Darin Weidauer, licensed insurance agent · NPN 18580338National number (424) 295-0627 · darinweidauer@ecos.care
Supplemental Coverage

Accident Insurance

An accident costs more than the treatment. There is the emergency room co-pay, the ambulance nobody expects to be billed for, the nights in hospital and the weeks of not working. This pays cash toward all of it, on top of whatever your health plan pays, and it pays you rather than the hospital.

Read this first

This is an accident policy. It pays only for losses caused by an accident, and it pays nothing toward an illness. It is not health insurance, not a substitute for major medical coverage, and not workers' compensation.

Why people buy it

The problem it solves

A health plan pays the medical bill, minus your deductible and your share of the co-insurance. What it does not do is notice that an accident has other costs. An ambulance ride is one of the most commonly surprising bills in American medicine. A night in hospital is a night somebody is not at work. And a broken wrist in a household where one person does the driving is a month of paid help, none of which any health plan will look at.

Accident coverage is deliberately narrow, and that is why it is affordable: it pays only when the cause is an accident. It pays nothing toward an illness, and anybody selling it to you as broader than that is misleading you. What it does do is pay a fixed amount for each covered thing that happened, directly to you, in addition to any other insurance you hold.

How it works

Three things happen, in this order

It pays on top of everything else

Benefits are paid in addition to any other insurance. Your health plan pays what it pays; this pays its own schedule regardless, and there is no co-ordination between the two. That is what makes it worth holding alongside a plan with a high deductible — the accident benefit is often what covers the deductible.

On the job or off it, anywhere in the world

This is not workers' compensation and it does not replace it. It pays whether the accident happens at work, at home, on the road or on holiday, 24 hours a day. Somebody who already has workers' comp through an employer still has nothing covering the fall off a ladder at home on a Saturday.

You choose one unit or two

Every benefit on the policy doubles with the second unit, and two units is the most that can be bought. The full schedule for both is set out below, transcribed from the company's own brochure, so you can see exactly what the second unit buys before deciding whether it is worth the difference.

Some occupations cannot be covered

This is worth knowing before you spend time on an application. A specific list of occupations and activities is uninsurable on this policy — logging, underground mining, oil and gas work, pyrotechnics, professional sport and several others. The full list is published below rather than buried, because finding out at underwriting wastes everybody's time.

Honest fit

Who this suits, and who it does not

The second list matters more than the first. An agent who only writes the first one is selling, not advising.

Worth considering if…

  • You are on a health plan with a deductible large enough that a single emergency room visit would hurt.
  • You or somebody in the household is active — ladders, motorcycles, horses, grandchildren, sport.
  • You are self-employed, and a fortnight off your feet is a fortnight of no income as well as a medical bill.
  • You want coverage that follows you off the clock, because workers' compensation stops at the end of the shift.

Probably not for you if…

  • You want something that pays when you are ill. This pays only on accidents — it is in the name and it is absolute. Cancer, heart attack and stroke coverage is a different product, and so is hospital indemnity.
  • You work in one of the uninsurable occupations listed below. The application will not go anywhere, and we would rather say so now.
  • You are looking for something to replace a health plan. It is not health insurance and it will not behave like it.
Companies

Who we can place this with

Darin is appointed with each of these companies and can place coverage with any of them. We do not represent every insurer, and which company suits you depends on your age, your state, your health history and which benefits you actually want. Where a carrier's benefits are described on this page, those details come from that carrier's own current brochure.

Manhattan Life

Enhanced 24 Hour Accident Expense Plan

Every benefit below is transcribed from ManhattanLife Enhanced 24 Hour Accident Expense Plan brochure EAEP-BR 0622. Benefits, amounts and riders vary by state; the policy issued to you governs.

  • Choose one unit or two Included

    The policy is sold in one or two units and every benefit below doubles with the second unit. Two units is the maximum available.

  • Medical expense benefit Included

    Pays covered expenses for medical treatment due to accidental injury, up to $2,000 on one unit or $4,000 on two. Covered expenses include physician's fees, surgery, X-rays, reduction of fractures and other emergency first-aid expenses.

    Expenses must be incurred within 28 days of the accident. A $50 deductible applies for each accidental injury treated in a hospital emergency room.

  • Accidental death Included

    Pays a fixed $25,000 on one unit or $50,000 on two if an insured dies as a result of an accident.

    Death must occur within 90 days of the accident.

  • Air and ground ambulance Included

    Pays covered expenses for ground or air ambulance transportation due to an accidental injury, up to $5,000 on one unit or $10,000 on two.

    Transport must be within 28 calendar days of the accident.

  • Daily hospital confinement Included

    Pays $150 a day on one unit or $300 a day on two if an insured is hospitalised for an accidental injury, beginning the first day of confinement.

    Up to 30 days per hospital confinement resulting from any one accidental injury.

  • Accidental dismemberment — finger or toe Included

    Single loss $500 on one unit or $1,000 on two. Multiple loss $1,000 on one unit or $2,000 on two.

    Primary insured only. The dismemberment must occur within 90 days of the accident.

  • Accidental dismemberment — hand, arm, foot or leg Included

    Single loss $5,000 on one unit or $10,000 on two. Multiple loss $10,000 on one unit or $20,000 on two.

    Primary insured only. The dismemberment must occur within 90 days of the accident.

  • Accidental dismemberment — loss of sight Included

    One eye: $5,000 on one unit or $10,000 on two. Both eyes: $10,000 on one unit or $20,000 on two.

    Primary insured only. The loss must occur within 90 days of the accident.

  • Maximum dismemberment benefit per accident Included

    $10,000 on one unit, $20,000 on two.

  • It pays on top of other insurance Included

    Benefits are paid in addition to any other insurance, on the job or off it, 24 hours a day, anywhere in the world.

Issue ages
Ages 18 to 74. Individual, individual and spouse, single parent and family coverage are available.
Underwriting
Certain occupations and activities are not insurable — they are listed below. Coverage is not guaranteed until the policy is approved and issued.
Renewability
Guaranteed renewable to age 80, subject to the company's right to change premiums.
Policy form
EAP, EAP-LA, EAP-TX. Form numbers and benefits vary by state.

Required disclosures from Manhattan

This is an Accident Insurance Policy.

This is not a complete disclosure of plan qualifications and limitations. The amounts of benefits provided depend on the plan selected. Premiums will vary according to the selection made.

Uninsurable occupations and activities: demolitions; forester, fishing; industries susceptible to accidents that may involve multiple deaths or injuries or those working with hazardous materials; lodges and fraternal organizations members (must have home office approval before taking applications); loggers and logging companies; oil field roughnecks; oil or gas exploration, refining, and production; professional athletes/sports teams; pyrotechnicians; underground mining, explosive, fireworks.

Where we can place it

Availability in your state

Insurance is regulated state by state. A company may file a benefit in one state and not in another, which is a large part of why working with more than one company matters.

Availability by state, in full

The right-hand column lists what is not offered in that state by any company whose benefits are published on this page. We are appointed with other companies in this family as well — where something is withheld here, ask, and we will check them for you.

StatePublished benefits not offered there
ArizonaNone — everything on this page can be placed here
CaliforniaNone — everything on this page can be placed here
ColoradoNone — everything on this page can be placed here
FloridaNone — everything on this page can be placed here
GeorgiaNone — everything on this page can be placed here
HawaiiNone — everything on this page can be placed here
IndianaNone — everything on this page can be placed here
MinnesotaNone — everything on this page can be placed here
NevadaNone — everything on this page can be placed here
New MexicoNone — everything on this page can be placed here
North CarolinaNone — everything on this page can be placed here
OhioNone — everything on this page can be placed here
South CarolinaNone — everything on this page can be placed here
TennesseeNone — everything on this page can be placed here
TexasNone — everything on this page can be placed here
UtahNone — everything on this page can be placed here
WashingtonNone — everything on this page can be placed here

ECOS is licensed in seventeen states. Medicare guides: Arizona · California · Colorado · Florida · Georgia · Hawaii · Indiana · Minnesota · Nevada · New Mexico · North Carolina · Ohio · South Carolina · Tennessee · Texas · Utah · Washington.

Straight answers

Questions people actually ask

Is this the same as workers' compensation?

No, and it does not replace it. Workers' compensation is something an employer is required to carry and it covers injury at work. This is a policy you own, that pays you, and it pays whether the accident happened at work or not. Plenty of people hold both, and they pay independently.

Will it pay if my health insurance already paid?

Yes. Benefits are paid in addition to any other insurance. There is no co-ordination of benefits and nothing is offset against what your health plan paid, which is the whole design — the money is meant to reach the costs no health plan looks at.

Is there a waiting period?

No waiting period is stated in the brochure, but coverage is not guaranteed until the policy has been approved and issued, and the effective date is the date on the policy schedule page rather than the date you signed the application. There are also time limits on each benefit after an accident — expenses within 28 days, death or dismemberment within 90 days. Those are in the schedule below.

Is it guaranteed issue?

No. Certain occupations and activities are uninsurable, and they are listed on this page. Coverage is not guaranteed until the policy has been approved and issued.

What will it cost?

It depends on your age, your state and whether you take one unit or two. We do not publish premiums on this site — the company's own material says the rates are generic and vary by state, and a rate on a static page is wrong for most of the people reading it. Ask and we will quote it for where you actually live.

Ask for a quote on Accident Insurance

Tell us how to reach you and which state you are in. A licensed agent calls back, usually the same business day, and will tell you plainly if you already have coverage that makes this unnecessary.

ECOS Medicare Solutions is not connected with or endorsed by the United States government or the federal Medicare program. This is a solicitation of insurance. A licensed insurance agent may contact you.

Other coverage that pays you cash

Hospital Indemnity Insurance

Pays you a fixed cash amount for each day you spend in hospital, whatever your other coverage pays. Most often bought to cover the daily co-pays a Medicare Advantage plan leaves behind.

Worth a look if your Medicare Advantage plan charges a per-day inpatient co-pay.

Cancer and Critical Illness Insurance

Pays a lump sum in cash on diagnosis, to spend on anything at all — co-pays, travel, a mortgage payment, time off work.

Worth a look if a diagnosis would cost you months of income as well as co-pays.

Short-Term Home Health Care Insurance

Pays a daily cash benefit for care at home after an illness, injury or surgery, on the same trigger long-term care insurance uses but for a limited period.

Worth a look if you want coverage for the recovery weeks after surgery or a fall.

Dental Insurance

Coverage for the routine dental care Original Medicare does not pay for, with vision and hearing available as additions to the same policy.

Worth a look if dental work is coming and nothing is paying for it. Vision and hearing attach to the same policy.

All Supplemental Coverage · Medicare help in your state