Accident Protection

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Accident Protection Premiums

Coverage Monthly Premium
Employee Only $9.15
Employee + Spouse $13.60
Employee + Child(ren) $12.36
Family $16.81

 

Plan Benefits

24 Hour Coverage/On and Off-the-Job Coverage 

Accidental Death & Dismemberment Initial Care Hospital Admission
Life
Both hands or feet or combination
One hand or foot
Two or more fingers or toes or combination
Oe finger or toe Child benefit – 50% of employee/spouse
$20,000
$20,000
$10,000
$4,000
$2,000
Ground Ambulance $200   $800
Air Ambulance $1,200 Hospital Inpatient Stay
(per day up to 365 days)
$160
Emergency Room Treatment $100 Hospital Intensive Care
Unit (ICU) Admission
$2,500
Accidental Death Common Carrier
(while on public transportation)
Child benefit – 50% of employee/spouse
$80,000 Physician Office Urgent Care (per visit)
$40
Hospital ICU Inpatient Stay
(per day up to 30 days)
$500
Waiver Premium Yes

Enhanced Benefits

Follow Up Care

Enhanced Benefit Coverage (sample of benefits included) Scheduled Benefit
Major Diagnostic Care $160
Follow up Physician Visit $40
Medical Appliances (equipment) $140
Physical Therapy (per day up to six days) $30

Prosthetic

  • One device
  • Two or more devices
  • $500
  • $1,000

Rehabilitation Unit (per day up to 30 days)

$80

 

Common Injuries

See Summary of Benefits for complete list.

Enhanced Benefit Coverage Scheduled Benefit

Abdominal/Thoracic (abdomen/chest) Surgery

  • Surgery to repair
  • Exploratory without repair
  • $1,000
  • $100
Blood/Plasma/Platelets $280

Burns

  • 2nd Degree (at least 36% of body surface)
  • 3rd Degree (9-34 sq. inches)
  • 3rd Degree (35 or more sq. inches)

Skin Graft - 25% of burn benefit

  • $500
  • $1,000
  • $8,000

Coma

$10,000

Concussion (once per 12 month period)

$140

Dental Emergency

Broken teeth repaired with crown(s)
Broken teeth resulting in extractions

$200

$80

Eye Surgery

$200


Watch Now! Accident Protection Plan Brainshark
: A customized multimedia presentation designed to inform and educate eligible employees about their UnitedHealthcare benefits. Watch this short video from UnitedHealthcare about the benefits they provide LSU employees!  

 

ACCIDENT PROTECTION

UnitedHealthcare Customer Service: 1-888-299-2070

Policy #303972

Visit unitedhealthcare

 

Job Aids & RESOURCES

Change benefits

Manage (Add/Remove) Dependents

*Accident Protection Insurance and Dependents can only be changed during Annual Enrollment or due to a Qualifying Event.

List of Qualifying Events

Modify/Change Personal Information (Name/Address)

premium rate sheet

summary of benefits

  BENEFICIARY FORM

how to file a claim

claim form

coverage policy