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OVERVIEW
The SEIU Accident and Injury Insurance Plan, an Accident coverage issued by The Prudential Insurance Company of America is affordable insurance coverage for unexpected and costly expenses incurred by accidental injury.
Acceptance is guaranteed—no health questions or medical exams24/7 coverage for common injuries such as fractures, burns, and cutsStandard and Enhanced Plans available for members only and member, spouse and childrenCoverage helps pay for out-of-pocket expenses often not covered by major medical insuranceCoverage is portable if you change jobs*There are no pre-existing condition limitationsBENEFIT DETAILS
An emergency room visit can cost between $1,200 to $1,300. Family Standard coverage costs less than $15 a month and can help you manage unexpected medical expenses. More than 24% of emergency room visits in 2020 were attributed to accidents.1
The SEIU Accident & Injury Insurance Plan offers a choice of two benefit plans—Enhanced and Standard.
Your coverage helps pay for medical services (X-rays, Emergency Room visits, physical therapy, etc.) and equipment (canes, walkers, etc.) often not fully covered by health insurance.
The SEIU Accident & Injury Insurance Plan pays out a benefit in addition to other coverage you may own. Coverage does not require evidence of insurability and there are no pre-existing condition limitations. Payment is based on proof of treatment, not proof of diagnosis, and rates are not age-based.2 Backed by trusted Prudential insurance coverage, benefits are reliable and designed to support members when they need it most.
Review the full list of benefits using this Outline of Coverage Chart. Use the sample benefit chart below to help determine whether the benefits supplied by the Enhanced or Standard plan is right for you.
|
Type of Loss |
Enhanced |
Standard |
|---|---|---|
|
Emergency Room Visit |
$150 |
$100 |
|
X-ray |
$100 |
$50 |
|
Concussion |
$400 |
$200 |
|
Burn (2nd degree, 35% or more) |
$1,000 |
$500 |
|
Wrist or Ankle Fracture (closed) |
$500 |
$250 |
|
Hip Dislocation (closed) |
$3,000 |
$1,500 |
|
Eye Surgery |
$300 |
$150 |
HOW TO GET THIS
Enrollment is straightforward, making Accident and Injury Insurance easy to access through SEIU Member Benefits.
Additional Information
* Must maintain SEIU membership.
1. Centers for Disease Control and Prevention - National Center for Health Statistics, https://www.cdc.gov/nchs/fastats/accidental-injury.htm. Accessed April 2023.
2. The insured must submit a bill or evidence for treatment for each service to receive payment.
Not for residents of New Mexico.
Not for use in New Mexico.
This site may contain marketing language, on products issued by The Prudential Insurance Company of America, that has not yet been approved in all states. Coverage may not be available in all states.
The SEIU Accident & Injury Insurance Plan partners with The Prudential Insurance Company of America (issuer) and Association Member Benefits Advisors, LLC (Third Party Administration).
This coverage is not health insurance coverage (often referred to as “Major Medical Coverage”).
THIS IS AN EXCEPTED BENEFITS POLICY. IT PROVIDES COVERAGE ONLY FOR THE LIMITED BENEFITS OR SERVICES SPECIFIED IN THE POLICY.
This policy provides ACCIDENT insurance only. It does NOT provide basic hospital, basic medical, or major medical insurance as defined by the New York State Department of Financial Services.
IMPORTANT NOTICE – THIS POLICY DOES NOT PROVIDE COVERAGE FOR SICKNESS.
SEIU Accident Insurance coverage Is a limited benefit policy issued by The Prudential Insurance Company of America, a Prudential Financial Company, Newark, NJ. Prudential's Accident Insurance is not a substitute for medical coverage that provides benefits for medical treatment, including hospital, surgical, and medical expenses, and It does not provide reimbursement for such expenses. The Booklet-Certificate contains all details, including any policy exclusions, mitat1ons, and restrictions, which may apply. If there Is a discrepancy between this document and the Booklet-Certificate/Group Contract issued by The Prudential Insurance Company of America, the Group Contract will govern. Please contact Prudential for more information. Contract provisions may vary by state. Contract Series: 83500.
1069705-00006-00
