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​Best-in-class personal and business insurance solutions customized for CPAs, their families and firms.

The treatment costs for a catastrophic injury or sickness often exceed – by tens or even hundreds of thousands of dollars – the coverage limits of most primary health care plans.  Who pays the excess? The patient does, and it can be financially devastating.


Most of us today get our basic health care coverage from a managed care program, either an HMO or PPO. If you desire treatment from a provider outside the program’s network, it may not be covered or the benefit may be reduced. And, as health care costs continue to skyrocket, benefits are sometimes being reduced or eliminated in a cost-containment effort, even as premiums keep climbing.


If catastrophic injury or sickness strikes, it is more than possible that your benefits will run out well before the medical bills stop coming in. In today’s health care cost environment, additional insurance protection begins to make a lot of sense.  And, this kind of added insurance protection is available to you as a member.


Help safeguard your personal assets
A Catastrophic (Excess) Major Medical Insurance plan will continue to pay medical expenses once the limits of your primary health care plan are reached, helping to protect your savings and other assets from depletion. It may also enable you to seek medical care you prefer outside of a managed care network. And, it often pays for home health care and convalescent home care, which most standard plans don’t adequately cover.


A catastrophic medical event such as cancer, heart disease or the need for an organ transplant incurs both enormous initial and ongoing medical expenses. Needed treatment and care could rapidly use up your existing health care benefits. Here are some facts to consider:

  • The financial costs of cancer treatment can be a burden to patients and their            
    families. The cost of some new cancer therapies can exceed $100,000 a year.
    MedScape Today, www.medscape.com, 05/2010

  • Co-pays for a hospital stay can add up quickly – the average charge for a    hospital stay is $26,120.                                                                               
    Healthcare Cost and Utilization Project, Department of Health and Human Services, www.hcupnet.ahrq.gov, 05/2010

  • The first-year billed charges for a heart transplant are $787,700, including necessary pre- and post-operative expenses; for a liver transplant, first-year costs are $523,400; and for a kidney transplant, $259,000.                                 
    Transplant Living, www.transplantliving.org, 05/2010     
                                                                                                                           
  • The cost of home health care can add up to thousands of dollars a year. Even if you have a modest need for home assistance of three times a week, you would have to pay about $18,000 a year.                                                                    
    National Clearinghouse for Long-Term Care Information, www.longtermcare.gov, 05/2010

What to look for in a plan

When evaluating a plan, take into account what your primary health care plan limits are and how much excess major medical coverage you’ll want to help safeguard your
personal assets. Also, take note of what medical expenses your basic plan may not cover that a catastrophic major medical insurance plan typically would, such as convalescent care or private nursing.


Catastrophic major medical plan deductibles are usually met by primary plan payments. After that, the plan often pays 100% of covered reasonable and customary expenses, which can typically include:

  • Doctors’ fees for diagnosis, treatment or surgery
  • Charges for convalescent care, hospice care and medically necessary private nursing care by RNs or LPNs
  • Semi-private hospital room and board
  • X-rays, lab tests, radiation treatment, blood and plasma, artificial limbs, crutches, prescription medications, ambulance services
  • Hospital charges for psychiatric, mental, nervous or emotional disorders, alcoholism and drug addiction
  • Intensive care, physical therapy and anesthesiologist services

Medical expenses related to a catastrophic injury or sickness can easily exceed the insurance protection offered by a basic plan. A plan to complement your basic health insurance can be an important financial safety net for helping to safeguard your accumulated savings and other assets, helping to assure your family’s financial well-being.

The association has sponsored a Catastrophic Major Medical Insurance plan underwritten by The United States Life Insurance Company in the City of New York. The most prominent independent ratings agencies continue to recognize The United States Life Insurance Company in the City of New York, in terms of insurer financial strength. For current insurer financial strength ratings, please consult the Web site at www.americangeneral.com/ratings.


Group Catastrophe Major Medical Insurance is an AICPA-sponsored plan that enhances your basic health insurance by covering expenses and out-of-network services that may be limited or not covered by your basic health insurance. AICPA members are eligible to apply for this association-sponsored plan at group rates. Rate quotes are available quickly and with no obligation through AICPA’s sponsored plan administrator, Aon Insurance Services.  For member group costs and coverage details, including benefit amounts, terms, conditions, exclusions and limitations, call the plan administrator at 1-888-294-0028.


The Group Catastrophe Major Medical Insurance plan is underwritten by The United States Life Insurance Company in the City of New York, NAIC#70106, domiciled in the state of New York with a principal place of business of 70 Pine Street, New York, NY 10270.  It is currently authorized to transact business in all states plus DC, except PR. 


This summary is a brief description of benefits only and is subject to the terms, conditions, limitations and exclusions of Group Policy No. E-183,510 and E-199,144, Form No. G-19000. Coverage may vary or may not be available in all states.


The underwriting risks, financial and contractual obligations and support functions associated with products issued by The United States Life Insurance Company in the City of New York (United States Life) are its responsibility.


AG8047 (11/10)