What Matt pays with only medical.
|Matt’s medical expenses.1||Cost of service|
|Emergency room visit||$180|
|Treatment of wrist, including pharmacy cost for pain medications||$1,800|
|Arthroscopic knee surgery||$3,300|
|Eight physical therapy visits||$320|
|Total of actual expenses:||
What Matt gets paid if he has the Accident Protection Plan.
|Base Plan coverage.2|
|Emergency room visit||$200|
|Initial physician visit||$80|
|Total payment to Matt:
|Base + Enhanced Plan coverage.2|
|Base plan coverage||$650|
|Diagnostic X-ray exam||$320|
|Wrist fracture treatment||$960|
|Surgical ligament tear repair||$800|
|Follow-up physician visit||$80|
|Physical therapy sessions
($30 per day up to 6 days)
|Organized sports injury benefit3||$700|
|Total payment to Matt:||$4,180|
1 Example reflects reimbursement rates for a high-deductible health plan based on UnitedHealthcare’s health care cost estimator. Matt reached his annual out-of-pocket maximum of $5,000 because of expenses with his accident.
2 Benefit amounts may vary by state.
3 Organized sports injury benefit provides an additional 25% coverage up to $10,000. In this example, the organized sports injury enhanced benefit provides an additional $700 ($2,800 X 25% = $700).
4 Example reflects premium rates for 500-employee company, 24-hour plan design, voluntary (100% employee-paid) funding option, employee-only coverage).