Accident Benefits

accident benefits

Even with excellent health care, an accident can require expensive treatments, tests, therapies, and other services. This MetLife benefit pays in the event that you experience one of the covered accidents.

You can't always prevent an accident, but this benefit allows you to prepare for one.

Accident Benefit Features

Accident benefits can help maintain your financial stability by providing a payment when you or a covered family member experiences one of the more than 150 covered events. Included features:

  • Basic plan or platinum plan options
  • Both plans cover the same accidents, with the platinum plan paying a higher benefit
  • Pays a lump sum paid directly to you
  • Includes benefit for accidental death
  • Death benefit pays $25,000 under the basic plan, and $50,000 under the platinum plan
  • Death benefit triples if it occurs by common carriers such as public transportation

Download a printable summary of the plan:
DOWNLOAD


Watch this video for a quick overview of accident benefits!

 

Answers to your questions

Questions? We have answers! Here are your most frequent accident questions.

Q: How does the plan work?

A: For each covered accident, a lump-sum payment is made directly to you, not your doctor. Spend the money how you choose.

Accident benefits are not a substitute for medical coverage. It can be held concurrently, complementing your other plans. Receiving a benefit from one will not interfere with the other.

Q: Who is eligible?

A: As long as the employee is actively employed, the employee, spouse, and eligible dependents up to age 26 are guaranteed coverage. No medical exam is necessary.

If age 65 - 69, the payable benefit will be reduced by 25%. If age 70+, the payable benefit will be reduced by 50%.

Q: What is covered?

A: Accidents are paid up to the benefit level. There is coverage for over 150 events, including:

  • Fractures and dislocations
  • 2nd or 3rd-degree burns
  • Cuts, laceration, skin graft
  • Torn knee cartilage
  • Ruptured disc
  • Concussions or coma
  • Eye injuries
  • Broken teeth

Q: What is "treated by?"

A: Covered accidents must be treated by one of the methods listed below to receive the benefit payment:

  • Ambulance
  • Emergency care
  • In or outpatient surgery
  • Medical testing, including x-ray, MRI, CT scan
  • Physician follow-up visits
  • Transportation
  • Home modifications
  • Therapy, including physical, speech, & occupational

Q: What is not covered?

A: The plan will not provide benefits for self-inflicted injury or death, accidents caused by medication, injuries related to war or terrorist acts, food poisoning, accidents while intoxicated, mental illness, air travel, or extreme sports such as bungee jumping.

Q: Will I receive an ID card?

A: No. Your benefit pays directly to you.

Since you won't need to present your coverage to any medical providers, you do not need an ID card for this benefit.

Q: What if my employment ends?

A: You can take this benefit with you if your employment ends.

The contracted cost through your company may differ from your individual cost, and deductions will no longer be taken via payroll. Payment and continuation of benefits are your responsibility after employment ends, arranged directly with MetLife.

Q: How do I make a claim?

A: When you receive a diagnosis for a covered accident, simply complete and submit a claim form.

For each covered event, a lump-sum payment is made directly to you, not to a doctor or hospital. You can spend the money however you choose.

Nextep's benefits department is here to help!

Do you have more questions about our benefits? Log in to your account and chat with us, call 888-811-5150, or submit your question here.