Call or Text

Office visit by appointment Only

Hospital indemnity coverage insurance

Hospital indemnity coverage

Understanding Hospital Indemnity Insurance

Hospital indemnity insurance is a supplemental insurance that provides cash payments for hospital-related expenses, helping to cover daily living expenses, deductibles, copays, coinsurance, lost income, and other out-of-pocket costs. This type of insurance supplements your existing health insurance coverage and pays benefits directly to you, regardless of other coverage. Payments can be used for any purpose, with no restrictions.

Costs and Benefits of Hospital Indemnity Insurance

The cost of hospital indemnity insurance varies based on factors such as age, location, and coverage amount. Many policies are affordable, starting at around $10 per month for individual coverage. Premiums may be lower if you obtain coverage through your employer as part of a benefits package.

Benefits of hospital indemnity insurance include lump-sum payments that can be used for any purpose. These payments can help cover expenses such as:




– Hospital stays, including intensive care and critical care

– Outpatient surgery, anesthesia, and hospital admission

– Emergency room visits and ambulance services

– Pregnancy-related hospital stays

When considering hospital indemnity insurance, it’s essential to understand the details of the plan, including coverage, cost, and how soon you receive cash payments if hospitalized. This type of insurance can be particularly helpful for individuals with high-deductible health plans or large out-of-pocket costs, as it can help pay out-of-network charges.

Eligibility and Enrollment

Hospital indemnity insurance is supplemental coverage that can be beneficial during hospital stays, helping to cover out-of-pocket costs. Eligibility for this insurance typically requires the individual to be actively employed. If your employer offers hospital indemnity insurance, your acceptance is generally guaranteed, regardless of your health status. There are no medical exams to take and no health questions to answer.

Eligible employees and dependents covered under their employer’s or spouse’s major medical or comprehensive medical policies are also eligible for hospital indemnity insurance. Some providers offer “guaranteed issue” hospital indemnity insurance, which means you can get coverage without having to take an exam or answer medical questions.

Enrollment usually occurs during the open enrollment period provided by your employer. Premiums are often paid through payroll deductions, making the process convenient and worry-free.

Claim Process

Filing a claim for hospital indemnity insurance is designed to be straightforward. You can typically submit your claim form electronically through the insurance provider’s website or mobile app or request claim forms to be sent via mail.

When filing a claim, you will need to provide specific documentation. This may include itemized invoices for services received due to the hospitalization, discharge papers if treated in an emergency room, and an Explanation of Benefits (EOB) if available.

Once claim forms have been completed and accompanying documentation has been obtained, they can be submitted for review. The aim is to process claims quickly so that you can focus on recovery.

It’s important to note that hospital indemnity insurance is a limited benefit group insurance policy and is not intended to be a substitute for medical coverage. Certain states may require the insured to have medical coverage to enroll.

Coverage Limitations and Exclusions

Hospital indemnity insurance typically covers expenses related to hospital stays, such as intensive care, critical care, and, in some cases, outpatient surgery, emergency room visits, and ambulance services. However, there are certain limitations and exclusions to be aware of.

The coverage is often based on the number of days of hospitalization, with some plans offering a maximum daily benefit. For instance, the insured can receive up to 200% of the daily benefit selected (100% for a basic hospital stay and up to another 100% for other covered circumstances, where applicable).

There are also limitations on the total days of coverage. For example, some plans may limit the confinement benefit to 365 days per calendar year. The length of coverage can vary, with some plans covering one day, between three and ten days, up to 15 days, up to 30 consecutive days, or two separate hospitalizations per year.

Exclusions include pre-existing conditions, voluntary use of drugs or medications not prescribed by a physician, hospital admission or confinement outside the United States, Canada, or Mexico, and routine nursing or well-baby care for a newborn child. Some policies may also reduce benefits after you turn a certain age, such as 65 or 70.

Is Hospital Indemnity Insurance Worth It?

Hospital indemnity insurance can be a worthwhile investment in certain circumstances. If your primary health insurance policy has a high out-of-pocket maximum, hospital indemnity insurance can help cover the significant expenses that hospital stays often bring.

This type of insurance is also beneficial if you suffer from a chronic illness or struggle to meet a large, unexpected bill. It can help cover costs associated with hospital stays, including deductibles, co-pays, coinsurance, medications, rehabilitation, and everyday expenses, such as childcare, gas, and groceries.

The benefits are paid directly to the insured, regardless of other coverage, and can be used for any purpose – there are no restrictions. This flexibility allows you to use the benefits to help pay for various expenses.

However, the cost of hospital indemnity insurance will depend on factors like your age, location, coverage amount, and the insurance company you choose. Many policies are very affordable and start at around $10 per month.


UnitedHealthcare Hospital Indemnity Insurance

Hospital Indemnity Insurance, also called Hospitalization insurance or Hospital insurance, is a plan that pays you benefits when you are confined to a hospital, whether for planned or unplanned reasons or other medical services, depending on the policy.

UnitedHealthcare Hospital insurance plans, underwritten by Golden Rule Insurance Company, can help you fill gaps in your medical coverage by providing cash to help cover deductibles, pharmacy prescriptions, and other non-covered expenses that may arise from hospital stays and services.

Why Hospital Insurance?

Hospital stays can strain even the healthiest of budgets. And in many cases, you can’t ignore the care you need, even if it pushes you financially. Hospital Indemnity insurance plans pay for each day spent in the hospital and some other qualified expenses. That’s money you can use as you choose, whether for hospital bills or those other costs that come up while recovering.

What Are the Benefits of Hospital Indemnity Insurance?

Hospital insurance can benefit you and your family in many ways.
* Benefits are yours to use how you wish
* No networks– benefits are the same regardless of network or provider
* NO deductibles to receive benefits
* It’s possible to get coverage for the entire family
* Coverage is renewable until age 65

Metlife Hospital Indemnity Insurance

MetLife hospital insurance

Add hospital indemnity insurance to help offset hospitalization expenses that may not be covered under your employer’s existing medical plan.
A hospital stay can be expensive. Be ready for costs not covered by your medical plan with hospital indemnity insurance.
A standard hospital indemnity insurance plan may include:
• Coverage for hospital admission, accident-related inpatient rehabilitation, and hospital stays1
• Guaranteed acceptance for you and other eligible family members
• Convenient payroll deduction
• Portable coverage should you leave your employer3

For complete details of any plan you may be eligible for, talk to your company’s benefits administrator or contact MetLife for more information
you can use your benefit payment as you see fit. Use it to help cover your household bills, medical insurance deductibles, and co-payments.
Payments will be paid directly to you, not to the doctors, hospitals, or other health care providers. You will receive a check payable to you for maximum convenience.
Staying in the hospital after an accident or illness can be costly. Even quality medical plans can leave you with extra expenses to pay. Costs like plan deductibles, co-pays for doctor visits, and extra costs for out-of-network care can add up fast. Having the financial support you may need when the time comes means less worry for you and your family.

Colonial life Hospital Insurance

cancer insurance rates

Offset medical costs with hospital indemnity insurance
Help cover what health insurance doesn’t with hospital indemnity benefits
For many, health insurance premiums and deductibles are skyrocketing while coverage stays the same or worsens. Hospital indemnity insurance helps offset these additional costs by paying benefits for covered surgeries and hospital stays or services

Hospital costs already cause enough stress
Hospital indemnity coverage shifts the focus to healing, not finances
When you’re in the hospital or undergoing outpatient surgery, the last thing you need to worry about is how much it will cost to get better. Even when you have health insurance, premiums don’t cover everything. The average expense for a hospital stay ranges from $9,100 for a medical stay to $22,700 for a surgical stay.1.
Suppose you’re admitted to the hospital for a covered accident or sickness. In that case, hospital indemnity insurance plans provide benefits that can help pay for hospital expenses that aren’t covered by your health insurance, such as costs related to:
Outpatient surgery.
Inpatient services.
Diagnostic tests.
Doctor appointments.
Emergency room trips.

With this added financial protection, you can dedicate energy to getting well instead of worrying about bills.
How Colonial Life hospital indemnity insurance works.
When a sudden illness or injury affects your health, our hospital indemnity insurance helps minimize its effect on your finances. After customizing a policy with your preferred benefit amount, you can use your insurance to pay for day-to-day bills or out-of-pocket medical costs, such as deductibles, co-payments, and other expenses.
Colonial Life’s hospital indemnity insurance makes it easy to customize a policy and help prepare for unexpected expenses. Most plans even include an annual wellness benefit to help promote a healthy lifestyle.

All policies include:
Benefits payable directly to the policyholder (unless specified otherwise) can be used for any purpose.
Availability for you, your spouse, and eligible dependent children.
Precise benefit amounts so you know the exact amount that’s payable for covered services.
Costs, exclusions, and limitations may vary, so talk with your Colonial Life benefits counselor to learn more.