Hospital indemnity insurance

Hospital stays are expensive and, in most cases, unavoidable. The average hospital stay costs more than $10,700* — a portion of which typically falls to the patient by way of deductibles, copays and coinsurance. In addition, patients can face collateral expenses such as additional housing and transportation expenses for family members and lost wages.



Most Medicare coverage does not cover all expenses related to a hospital stay and subsequent course of treatment. The plans pays you benefits when you are confined to a hospital, whether for planned or unplanned reasons. Benefits in a Hospital Indemnity plan are à la carte. This allows the policyholders to choose exactly what is needed to fill in the gaps of their medical plans.

Hospital indemnity policies have no provider networks, and policy payments are made directly to the insured. Patients are then free to the use the money as they wish — for out-of-pocket expenses not covered by their Medicare plan and directly related to the hospital stay, or for ancillary expenses incurred because of the stay.


Popular Plans & Examples:

Premiums typically range from $30 -$50 a month.

Here are some benefit and premium samples for a 65 yr old male:

 

Low Plan:

  • Daily Hospital of $250 per day, up to 5 days

  • Daily Skilled Nursing of $150 per day, days 21 to 80

  • Premium for 65 to 69 yr old: $34.65 per month

 

Med Plan:

  • Daily Hospital of $300 per day, up to 5 days

  • Daily Skilled Nursing of $150 per day, days 21 to 80

  • Outpatient Procedure of $250

  • Outpatient Rehabilitation/ Physical Therapy of $50 per visit, up to 15 visits

  • Premium for 65 to 69 yr old: $54.32 per month

 

High Plan:

  • Hospital Admission of $1000

  • Daily Hospital of $300 per day, up to 5 days

  • Daily Skilled Nursing of $150 per day, days 21 to 80

  • Outpatient Procedure of $250

  • Outpatient Rehabilitation/ Physical Therapy of $50 per visit, up to 15 visits

  • Lump Sum Cancer Benefit of $10,000

  • Premium for 65 to 69 yr old: $119.49 per month

Premiums for hospital indemnity insurance vary depending on the age of the insured, services covered and length of hospital stays covered, and whether dependents are included on the plan. As with most insurance — the higher the coverage the higher the premiums. Such policies may present a better option for many retirees on a fixed income who can not afford the large expense associated with just a single hospital stay.


DISCLAIMER: This information is not a complete description of benefits. Contact the plan for more information. Available issuing companies will vary by state.

Jerdon Johnston

Associate Director of Strategy @ Willis Towers Watson > Benefits, Delivery, & Administration > Individual Marketplace

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