MetLife Accident Insurance Benefit – Included with Membership

Member Benefit Explanation



Metlife Accident Insurance included coverage helps offset costs that may not be covered under your existing medical plan.

This insurance provides you with a lump-sum payment after an accident to use as you see fit. It can help with out-of-pocket expenses such as deductibles, copays, transportation to medical centers, childcare and more.

Accident insurance through the NASE may include benefits for:

  • Injuries: Fractures, dislocations, concussions, lacerations, eye injuries, torn knee cartilage, ruptured discs, second- and third-degree burns.
  • Medical services and treatments: Ambulance, emergency care, therapy services, medical testing (including x-rays, MRIs, CT scans), medical appliances and certain types of surgeries.
  • Hospitalization: Hospital admission, confinement and inpatient rehab after an accident.
  • Additional benefits: Loss and paralysis; supplemental benefit for lodging.
  • Plus: Guaranteed acceptance and convenient payment through the NASE.

Frequently Asked Questions

Can accident insurance be used to cover out-of-pocket costs?

Yes, you can use your benefit payment as you see fit. Use it to help cover your household bills, medical insurance deductibles, copayments, and more.

Are benefits paid directly to me or to my healthcare provider?

Payments will be paid directly to you, not to the doctors, hospitals, or other healthcare providers. You will receive a check, payable to you, for maximum convenience.

I have a good medical plan at work. Why would I need additional coverage for accidents?

Accidents can happen any time, to anyone, when you least expect them — and they can be costly. Even quality medical plans can leave you with extra expenses to pay. Costs like plan deductibles, copays for doctor visits, and extra costs for out-of-network care can add up fast. Having the financial support you may need when the time comes means less worry for you and your family.

Can I enroll in this insurance without having to take a medical exam?

Yes. NASE offers accident insurance and your acceptance is guaranteed, regardless of your health. You just need to be and active NASE member in good standing for your coverage to be effective. There are no medical exams to take and no health questions to answer.
Medical Insurance for this plan is required for members in MN, NY and VT.

Is there a waiting period before my coverage begins?

No. This supplemental insurance will be effective on the date of your coverage as long as you are active and in good standing with the NASE. There are no waiting periods to satisfy.

Is the claims process simple?

Yes. Once all required information is received, claims are generally processed within 10 business days. Only one claim form is needed per accident, and every claim is reviewed by a claims professional.

Eligibility for portability through the Continuation of Insurance with Premium Payment provision may be subject to certain eligibility requirements and limitations. For more information, contact your MetLife representative.

METLIFE’S ACCIDENT INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY. The policy is not intended to be a substitute for medical coverage and certain states may require the insured to have medical coverage to enroll for the coverage. The policy or its provisions may vary or be unavailable in some states. There is a preexisting condition limitation for hospital sickness benefits, if applicable. MetLife’s Accident Insurance may be subject to benefit reductions that begin at age 65. And, like most group accident and health insurance policies, policies offered by MetLife may contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP12-AX or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York. Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See MetLife’s Disclosure Statement or Outline of Coverage/Disclosure Document for full details.

Metropolitan Life Insurance Company | 200 Park Avenue | New York, NY 10166
L0321011978[exp0323][All States][DC,GU,MP,PR,VI] © 2021 MetLife Services and Solutions, LLC

To take advantage of this benefit and all others that the NASE has to offer you must be a member.

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Not a Member?

At the NASE, we realize that the needs of all businesses are not the same. This is why we have created multiple memberships to select from that fit your business, home, medical needs and more.

We would like to invite you to view our Benefits at a Glance to help you make an informed decsion and maximize your investment.

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The benefits explained herein are offered at the sole discretion of the association and may vary by availability, vendor and state of residence of the member. Vendors reserve the right to withdraw or change their offers without notice. The association makes no affirmation of fact or promise relating to the goods and services, and specifically disclaims any warranty, expressed or implied, as to the merchantability of the goods and services reflected. To be entitled to the association benefits, you must be a member in good standing and dues must be paid current.

 
Outline of Coverage
The Outline of Coverage provides a very brief summary of the important features of the Group Accident Insurance.
Privacy Notice
This notice explains how we protect your privacy and treat your personal information.
Claim Form
Use this to make a claim.

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Courtesy of NASE.org
https://www.nase.org/become-a-member/member-benefits/health-resources/metlife-accident-insurance-(silver)