Accident Insurance

Name: Barstow School
Address: United States

You have the option to purchase accident insurance, which helps to protect your finances after an accident. You are paid a lump sum if you have a covered injury and can use the money to help pay out-of-pocket medical costs or everyday expenses.

Benefits	Value Plan	Advantage Plan	Premier Plan
Accident Coverage Type	On and Off the job	On and Off the job	On and Off the job
Portability	Included	Included	Included
Wellness Benefit - Per year limit	$50	$50	$50
Child(ren) Age Limits	Children age birth to 26 years	Children age birth to 26 years	Children age birth to 26 years
Rainy Day fund	Benefit Amount: $300 Rollover Max: $150 Fund Max: $600	Benefit Amount: $400 Rollover Max: $200 Fund Max: $800	Benefit Amount: $500 Rollover Max: $250 Fund Max: $1,000
Air Ambulance	$250	$500	$500
Ambulance	$100	$200	$300
Burns (2nd degree/3rd degree)	9 sq inches to 18 sq inches: $0/$2,000 18 sq inches to 35 sq inches: $1,000/$4,000 Over 35 sq inches: $3,000/$12,000	9 sq inches to 18 sq inches: $0/$2,000 18 sq inches to 35 sq inches: $1,000/$4,000 Over 35 sq inches: $3,000/$12,000	9 sq inches to 18 sq inches: $0/$2,000 18 sq inches to 35 sq inches: $1,000/$4,000 Over 35 sq inches: $3,000/$12,000
Burn-Skin Graft	50% of burn benefit	50% of burn benefit	50% of burn benefit
Child Organized Sport	25% increase to child benefits	25% increase to child benefits	25% increase to child benefits
Chiropractic Visits	$25/visit, up to 6 visits	$50/visit, up to 6 visits	$50/visit, up to 6 visits
Coma	$7,500	$10,000	$12,500
Concussions	$150	$300	$300
Diagnostics Exam (Major)	$250	$300	$300
Dislocations	Schedule up to $4,000	Schedule up to $8,000	Schedule up to $8,000
Doctor Follow-Up Visits	$50 up to 6 treatments	$50 up to 6 treatments	$50 up to 6 treatments
Emergency Room Treatment	$100	$300	$300
Eye Injury	$200	$400	$400
Fractures	Schedule up to $5,000	Schedule up to $10,000	Schedule up to $12,000
Hospital Admission	$1,000	$2,000	$2,000
Hospital Confinement	$250/day up to 1 year	$400/day up to 1 year	$400/day up to 1 year
Hospital ICU Admission	$2,000	$4,000	$4,000
Hospital ICU Confinement	$500/day up to 15 days	$800/day up to 15 days	$800/day up to 15 days
Initial Dr. Office/ Urgent Care Facility Treatment	$50	$100	$200
Joint Replacement (Hip/Knee/Shoulder)	$1,500/$750/$750	$2,500/$1,250/$1,250	$3,500/$1,750/$1,750
Knee Cartilage	$500	$750	$750
Laceration	Schedule up to $400	Schedule up to $600	Schedule up to $600
Medical Appliance	Schedule up to $300	Schedule up to $400	Schedule up to $500
Outpatient Therapies	$25/day up to 10 days	$50/day up to 10 days	$75/day up to 10 days
Rehabilitation Unit Confinement	$1,500/day up to 15 days	$1,500/day up to 15 days	$1,500/day up to 15 days
Ruptured Disc with Surgical Repair	$500	$500	$750
Surgery (Cranial, Open Abdominal, Thoracic, Hernia)	Schedule up to $1,000 Hernia: $200	Schedule up to $1,250 Hernia: $250	Schedule up to $1,500 Hernia: $300
Surgery (Exploratory or Arthroscopic)	$150	$250	$350
Tendon/Ligament/Rotator Cuff	1: $250 / 2 or more: $500	1: $500 / 2 or more: $1,000	1: $750 / 2 or more: $1,500
X-Ray	$100	$200	$200

Per Pay Period Cost	Value Plan	Advantage Plan	Premier Plan
Employee Only	$5.67	$10.12	$11.03
Employee + Spouse/Domestic Partner	$9.40	$15.95	$17.43
Employee + Child(ren)	$9.70	$16.25	$17.73
Family	$13.42	$22.07	$24.13

Provided By

Guardian

Provider Website

https://www.guardianlife.com/accident-insurance

Customer Service

800.541.7846