Hospital Insurance

This type of indemnity plan typically provides a “fixed” or set benefit amount for costs you may incur when you are hospitalized due to an injury or condition covered by your policy. Hospital insurance may not be available in every state.

No, hospital plans are not qualified health plans under the terms of the ACA.

Your hospital indemnity insurance premiums can be impacted by factors such as:

• The benefits you select
• Your age
• Your health status
• Your ZIP code

Find plan options available to you and compare premium costs and coverages by getting a hospital insurance quote. Or call [phone number] to speak with a licensed agent.

When you are hospitalized due to an injury or illness, hospital insurance may provide benefits for qualifying types of medical services that can include, as an example:

• Hospital room and board
• Inpatient physician’s visits
• Inpatient prescription medications
• Inpatient surgery
• Outpatient surgery
• Ambulance services

If you combine your hospital insurance plan with critical illness coverage or select a hospital insurance plan with critical illness coverage, the critical illness coverage may also provide benefits for medical services related to hospitalization for qualifying conditions such as:

• Cancer
• Heart attack
• Stroke
• Major organ transplant
• Coma
• Kidney failure

You may also have the option to customize your hospital insurance policy, and select additional benefits to provide coverage for outpatient services such as preventive care, urgent care and diagnostic services (such as, X-rays and lab tests). Remember, you must read any policy you’re considering carefully to understand what is covered and what is excluded. The above lists are only illustrations of coverage benefits.

Coverage is generally not limited to a network of doctors and hospitals. This also means that the hospital insurance plan benefits are paid at a fixed amount, so your insurer has not negotiated any limits with providers on what you are charged for services.

If you are hospitalized, your hospital insurance plan pays a set benefit amount for eligible services regardless of how much your provider charges for the services. The amount paid is per day, per week, per month, per visit or per event, as outlined in the policy you select.

Here’s an example of how hospital indemnity insurance works:

The hospital insurance plan you selected pays $250 per day for hospital room and board charges, and $100 per day for inpatient doctor visits. If you are hospitalized for three days due to a qualifying injury or medical condition and you are visited each of those days by a doctor in the hospital, you will receive $1,050 in benefits.

For illustration purposes only and not a guarantee of payment. Be sure to carefully review your policy for more specific details about what benefits will be paid for eligible hospitalization charges you incur.

Most plans will let you choose to receive your benefit payments directly, or you may ask your insurer to pay the benefit amount to your provider.

Hospital indemnity benefits typically do not coordinate with any other health insurance coverage you may have, like major medical health insurance. That means that no matter what your major medical policy pays for a covered illness, injury or healthcare service, the hospital plan will pay its fixed indemnity benefit as indicated in your policy.

No, you can use your benefit payments in any way you choose, whether it’s to cover the cost of your medical treatment or for other expenses like housing, transportation, groceries or childcare.

Some policies have no yearly or lifetime limit while others do include limits. Check your policy terms and conditions for limitations and exclusions.

Generally, as long as you continue to pay your monthly premium, you can receive a fixed benefit amount for any eligible services or treatments you receive. Check any policy you are considering for full details.

There is no annual enrollment period for hospital insurance, so you may apply for coverage at any time. The application process can take just a few minutes to complete, and if you are approved for coverage, your policy may take effect as soon as you pay your first premium.

Get a hospital insurance quote to compare different plan options that may meet your needs.