01/29/2026
What is a hospital indemnity plan?
Hospital indemnity plans pay set-dollar amounts for care no matter what the provider charges. If the cost for care is less than the indemnity benefit, insureds keep any difference. Subsequently, if the cost for care is more than the indemnity benefit, insureds are responsible for any remaining costs.
Are there any co-pays?
This plan does not have any co-pays. Any costs exceeding the benefit amount are the insured’s responsibility.
Is there a deductible?
There is no deductible for outpatient benefits. The deductible only applies if you are admitted to the hospital for 24-hours or more.
Is there a waiting period?
Benefits are covered from day one except for preventive care (60 day waiting period) and pre-existing conditions (12 month waiting period) as outlined in your Policy.
Does this plan cover pre-existing conditions?
Pre-existing conditions are not covered for the first 12 months of the Policy. Please see the Limitations and Exclusions page of your Policy for more information about pre-existing conditions.
What is a pre-existing condition?
A condition for which: (a) medical treatment was rendered or recommended by a physician; or (b) medicine was prescribed within 12 months prior to your Effective Date of coverage.
Is there a network and do I have to use it?
This plan provides you the freedom to choose any doctor or facility you wish. However, using the provided network can result in significant savings. The plan benefits will pay the same benefits whether you choose to go in or out of network.
Are benefits paid to the provider or me?
This depends. If an “Assignment of Benefits” form is signed at the provider’s office, the benefits are paid to the provider. If an “Assignment of Benefits” form is NOT signed, eligible benefits will be paid to you once we receive your complete claim.
