Accident Medical Expense Coverage
Members choose $2500, $5000, $7500 or $10,000 of AME coverage
Accident Medical Expense(AME) Benefit Amounts for Members and their spouses or domestic partners and their dependent children:
$2500 or $5000 subject to a deductible of $195
WBA will pay $95 of your deductible as a member benefit
$7500 or $10,000 subject to a deductible of $275
WBA will pay $175 of your deductible as a member benefit
This benefit will reimburse medical expenses up to the maximum elected if accidental bodily injury causes an insured person to first incur medical expenses for care and treatment of the accidental bodily Injury within 90 days after an accident. The benefit amount for Accident Medical Expense is payable only for medical expenses incurred within 52 weeks after the date of the accident causing the accidental bodily Injury.
The benefit amount is subject to a deductible. The deductible will be deducted from any benefit amount for Accident Medical Expense that the insurance company pays. This deductible applies separately to each insured person and each accident.
Excess Provision (applicable to insured persons in all states except California, Connecticut, Florida, Idaho, Indiana, Maryland, Minnesota, New Jersey, New York, South Dakota, or Vermont): the Accident Medical Expense benefit is payable on an excess basis. The insurance company will determine the reasonable and customary charge for the covered medical expense. It will then reduce that amount by amounts already paid or payable by any other plan and will pay the resulting amount less the deductible.