AAA Arizona ACCIDENT MEDICAL PLAN

What is AAA Accident Medical Plan?

The AAA Accident Medical Plan provides coverage to AAA Arizona members engaged in a wide variety of travel and sporting activities.

What is the annual cost?

The AAA Accident Medical Plan costs only $7.00 per member, per year.

What are the benefits?

The AAA Accident Medical Plan provides $5,000 of Accidental Death and Dismemberment as well as $1,200 Accident Medical Benefits for covered losses.

What  medical expenses are covered?

Reasonable and customary charges for: · Professional ambulance service to or from a hospital and/or surgical center; · Hospital or surgical center care; · Medical Treatment; · Nursing care provided by a licensed nurse; · X-rays and lab exams; · Prescription drugs and therapeutic services and supplies; · Dental treatment as a result of injury to sound, natural teeth; · The following licensed home health care agency services and supplies provided instead of an otherwise required hospital or skilled nursing home confinement: - Physical, occupational, respiratory, and speech therapy - The services of a home health aide - Medical supplies

Covered activities included are:

· While riding as a driver or passenger of any automobile or truck with a factory-rated gross vehicle weight (GVWR) not in excess of 8,000 pounds; or · While riding as a driver or passenger of any automobile or truck with a factory-rated gross vehicle weight (GVWR) over 8,000 pounds that is personally owned and is licensed non-commercial; · While being struck by a motor-driven or animaldrawn vehicle on a public street or highway while a pedestrian or while riding a bicycle; · While engaged in the performance of farm duties and involved in the wrecking of a motor driven farm machine or implement which the member is operating; · While hunting in a field or being accidentally shot; · While playing golf, or as a spectator on a golf course and being struck by a golf ball or club; · While ice skating, snow skiing, snow boarding or water skiing; · While swimming at a public beach or pool during the time the lifeguard is on duty; · While engaged in non-commercial fishing or boating; · While a spectator at an organized professional baseball game and being struck by a baseball. · While dining as a sit-down customer on the premises of an eatery as a paying customer of the eatery. THIS POLICY PROVIDES LIMITED ACCIDENT INSURANCE ONLY. THIS POLICY DOES NOT PROVIDE COVERAGE FOR LEGAL LIABILITY. IT DOES NOT PROVIDE BASIC HOSPITAL, BASIC MEDICAL OR MAJOR MEDICAL INSURANCE.

What are the limitations?

The policy will not pay benefits for expenses incurred for: . Important: Claims must be reported within 90 days of occurance. · The examination, prescription, purchase or fitting of eyeglasses, contact lenses, or hearing aid; · Treatment by a person employed or retained by the plan sponsor or its subsidiaries or affiliated and for which no charge is normally made; · Care or treatment by a person who ordinarily lives in the insured’s home or is a parent, grandparent, spouse, sibling or child of either the insured or the insured’s spouse. The plan does not cover any loss caused in whole or in part by, or resulting in whole or in part from,the following: 1. suicide or any attempt at suicide or intentionally self inflicted injury, while sane or autoeroticism. 2. sickness, disease, mental incapacity or bodily infirmity whether the loss results directly or indirectly from any of these. 3. The insured’s commission of or attempt to commit a crime. 4. The insured being under the influence of intoxicants while operating any vehicle or means of transportation or conveyance. The new AAA Accident Plan will contain limitations, exclusions and termination provisions. If a statement in this description of coverage and any provisions in the policy differ, or if any point is not covered in this document, the policy will govern. Notice to all members who currently : The Personal Accident Insurance policy that is currently included in your membership is being terminated and the optional Medical Expense Endorsement (MEE) is transitioning to a new and improved product.

ENROLL TODAY! Enroll online - https://www.aaaazmember.com/ Enroll by Phone - 800-564-6222 Enroll at your local AAA office location Obtain Policy Certificate - here     Need to make an AMP Claim? Download the Accident Claim form and Instructions. Download Accidental Death Claim Form Download Accidental Dismemberment Form Send to: Tena L. Beal, Manager tenab@nahga.com  NAHGA Claim Services PO Box 189 - 88 Main Street Bridgton, Maine 04009 (800) 952-4320  - Main Switchboard (207) 647-3076 ext.130  - Direct Line (207) 647-4569  - fax Beneficiary? See Form Send to: Carol Richardson Chartis Accident & Health Division 300 South Riverside Plaza Suite 2100 Chicago, IL 60606   Toll Free number is 800-553-5088   Need to change be