Page 14 - Sample Guide
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Hospital Indemnity Coverage
Even a minor trip to the hospital can lead to unexpected medical bills.
And even with major medical insurance, your plan may only pay for a
portion of your stay. Hospital indemnity insurance is designed to provide
inancial assistance to help you meet the out-of-pocket expenses and
extra bills which can occur. Beneits are paid directly to you based on the
amount of coverage listed, regardless of the actual cost of treatment.
Beneit Schedule $ Paid to You
First Day Hospital Coninement $ Insert according to plan document
Daily Hospital Coninement (Maximum $ Insert according to plan document per
Days Payable—[XX]) day
Hospital Intensive Care (Maximum Days $ Insert according to plan document per
Payable—[XX]) day
Total Dollars Payable To Employee $
Hospital Indemnity Premiums
Coverage Level You Pay
Employee
Employee + Spouse
Employee + Child(ren)
Family
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Hospital Indemnity Coverage
Even a minor trip to the hospital can lead to unexpected medical bills.
And even with major medical insurance, your plan may only pay for a
portion of your stay. Hospital indemnity insurance is designed to provide
inancial assistance to help you meet the out-of-pocket expenses and
extra bills which can occur. Beneits are paid directly to you based on the
amount of coverage listed, regardless of the actual cost of treatment.
Beneit Schedule $ Paid to You
First Day Hospital Coninement $ Insert according to plan document
Daily Hospital Coninement (Maximum $ Insert according to plan document per
Days Payable—[XX]) day
Hospital Intensive Care (Maximum Days $ Insert according to plan document per
Payable—[XX]) day
Total Dollars Payable To Employee $
Hospital Indemnity Premiums
Coverage Level You Pay
Employee
Employee + Spouse
Employee + Child(ren)
Family
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