Hospital Indemnity Insurance
Group Number: 702226
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.
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.
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.
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, during her two-day hospital stay.
Example out-of-pocket expenses incurred during two-day hospital stay:
| Health insurance deductible | $1,500 | |
| Co-pays | $200 | |
| Meals & parking | + | $40 |
| Total out-of-pocket expenses | $1,740 | |
| Initial Confinement Benefit (Only one initial confinement benefit is payable for each confinement up to the calendar year maximum) |
$1,000 | |
| Example daily benefit paid under policy (Daily benefit amount of $100 x 2 days, payable for up to 30 days per confinement) |
+ | $200 |
| Total benefits paid | $1,200 |
This is shown for illustrative purposes only. Actual results may vary. Average Hospital Indemnity Insurance claim paid from 1/1/2022 – 6/1/2022 was $1,613.62. For a complete description of your available benefits, exclusions and limitations, see your certificate of insurance and any riders.
