Hospital Indemnity Insurance

An insurance plan to help with the high costs of hospitalization
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What Does Hospital Insurance Cover?

Hospitalization insurance plans generally provide benefits for medical services associated with being hospitalized due to an injury or illness.

You may also be able to obtain additional coverage for outpatient services like preventive care, urgent care, outpatient services, and diagnostics like X-rays and lab tests or for certain critical illnesses.

What Hospital Insurance Typically Covers
  • Hospital room and board

  • Inpatient physician’s visits

  • Inpatient prescription medications

  • Inpatient surgery

  • Outpatient surgery

  • Ambulance services

What Hospital Insurance Typically Does Not Cover
  • Pre-existing conditions, including pregnancy

  • Preventive care such as routine physicals

  • Any non-medically necessary surgical procedures

  • Outpatient prescription medications

Pros and Cons of Hospital Insurance

  • May be guaranteed renewable – If it is guaranteed renewable that means you won’t be singled out for a rate increase or cancellation based solely on changes to your health.
  • Use benefits however you want – with no benefit coordination, payments may be made directly to you.
  • Apply year-round – There is no official open enrollment period, and you can apply anytime.
  • Flexible Coverage – Choose from various health benefit levels.
  • Keep your doctor – Some policies do not have provider network limitations for fixed indemnity plans, which means you can visit your preferred healthcare provider.
  • $0 deductible plan options may be available.
  • Premiums are based on age and health – The younger and healthier you are the lower your monthly premium; conversely, older and sicker individuals will pay more.
  • More exclusions + limitations than major medical – Many ACA-qualifying essential health benefits such as annual doctor’s visits, prescription drugs, vaccinations, and pre- and post-natal care are not covered.
  • Pre-existing conditions are not covered
  • Not ACA-qualifying major medical coverage – Hospital indemnity insurance is not ACA-compliant major medical coverage.

Find Answers to Hospital Insurance Questions

Your hospital indemnity insurance premiums are impacted by factors such as:
  • The benefits you select
  • Your age
  • Your health status
In general, premiums for this type of plan may be lower than ACA plan premiums because hospitalization insurance plans offer less coverage than ACA plans. Find plan options available to you and compare premium costs and coverages by getting a hospital insurance quote. Or call 888-855-6837 to speak with a licensed agent.
When you are hospitalized due to an injury or illness, hospital indemnity insurance may provide benefits for the following types of medical services:
  • Hospital room and board
  • Inpatient physician’s visits
  • Inpatient prescription medications
  • Inpatient surgery
  • Outpatient surgery
  • Ambulance services
If you combine your hospital insurance plan with critical illness coverage or select a hospitalization insurance plan, which includes that type of coverage, your insurance may also provide benefits for medical services related to hospitalization for conditions such as:
  • Cancer
  • Heart attack
  • Stroke
  • Major organ transplant
  • Coma
  • Kidney failure
You may also have the option to customize your hospital insurance policy, and select benefits to provide coverage for outpatient services such as preventive care, urgent care and diagnostic services (X-rays and lab tests). Remember, you must read any policy you’re considering carefully to understand what is covered and what is excluded. The above lists are only examples. Call 888-855-6837 for more details about available plan options.
Typically coverage is not limited to a network of doctors and hospitals. This also means that the plan benefits are paid at a fixed amount, so your insurer has not negotiated any limits on what you are charged for in-patient services.[1]

Have Questions? Speak to an Agent

Speak to a licensed health insurance agent during business hours for help understanding your options and enrolling in coverage.

Call 888-855-6837