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6. COVERED ACCIDENT BENEFITS Concussion Benefit A Concussion Benefit is payable for each Insured who sustains a concussion as the result of a Covered Accident. The concussion must be diagnosed by a Physician. Diagnostic Exam Benefit A Diagnostic Exam Benefit is payable for each Insured who requires a diagnostic examination to determine the extent of Injuries received in a Covered Accident. The Insured must schedule an examination. Diagnostic exams include arteriogram, angiogram, Computed Tomographies (CT Scan), Computerized Axial Tomography (CAT), Electrocardiography (EKG), Electroencephalogram (EEG), Magnetic Resonance Imagings (MRIs) and x-rays. This benefit is payable only once per Benefit Year for each Insured except for x-rays. Dislocation Benefit A Dislocation Benefit is payable for each Insured who sustains a Dislocation as the result of Injuries received in a Covered Accident. The Dislocation must be diagnosed by a Physician. It can be corrected by open (surgical) reduction or closed (non-surgical) reduction, and it must be a complete Dislocation. If the Dislocation requires reduction without Anesthesia by a Physician or a Physician diagnoses the dislocation as an Incomplete Dislocation, we will pay 100% of the applicable benefit amount shown in the Benefit Highlights for a Closed Reduction of the joint involved. Benefits will only be payable for the first Dislocation of a joint sustained in a Covered Accident. Subsequent Dislocations of the same joint are not payable for the same Covered Accident. If the Insured sustains more than one Dislocation in a Covered Accident that requires open or closed reduction, we will pay for no more than two Dislocations with the benefit paid being the two highest applicable benefit amounts as shown in the Benefit Highlights. 16-AC-C-01 Page24

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