Aflac® Personal Sickness Idemnity Flashcards
PHYSICIAN VISITS (LEVEL 2)
$20, 4 times per year per Covered Person, 8 per year per Family
PHYSICIAN VISITS (LEVEL 1)
$15, 3 times per year per Covered Person, 6 per year per Family
PHYSICIAN VISITS (LEVEL 3)
$25, 4 times per year per Covered Person, 8 per year per Family
MAMMOGRAPHY
$70 per calendar year, per Covered Person
PAP SMEAR
$30 per calendar year, per Covered Person
HOSPITAL CONFINEMENT (LEVEL 1)
Days 1-15: $50 per day
Days 16-180: $100 per day
HOSPITAL CONFINEMENT (LEVEL 2)
Days 1-15: $75 per day
Days 16-180: $150 per day
HOSPITAL CONFINEMENT (LEVEL 3)
Days 1-15: $100 per day
Days 16-180: $200 per day
INITIAL HOSPITALIZATION
$250 per calendar year, per Covered Person
MAJOR DIAGNOSTIC EXAMS
$150 per calendar year, per Covered Person for the following exams for a covered sickness
CT Scan MRI (magnetic resonance imaging) EEG (electroencephalogram) Thallium stress test Myelogram Angiogram Arteriogram
SURGICAL
$100-$2,000 per day; no lifetime max
REHABILITATION UNIT
$50 per day, limited to 15 days for each Covered Person per period of Hospital Confinement and limited to a calendar year maximum of 30 days
AMBULANCE
$100 when a Covered Person requires ambulance transportation
$1,000 when a Covered Person requires air ambulance transportation
CONTINUATION OF COVERAGE
Waive all monthly premiums for up to two months
AFFECTED BY SIC RATING
No
