LOW COST STUDENT ACCIDENT INSURANCE AVAILABLE
Dear Parents or Guardian,
The State College Area School District does not carry medical insurance on students. The School District does provide you with the opportunity to purchase an Accident Insurance Plan through Monumental Life Insurance Company, an A+ rated company. Due to an injury from an accident, this $500,000 Maximum Benefit coverage will also respond for injuries students sustain and will also respond for school sports (except football) injuries. The coverage includes:
Hospital Room and Board - Semi-private Usual & Customary Charge
Hospital-Misc Services during hospital confinement Usual & Customary Charge
Emergency Room Charges Usual & Customary Charge
Surgery Usual & Customary Charge
Anesthesia Usual & Customary Charge
In Patient Doctor’s Visit Usual & Customary Charge
Outpatient X-Ray, CTI scan, MRI & lab tests other than
Physiotherapy Usual & Customary Charge
Out Patient Nursing Services Usual & Customary Charge
Ambulance Transport – to and from Hospital Reasonable & Necessary Charge
Medical Equipment Rental Usual & Customary Charge
Out Patient Drugs & Medications Usual & Customary Charge in Hospital or by Written Prescription
Dental*(including X-Rays) –due to a covered injury Usual & Customary Charge up to $10,000.
Accidental Death $10,000.
Dismemberment $Up to $20,000. (based on a schedule)
First medical expense must be incurred within 90 days of Covered Event
Maximum benefit period is five years (unless otherwise noted)
Deductible is $0.
Rates School Time Only $ 36.
24 Hour Coverage $131.
Limitations and exclusions do apply to these coverages. Please refer to the policy and application for coverage details. If you would like to obtain coverage, please log on to www.BollingerSchools.com/statecollegearea
Last Modified on August 27, 2012