Supplemental Accident Coverage

The Importance of Timing

Joshua Harrison and his $2,500 cast

It was just another Sunday, not much to do, just shopping, errands and a birthday party for our 8 year old son Joshua's friend.  Not the kind of day when you would expect anything to happen, but have you ever had a day where you expected something to happen? First up - shopping, we despise doing this, so we get it out of the way.  We then made a quick run to the bank and the post office.  Finally, we drop off Joshua at the birthday party.  The party is just around the corner from our house, so we walk him there.  Day over - all we have left to do is to pick up Joshua in a couple of hours - time to relax, right? Wrong!  Two hours later we are at Urgent Care getting Joshua's wrist and arm x-rayed.  You see while Joshua was at the party running and playing with his friends he decided, like most kids do, that he was unbreakable, like all the super hero's he loves to imitate.  A quick run up a ladder and jump off the platform amounted to two fractures in his left arm.  Don't worry too much - he was fine in 4 - 6 weeks.

The reason we tell you this story is not because we don't want you to send your kids to their friend's birthday parties.  We tell you because we found out the hard way, that "time truly is money."  You see we decided on September 5th to purchase an accident plan for our family.  We could have had it start immediately, but we decided to save a little money and have it start on October 1st.  Why was that bad timing?  Because Joshua's accident happened on September 28th, two days before our accident plan was effective.

Two days... two days cost us $2,400.  With doctor bills, x-rays, urgent care, rehabilitation and medication our total out of pocket was $2,500.  If Joshua could have just held off for two more days it only would have cost us $100, the accident plan deductible.  Or we could have decided to spend the extra $35 for the month of September and the financial outcome would have been the same.

The moral of our story is a simple one - you make decisions every day because you don't think anything is going to happen.  The fact of the matter is it could happen to anyone, any day.

Yvonne Harrison
Director of Operations
ColoHealth

The Accident Medical Expense Benefit Amount is payable on an excess basis.  WBA will determine the Reasonable and Customary charge for the covered Medical Expense.  They will then reduce that amount by amounts already paid or payable by any other plan from which the insured person is entitled to receive benefits.  They will pay the resulting amount, subject to a $100 deductible, plus amounts paid by the insured person to satisfy cash deductibles or coinsurance amounts.  Organized sports for ages 18 and older are excluded.  In no event will they pay more than the $5,000 per accident.  The policies includes limitations and exclusions.  Please refer to the Master Policy for all insurance provisions. 

The Accident Medical Expense Benefit Amount is payable on an excess basis.  WBA will determine the Reasonable and Customary charge for the covered Medical Expense.  They will then reduce that amount by amounts already paid or payable by any other plan from which the insured person is entitled to receive benefits.  They will pay the resulting amount, subject to a $100 deductible, plus amounts paid by the insured person to satisfy cash deductibles or coinsurance amounts.  Organized sports for ages 18 and older are excluded.  In no event will they pay more than the $7,500 per accident.  The policies includes limitations and exclusions.  Please refer to the Master Policy for all insurance provisions. 

Up to $10,000 for Each Family Member, Per Occurrence for Medical Services

• Use Any Doctor, Emergency Room or Hospital
  
• Pays Directly to You Unless You Assign Benefits
  
• $100 Deductible

Accident Plan $10,000 is marketed through Wholesale Benefit Association.  It offers $10,000 of coverage per family member anytime you suffer an accidental bodily injury.