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City of New Braunfels

Hospital Indemnity Insurance

Group Name: City of New Braunfels
Group Number: 70669-8

Get a daily benefit if you have a covered hospital stay.

Hospital Indemnity Insurance pays a daily benefit if you have a covered stay in a hospital*, critical care unit**, or rehabilitation facility**, on or after your coverage effective date. Hospital Indemnity Insurance is a limited benefit policy. This is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act. For a complete description of benefits, exclusions and limitations, refer to your certificate of insurance and riders.

*A hospital is not an institution or any part of an institution used as: a hospital unit, including any bed designated as a hospice or swing bed; a convalescent home; a rest or nursing facility; a free-standing surgical center; a rehabilitation facility; an extended-care facility; a skilled nursing facility; or a facility primarily affording custodial, education care, or care or treatment for persons suffering from mental diseases or disorders, or care for the aged, or drug or alcohol addiction.

**Covered facilities may vary based on your employer's policy.  

Additional services:
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Voya Cares® is not insurance coverage. It is a service offered through the Voya family of companies.

 
We are committed to being a leader in making a positive difference in the lives of individuals with special needs and disabilities - as well as their families, caregivers and other providers - by offering a depth of resources focused on education, planning and solutions through Voya Cares®.

Certificates
Review this document for a complete overview of benefits

Certificate of Coverage and Riders

State Forms
Forms that provide additional information

State Mandated Forms

What is Hospital Indemnity Insurance?

Hospital Indemnity Insurance pays a daily benefit if you have a covered stay in a hospital*, critical care unit** or rehabilitation facility**, on or after your coverage effective date. The benefit amount is determined based on the type of facility and the number of days you stay. This is a limited benefit policy. Hospital Indemnity Insurance is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act. 


*A hospital does not include an institution or part of an institution used as: a hospice care unit; a convalescent home; a rest or nursing facility; a free-standing surgical center; a rehabilitative center; an extended care facility; a skilled nursing facility; or a facility primarily affording custodial, educational care, or care or treatment for persons suffering from mental diseases or disorders, or care for the aged, or drug or alcohol addiction. See the certificate for details.

**Covered facilities may vary based on your employer's policy.  

How can Hospital Indemnity Insurance help?

You can use the benefit however you would like. While coverage amounts may vary, below are a few examples of how you could use your benefit: 

  • Out of pocket medical expenses, such as deductibles and co-pays
  • Travel, food and lodging expenses for family members
  • Child care
  • Everyday expenses like utilities and groceries

Why should I enroll through my employer?

Premium amounts are deducted from your paychecks, so you don’t have to worry about paying another bill.

Can I purchase coverage for my spouse and child?

Coverage is available for your eligible spouse and your eligible children up to age 26* as defined in the certificate of insurance and riders, if employee coverage is elected.

*Standard ages may vary.

How much does it cost?

The cost of Hospital Indemnity Insurance varies. Please refer to your enrollment materials or contact your employer. 

Is this Guaranteed Issue coverage?

Yes. This is guaranteed issue coverage. Pre-existing condition limitations may apply. See the Certificate of Insurance and any riders for a complete list of available benefits along with applicable provisions, limitations and exclusions.    

This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of insurance and riders. All coverage is subject to the terms and conditions of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern. To keep coverage in force, premiums are payable up to the date of coverage termination. Hospital Confinement Indemnity Insurance is underwritten by ReliaStar Life Insurance Company (Minneapolis, MN), a member of the Voya® family of companies. Policy Form #RL-HI-POL-12 and Certificate Form #RL-HI-CERT-12; Spouse Hospital Confinement Indemnity Rider form #RL-HI-SPR-12; Children’s Hospital Confinement Indemnity Rider form #RL-HI-CHR-12; Initial Confinement Benefit Rider form #RL-HI-ICN-12; Diagnostic Test Benefit Rider form #RL-HI-DGR-12; Wellness Benefit Rider form #RL-HI-WELL-12; Accident Benefit Rider form #RL-HI-ACD-12; and Critical Illness Benefit Rider form #RL-HI-CIR-12. Form numbers, provisions and availability may vary by state.

Benefit Basics video
Real Life Example

Tom and Becky had not planned on starting a family yet but, eight months later, little Andrew came into the world. Fortunately, Becky had Hospital Indemnity Insurance with an Admission Benefit through her employer. The benefit she received from this coverage helped cover her medical deductibles and co-pays, as well as Tom’s parking and meals, Example out-of-pocket expenses during her three-day hospital stay.

Example out-of-pocket expenses during three-day hospital stay:

Health insurance deductible $1,500
Co-pays $200
Meals & parking + $40
Total out-of-pocket expenses $1,740
Example Initial Confinement Benefit
(Only one initial confinement benefit is payable for each confinement up to the calendar year maximum)
$1,000
Example daily Hospital Confinement Benefit
(Daily benefit amount of $100 x 2 days, payable for up to 30 days per confinement)
+ $200
Total Hospital Indemnity Insurance Benefit paid $1,200

This is shown for illustrative purposes only. Actual results may vary. Only one type of confinement benefit is payable for each day of eligible confinement.  Average Hospital Indemnity Insurance claim paid from 1/1/2023 – 9/15/2023 was $1,628.99. For a complete description of your available benefits, exclusions and limitations, see your certificate of insurance and any riders.

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