AICPA Insurance Programs

Catastrophe Major Medical is not accepting new applicants at this time.

Group Catastrophe Major Medical Insurance
FAQ

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Does this plan duplicate my basic health insurance?

Why would I really need this coverage?

What are the eligibility requirements?

Do I have to take a physical exam?

Can I cover my spouse and children?

What's the difference between Plan I, Plan II, and Plan III?

When will my coverage become effective?

Can I use any hospital or doctor I want?

How will my benefits be paid?

When will my coverage end?

What if I'm not sure I want this coverage?

How do I apply?

Does this plan duplicate my basic health insurance?
No. This plan complements your basic health insurance by paying benefits for your eligible, reasonable and customary medical expenses after you reach your deductible for this plan. This plan also provides you benefits for hospital and doctor expenses if you go out of your network of providers.

Why would I really need this coverage?
Many people don't realize that they have limits on the benefits their basic health insurance will pay. One catastrophic sickness or injury can use up their basic benefits very quickly. After that they must pay all of their medical expenses out of their pockets.

If you don't want to risk losing your savings and assets - your family's financial safeguard - you should consider this additional coverage.

What are the eligibility requirements?
You may apply for this plan if you are a member in good standing of the AICPA and insured under a basic health insurance plan or are covered by Medicare Parts A and B.

Do I have to take a physical exam?
Not usually. In most cases, all you have to do is attest to a health statement that is on the enclosed application. (The issuance of your Certificate of Insurance or payment of benefits may depend upon the answers you given in your application and the truthfulness of those answers.) Pre-existing conditions limitation may apply.

Can I cover my spouse and children?
Yes. You can cover your lawful spouse and/or all your unmarried children under 30, as long as they are also covered under a basic health insurance plan or by Medicare Parts A and B (Subject to state variations).

If you don't have coverage for children, a newborn will be covered automatically for 31 days after birth. To continue this coverage, simply notify us in writing within 31 days of the birth and pay the additional premium.

What's the difference between Plan I, Plan II, and Plan III?
The deductible amount, the maximum benefit amount for psychiatric, mental, nervous or emotional disorders, alcoholism or drug addiction hospital expenses and the rates are different. Otherwise all provisions and benefits are the same.

When will my coverage become effective?
Your insurance will become effective on the 1st day of the month after your application is approved providing you pay your initial premium within 30 days of your effective date.

You and your dependents, if applying, must be able to perform the normal activities of a person of like age and sex with a like occupation or retired status on the date your insurance takes effect. If you are not, your insurance will take effect on the day you resume such activities.

Can I use any hospital or doctor I want?
Yes. There are no network limitations.

How will my benefits be paid?
Any benefits you receive will be sent directly to you from the insurance company. You can then use them however you wish to pay your bills.

When will my coverage end?
You can keep this coverage no matter what your age as long as you pay your premiums when due, the master policy remains in force, and you continue to be a member in good standing with the AICPA. Coverage for your dependent spouse and children, if applying, will end when your insurance ends, if dependents' insurance ends under the group policy, when the person ceases to be a dependent or if the premium is not paid for the dependent when due.

What if I'm not sure I want this coverage?
You may still apply. If you change your mind after you receive your Certificate of Insurance, simply send it back within 30 days. Any premiums you have paid will be refunded in full.

How do I apply?
That's easy:
1. Determine which Deductible Plan you want.
2. Click the Request a Quote link and download a PDF version of the application.
3. Complete and sign your application.
4. Mail your completed application with your check for your first quarterly premium enclosed to:

That's it - That's all you have to do!

Click here to download the Medicare Notice

Click here to download the Medical Information Bureau (MIB) Disclosure Notice.

Coverage not available in AZ, KY, MA, ME, OR, VT, WA, Puerto Rico and the US Virgin Islands.

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