIT AMOUNT EVENT/CONDITION BENEFIT AMOUNT Ground ambulance $400 Coma (14 or more days) $18,500 Air ambulance $2,000 Surgery (open abdominal, thoracic) $1,500 Emergency room treatment $250 Follow-up doctor visit $100 Hospital admission $1,500 Medical equipment $275 Hospital confinement (per day, up to 365 days) $375 Physical or occupational therapy (per treatment, up to 6) $60 Critical care unit confinement (per day, up to 15 days) $600 Mental health therapy (up to 10 per accident) $60 WELLNESS BENEFIT The plan also pays a wellness benefit of $50 once per calendar year for each family member enrolled when an eligible health screening test is completed. For more information, review the Wellness Benefit Claims Checklist & FAQ.

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