Page 19 - Walter Robbs 2018 Benefit Guide

Hospital Indemnity

It’s no secret that a hospital stay can be extremely expensive, even with high-
quality major medical insurance. A hospital indemnity plan can help offset the costs
incurred from a hospital stay. Hospital Indemnity coverage provides a cash benefit to help

you cover the out-of-pocket expenses associated with first day hospital confinement, daily
hospital confinement and hospital intensive care. The benefits are paid directly to you.
Benefit Amounts
Base Policy Benefits Plan 1 (High) Plan 2 (Low)
First day Hospital Confinement Benefit $1,000 $500
Limit to Number of Occurrences No Limit No Limit
Pregnancy (Normal and Complications Covered Covered Covered
Daily Hospital Confinement Benefit $100 $100
Maximum Number of Days* 10 Days Max 10 Days Max
Hospital Intensive Care Benefit $100 $100
Maximum Number of Days** 10 Days Max 10 Days Max
Optional Exclusions
Mental and Nervous Disorders Covered Yes Yes
Drug Addiction and Alcoholism Covered Yes Yes
Pregnancy Waiting Period None None
Additional Options
Removal of Pre-Existing Conditions Limitations Yes Yes
*payable for each day, up to the max per continuous confinement in a hospital; not paid for any day the First Day Hospital
Confinement Benefit is paid
** payable for each day, up to the max per continuous confinement in a hospital intensive care unit; pays in addition to the
First Day Hospital Confinement Benefit and Daily Hospital Confinement Benefit

Per Pay Cost Plan 1 (High) Plan 2 (Low)

Employee Only $9.00 $5.34
Employee Spouse $25.08 $14.04

Employee Child(ren) $15.60 $9.24
Employee Family $26.94 $15.24

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