| Example of Benefits | Base Plan | Plus Plan |
|---|---|---|
| Open Fractures | Up to $5,000 | Up to $10,000 |
| Open Dislocations | Up to $5,100 | Up to $10,000 |
| Ambulance (air / ground) | $1,000 / $400 | $2,000 / $550 |
| Sports Injury | 25% up to $2,000 | 25% up to $2,000 |
| Coma | $11,500 | $20,000 |
| Concussion | $350 | $400 |
| Diagnostic Exam | $100 | $225 |
| Physician Follow Up | $75 | $75 |