Page 14 - 2020-21 Sample Benefits Guide
P. 14
20XX
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 $ Insert according to plan
(Maximum Days Payable— document per day
[XX])
Hospital Intensive Care $ Insert according to plan
(Maximum Days Payable— document per day
[XX])
Total Dollars Payable to $
Employee
Hospital Indemnity Premiums
Coverage Level You Pay
Employee
Employee + Spouse
Employee + Child(ren)
Family
14
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 $ Insert according to plan
(Maximum Days Payable— document per day
[XX])
Hospital Intensive Care $ Insert according to plan
(Maximum Days Payable— document per day
[XX])
Total Dollars Payable to $
Employee
Hospital Indemnity Premiums
Coverage Level You Pay
Employee
Employee + Spouse
Employee + Child(ren)
Family
14
