There is "NO" coverage if a player is involved in a fight which leads to injury or claims filed.
ACCIDENT MEDICAL EXPENSE BENEFITS
Any benefit limits and Benefit Percentages for Accident Medical Expense Benefits apply, unless otherwise specified, on a per-Covered Person per-Covered Accident basis. Any applicable Deductibles must be satisfied within the time periods specified before benefits are payable.
SCOPE OF COVERAGE APPLICABLE TO ACCIDENT MEDICAL BENEFITS
Full Excess Medical Expense
Other Health Plan
Reduction: 50%
Medical Expense Benefits
- Total Maximum for all Accident Medical Expense Benefits: $25,000
- First Covered Expenses must be Incurred within: 180 days after a Covered Accident
- Benefit Period: 2 years
- Deductible: $500 - ( applies to each Covered Accident does not Include Covered Expenses paid under another Health Care Plan )
COVERED EXPENSES
In-Patient Hospital Services
- Daily ICU or CCU Benefit: 100% Policy Limit
- Daily In-Hospital Benefit: 100% of the average Semi-private room
- Miscellaneous Services: 100% Policy Limit
- Ambulatory Medical Center: 100% Policy Limit
- Emergency Room Treatment: 100% Policy Limit
Physician Services
- Surgery Benefit: 100% Policy Limit
- Assistant Surgeon: 100% Policy Limit
- Physician's Surgical Facilities: 100% Policy Limit
- Second Opinion or Consultation: 100% Policy Limit
- Physician's Assistant: 100% Policy Limit
- Anesthesia Benefit: 100% Policy Limit
- Inpatient Visits: 100% Policy Limit
- Office Visits: 100% Policy Limit
- Outpatient X-ray, CT Scan: 100% Policy Limit
- Outpatient Physiotherapy: 100% Policy Limit
- Nursing Services: 100% Policy Limit
- Ambulance Services: 100% Policy Limit
- Medical Equipment Rental: 100% Policy Limit
- Medical Services and Supplies: 100% Policy Limit
- Dental Services: 100% Policy Limit
- Prescription Drug Benefit: 100% Policy Limit
