Accident Medical Services
As a member of the
AmeriBenefit Plan's Executive Package, the primary member
is covered at up to $5,000 for injuries from any one accident
(after a $100 deductible).
- Use any doctor, emergency room or hospital
- Pays directly to you unless you assign
Medical Services means the costs for: medically necessary
treatment by a physician or dentist; hospital room and board;
dental work to sound natural teeth; drugs; medicines; diagnostic
tests and x-rays; treatment performed by licensed medical
professionals; or rental of durable medical equipment.
For more information on this benefit, including definitions,
limitations and exclusions, please see the Certificate of
Coverage. To obtain a copy, please call Member Services at
(888) 416-2815.
Guarantee Trust Life Insurance Company (GTL) provides
the Accident Medical Coverage. GTL does not provide nor is
affiliated with the other insurance and/or services provided
as part of membership in Ameribenefit Plan.
EXCLUSIONS
This Certificate does not provide benefits for:
• Treatment, services or supplies which:
- Are not Medically Necessary;
- Are not prescribed by a Doctor as necessary to treat
an Injury;
- Are determined to be Experimental/Investigational in
nature.;
- Are received without charge or legal obligation to
pay;
- Are received from persons employed or retained by the
Policyholder or any Family Member, unless otherwise specified.
- Are not specifically listed as Covered Charges in this
Certificate.
- Injury by acts of war, whether declared or not.
- Injury received while traveling or flying by air, except
as a fare paying passenger on a regularly scheduled commercial
airline.
- Injury covered by Worker’s Compensation or the
Occupational Disease Law.
CAMOEX102
- Dental treatment, except as specifically stated.
- Injury sustained while committing or attempting to commit
a felony.
- Prescription Drugs except as specifically stated.
- Suicide or attempted suicide while sane.
CAMOEX300
- Loss resulting from being legally intoxicated or under
the influence of alcohol as defined by the laws of the state
in which the Injury occurs.
- Loss resulting from being under the influence of any
drugs or narcotic unless administered on the advice of a
Doctor.
CAXXEX400
- Injury sustained while participating in or practicing
for any professional, intercollegiate or club sports activity,
except as specifically provided.
CAXXEX500
- Injury which occurs while the Insured is on active duty
service in any armed forces. Reserve or National Guard active
duty for training is not excluded unless it extends beyond
31 days.
- Injury sustained flying in an ultra light, hang gliding,
parachuting or bungi-cord jumping, by flight in a space
craft or any craft designed for navigation above or beyond
the earth’s atmosphere.
- Injury sustained where the Insured is the operator and
does not possess a current and valid motor vehicle operator’s
license, except in a Driver’s Education Program.
- Treatment in any Veteran’s Administration or federal
Hospital, except if there is a legal obligation to pay.
- Cosmetic surgery, except for reconstructive surgery on
an injured part of the body.
CAXXEX600
- Covered Charges incurred outside of the United States
or its possessions, unless such Covered Charges are incurred
while the Covered Person is on a trip of not more than 30
days.
CAXXEX700
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