Dalton Public Schools is offering a new Voya Financial accident plan which provides financial protection in the event of an unexpected accident, and is designed to assist covered employees in managing out-of-pocket expenses and additional bills that may arise from accidental injuries, whether they are minor or severe. This plan offers indemnity lump-sum benefits, which are paid directly to the employee according to the coverage amounts specified in the schedule of benefits. The plan also offers an additional benefit for accidents sustained as a result of an organized sporting activity.
This plan provides reimbursement for your actual medical expenses, with benefits paid directly to you. Coverage options are available for you, your spouse, and your dependent children. Additionally, the plan includes benefits for death, loss of limbs, hospital visits, and ambulance transportation resulting from a covered accident. For more details, please refer to the plan summary.
Injury
|
Benefit
|
---|---|
Hospital Care
|
|
Surgery - Open abdominal, thoracic | $1,500 |
Blood, plasma, platelets | $625 |
Admission | $1,750 |
Confinement | $325/day up to 365 days |
Transportation | $800/trip up to 3 per accident |
Lodging | $200/day up to 30 days |
Accident Care
|
|
Initial doctor visit | $125 |
Urgent care | $250 |
Follow-up doctor treatment | $125 |
Medical equipment | $275 |
Speech & physical therapy | $60 (up to 10 per accident) |
X-ray | $90 |
Common Injuries
|
|
Burns - 2nd and 3rd degree | $1,500 to $20,000 |
Emergency dental work | $125 to $400 |
Eye injury | $110 to $400 |
Torn knee cartilage | $250 to $900 |
Lacerations | $50 to $750 |
Tendon, ligament, rotator cuff | $600 to $1,400 |
Concussion | $350 |
Paralysis | $12,500 to $27,000 |
Injuries - Dislocations
|
Non-Surgical | Surgical |
Hip Joint | $4,000 | $8,000 |
Knee | $2,500 | $5,000 |
Ankle or foot bones (other than toes) | $1,700 | $3,400 |
Shoulder | $2,000 | $4,000 |
Elbow, Wrist | $1,250 | $2,500 |
Partial dislocations | 25% of the non-surgical benefit |
Injuries - Fractures
|
Non-Surgical | Surgical |
Hip | $5,000 | $10,000 |
Leg | $2,700 | $5,400 |
Ankle, Forearm, Hand, Wrist | $2,250 | $4,500 |
Collarbone | $1,750 | $3,500 |
Accidental Death and Dismemberment
|
Employee: $50,000 | Spouse: $25,000 | Child: $10,000 |
Additional Covered Benefits
|
Paralysis, pet boarding, induced coma, general anesthesia, home health care, prescriptions, outpatient IV, lab, traumatic brain injury |
Sports Accident Benefit Covers accidents as a result of an organized sporting activity |
Pays an additional 25% of the Hospital Care, Accident Care, or Common Injuries benefit to a maximum of $1,000 |
To promote healthy habits and preventive care, the plan offers a wellness screening benefit of $50, available once per person each calendar year. Eligible screenings include, but are not limited to:
For a comprehensive list of eligible screenings, please refer to the policy.
This plan is portable at time of separation. You may continue by paying premiums directly to Voya Financial.