MAJOR MEDICAL PLAN BENEFITS
When the total Basic Plan Maximum Benefit has been paid by Sentry as a result of a Loss incurred by an Insured for an Accident or a Sickness, Sentry will pay 80% of the Covered Charges, not to exceed the Reasonable and Customary charges, for the Accident or Sickness covered under the Basic Plan Benefits which exceed the Basic Plan Maximum Benefit up to the Major Medical Plan Maximum Benefit for each Accident or each Sickness.
The Loss must occur within 52 weeks immediately following the date of the Accident or the date of the first treatment for Sickness.
| MAJOR MEDICAL PLAN BENEFITS |
Plan I | Plan II |
| Major Medical Plan Maximum Benefit |
$ 7,000 | $45,000 |
| TOTAL MAXIMUM BENEFIT for each Accident or Sickness (Basic Plan plus Major Medical Plan) |
$10,000 | $50,000 |
| ADDITIONAL BENEFITS |
Plan I | Plan II |
| Accidental Death and Dismemberment* |
$ 2,500 | $ 5,000 |
| Repatriation | — | $10,000 |
| Medical Evacuation | — | $10,000 |
| Childbirth Benefit | Covered same as any other sickness |
|
| Breast Reconstruction |
Covered same as any other sickness |
|
*If an Insured is involved in an Accident, which results in injuries or death, We will pay for the losses as described in the Master Policy for each Accident.
Note: Your benefits may be limited as mandated by your state. Please see the Master Policy or your evidence of insurance coverage for details.