Hospital Indemnity Insurance
Hospital Indemnity insurance is a plan designed to pay for the costs of a hospital admission that may not be covered by other insurance. The plan covers employees who are admitted to a hospital or ICU for a covered sickness or injury. Even if your medical insurance covers most of your hospitalization, you can still receive payments from your Hospital Indemnity insurance plan to cover extra expenses while you recover.
You may choose between the Low plan or the High plan.
Wellness Benefit
Earn a $50 cash benefit by receiving an eligible health screening (once per calendar year).
Here are some examples of regular preventive care that would qualify for the wellness benefit:
- Annual Physical (No Cost on all Light & Wonder medical plans)
- Immunization or Vaccine
- Mammogram
- Pap Smear
- Skin Cancer Biopsy
- Cholesterol Blood Test / Lipid Panel / Triglycerides Blood Test
- Colon Cancer Screening (Stool Test or Colonoscopy)
How Does Hospital Indemnity Insurance Work?
You pay monthly premiums for your Hospital Indemnity insurance plan. If you are admitted to the hospital for an injury or illness, your Hospital Indemnity plan makes cash payments to you. And with the payments going directly to you, you can use these emergency funds to pay for costs not covered by your medical insurance, medical insurance deductibles, copays and coinsurance, child care expenses while you are in the hospital, or cost-of-living expenses as you recover.
| Eligibility Summary | ||
|---|---|---|
| Eligibility | All active, full-time employees working a minimum of 30 hours per week. | |
| Employee termination age Spouse termination age Child(ren) termination age | Employee Age 100 Dependent Spouse - Age 100 Dependent Child - Age 26 | |
| Guaranteed Issue | All coverages | |
| Benefit Type: Hospital Benefits | Benefit Limits | High Plan Benefit Amounts | Low Plan Benefit Amounts |
|---|---|---|---|
| Hospital Admission | Up to 5 time(s) per calendar year | $2,000 | $1,000 |
| ICU Admission* | Up to 5 time(s) per calendar year | $4,000 | $2,000 |
| Hospital Confinement | Up to 30 days per confinement; payable to a maximum of 5 confinements per calendar year. When an admission benefit is paid, the confinement benefit pays on day 2. | $200 | $100 |
| ICU Confinement | Up to 30 days per confinement; payable to a maximum of 5 confinements per calendar year. When an admission benefit is paid, the confinement benefit pays on day 2. | $400 | $200 |
| Observation | Up to 6 times(s) per calendar year | $750 | $500 |
| Mental Illness / Nervous Disorder Facility Care Benefit | Up to 30 days per calendar year. The treatment must begin within 30 days following a related Hospital Confinement or ICU Confinement for 1 consecutive day(s) or more for which benefits were paid. | $100 | $100 |
| Substance Abuse Facility Care Benefit | Up to 30 days per calendar year. The treatment must begin within 30 days following a related Hospital Confinement or ICU Confinement for 1 consecutive day(s) or more for which benefits were paid. | $100 | $100 |
| High Risk Pregnancy | Increases value of all your hospital benefits when you are confined because of a High Risk Pregnancy except for normal childbirth | 25% | 25% |
| Premature Infant and NICU | ncreases value of all your newborn's hospital benefits when they are confined because of premature birth | 25% | 25% |
| *When a covered person is admitted to the ICU, this benefit pays in addition to the Non-ICU Hospital Admission | |||