Understanding USASA Player's Insurance
As a registered member of your local NCASA sanctioned league, your are entitled to accident insurance coverage through USASA with K& K Insurance Co. Your coverage is paid for as part of your annual $20 registration. It is important to understand that the accidental insurance coverage is secondary to your primary health coverage with your employer, but it can still offer assistance in many cases in the event of a soccer related injury irregardless of your primary plan coverage.
Additional Information with FAQ's
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What is Primary Carrier?
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What is Excess or Supplementary Coverage?
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What if I do no have any other Health Insurance?
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What is considered an itemized bill?
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What is an Explanation of Benefits?
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What is payment calculated?
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Do I have to fill out a claim form every time I submit bills?
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Here's what you need to know about your Accident Insurance coverage with K&K Insurance:
US ADULT SOCCER PLAN LIMITATIONS & EXCLUSIONS – 2003 - 2004
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This statement is intended as a general description of excess, or secondary plan benefits available under the Participant Accident Policy. For further details or you can contact K&K Insurance directly at (800) 237-2917 x5748 or x5170.
All eligible expenses are subject to a $400 deductible.
SCHEDULED BENEFITS
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Hospital Room & Board Expense (In-Patient) |
$150, maximum per day |
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Hospital Miscellaneous (In-Patient) |
$1,000, maximum per admission |
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Hospital/Facility Expense (Out-Patient) |
$250 per admission |
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Hospital Emergency Care |
$350, maximum per injury |
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Physician Expense (Non-Surgical) |
$35, maximum per visit, limit 10 visits per injury |
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Surgeon Expense (in- or Out-Patient) |
Allowed at 50% of usual, reasonable & customary (UCR) amount |
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Assistant Surgeon |
Allowed at 25% of surgeon’s UCR |
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Anesthesiologist |
Allowed at 12.5% of surgeon’s UCR |
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Physical therapy or Chiropractic expense |
$25, maximum per visit, limit 10 visits per injury |
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X-rays (In- or Out-Patient) including diagnostic imaging, MRI, CAT scans, or similar procedures |
$150, maximum per injury |
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Dental Expense (sound/natural teeth only) |
$500, maximum per injury |
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Ambulance Expense |
$100, maximum per injury |
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Orthopedic appliances or braces as a result of covered injury, NOT for the prevention of injury. |
$400, maximum per injury |
EXCLUSIONS
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Hernia, any form
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Fighting, unless an innocent victim
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Expense incurred for the use of orthotics, unless exclusively to promote healing.
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Prescription drugs
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Rental/Purchase of electric, bio-mechanical devices, continuous passive motion devices (CPM), electrical
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stimulation
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Any member of the Insured Person’s family or household
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Injury sustained while riding in or on any two-or three-wheeled vehicle, or motorized vehicle
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Insect bites, poison oak, poison ivy, warts, blisters, ingrown nails, or any other similar condition
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Intentional, self-inflicted injury
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Injury sustained in the commission of or attempted commission of a criminal act
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Illness or disease, except when treatment is necessitated by bodily injury caused by a covered accident
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Injury caused while intoxicated or under the influence of drugs or narcotics unless prescribed by a licensed physician
PRE-EXISTING CONDITION LIMITATION
A time period of six (6) months whereby a previous condition must be treatment free is the criteria for a condition to be considered a “new” injury. Any chronic, pre-existing condition for which treatment has been recommended or received six (6) months prior to the effective date of the insured’s enrollment , shall be covered to a maximum of $1,000.
PLAN MAXIMUM
$5,000 payable per injury subject to plan limits. Coverage ends 52 weeks from the date of the accident.