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Personal Sickness Indemnity Plan - hosspeople.com

Personal SicknessIndemnity PlanHospital Confinement Sickness IndemnityLimited Benefit InsurancePlan Benefits Physician Visits Initial Hospitalization Hospital Confinement Major Diagnostic Exams Surgical Plus .. moreForm A45075B1 PAIC(2/08) Personal Sickness Indemnity PlanPolicies A-45100-PA, A-45200-PA, and A-45300-PA Policy A-45100-PA (Level 1) Policy A-45200-PA (Level 2) Policy A-45300-PA (Level 3) Physician Visits BenefitAflac will pay the amount for the level chosenwhen a coveredperson incurs a charge for a physician visit. Services must beunder the supervision of a physician. This is a healthmaintenance benefit; the Sickness of a covered person is notrequired for this benefit to be payable. No lifetime 1 Level 2 Level 3A-45100-PAA-45200-PAA-45300-PABenefit Amount$15$20$25 Number of Visits per Year:Individual344 Family*688 Covered physician visits include, but are not limited to, eyeexams, well-baby visits, immunizations, periodic healthexams, and routine physicals.

Aflac’s Personal Sickness Indemnity Plan pays cash benefits directly to you, unless assigned, regardless of any other insurance you may have. Continuation of Coverage Benefit

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