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Hospital Indemnity Insurance

ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance helps give employees added financial security for hospital stays and related expenses.

Why Hospital Indemnity Insurance?

Immediate Financial Assistance: When a health challenge strikes, ÐÔÊÀ½ç´«Ã½ provides a lump sum payment to help cover treatment costs and everyday expenses so you can focus on recovery.

Comprehensive Coverage: We cover hospital admissions, Emergency Room and Urgent Care visits, doctor's appointments, and other treatments.Ìý

Beyond Medical Bills: You have the flexibility to choose how to use the money, including essential needs such as mortgage payments or childcare, providing additional financial security.

Benefit Highlights

ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance helps ease the financial burden caused by hospital expenses, providing benefits for coverages such as:

  • Hospital admission and confinement
  • Intensive Care Unit (ICU) admission and confinement
  • Inpatient and outpatient surgery
  • Outpatient infusion
  • Inpatient and outpatient Behavioral Health Facility
  • Rehabilitation for substance abuse
  • Home health care
  • Newborn nursery confinement
  • Family care and more

For specific coverage details, .

Event-Based Claims

Our innovative process simplifies the overall claims experience, helping maximize benefits payments for employees and their covered dependents.

How it works:

  • When an event occurs — like an injury, sickness, or hospital stay — the employee fills out one, simple online form on their or calls to tell us what happened.
  • ÐÔÊÀ½ç´«Ã½ evaluates your submission and automatically generates claims on all related coverages.
  • Employees receive prompt and direct benefits payments.

At ÐÔÊÀ½ç´«Ã½, we optimize the claims process, allowing our members to focus on what matters most and providing added financial security for life's unexpected events.

More questions? Check out our FAQ below.

What is ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance?

Each year, 33 million Americans are admitted to the hospital,1 and ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance helps ease financial expenses associated with hospital stays, treatment, medical plan deductibles, and copays with a lump sum payment made directly to you.

What does ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance cover?

ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance pays benefits when covered employees are admitted to a hospital, confined to a hospital, visit the Emergency Room, Urgent Care, or their physician, or seek other forms of treatment.ÌýYou can review your Certificate of Coverage in your to see all benefits available to you.

What are a few ÐÔÊÀ½ç´«Ã½ Hospital Indemnity plan highlights?

ÐÔÊÀ½ç´«Ã½ Hospital Indemnity insurance stands out with comprehensive coverage to include benefits like outpatient infusions, inpatient and outpatient behavioral health facilities, newborn nursery, substance abuse rehabilitation coverage, and support for home health care.

Why do I need hospital indemnity insurance if I already have medical coverage?

With deductibles, copays, coinsurance, and out-of-pocket maximums, medical expenses often exceed what insurance pays. Plans like ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance help cover out-of-pocket costs and bridge the gap on what medical insurance pays.

Do I need to pay at the time of enrollment?

There is no out-of-pocket payment required for enrollment. Your employer will conveniently deduct your premium from your paycheck.

How does the claims process work, and what documentation is required?

Through a simple online form in your , we will ask you about the event and tell you what documents are needed. Then we will use our innovative event-based claims approach to automatically create all applicable claims, ensuring we maximize your benefits.ÌýYou’ll receive notifications – electronically or by mail – about your claims’ status along the way. For additional assistance, you can call us at (855) 810-3301.

You may also download the Group Hospital Indemnity Insured/Patient Claim Statement PackageÌý²¹²Ô»åÌýWellness Insured/Patient Claim Statement Package.Ìý

How do I access my online portal account?

Your online ÐÔÊÀ½ç´«Ã½ Portal gives you the ability to manage all your benefits in one convenient location. After you enroll, you’ll receive an email invitation with a link to create your account. If you need additional support, call us at (855) 810-3301. Once your account is set up, you can .

Do I need to submit receipts on any items I buy with my benefits?

No. Your benefits can be used how you choose.  

Does my ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance include wellness benefits?

Most ÐÔÊÀ½ç´«Ã½ Hospital Indemnity Insurance policies include wellness benefits to promote a proactive approach to your health. These benefits vary by state.ÌýYou can check your Certificate of Coverage found in your  for details.

What happens to my hospital indemnity coverage if I retire or leave my company?

When you retire or leave the company, you may be eligible to continue coverage. You can check your Certificate of Coverage found in your for details. If your coverage terminates, you will be notified of all options that may be available to you.

Can I add or remove coverage for family members?

If your employer's plan includes coverage for family members, you likely only have the ability to make changes during annual enrollment or after a qualifying life status change, such as marriage, divorce, or birth of a child. Reach out to the benefits administrator at your company to discuss eligibility and make changes.

Whom can I contact if I need help?

Current members can call us at (855) 810-3301 with any questions. We are here to help you get the most out of your ÐÔÊÀ½ç´«Ã½ benefits.

Explore More

1ÌýAmerican Hospital Association, , 2022, accessed May 2024

Policy Form Series: PLA-HI-POL23, PLA-HI-CERT23 Form numbers, provisions, and availability may vary by state. The state-approved form is the governing document.

ÐÔÊÀ½ç´«Ã½ refers to ÐÔÊÀ½ç´«Ã½ and its subsidiary ÐÔÊÀ½ç´«Ã½ & Annuity Company. Insurance products can be issued in all states, except New York, by ÐÔÊÀ½ç´«Ã½ and in all states by ÐÔÊÀ½ç´«Ã½ & Annuity Company.ÌýProduct availability and features may vary by state. Each insurance company is solely responsible for the financial obligations accruing under the products it issues.

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