Benefit Highlights | ||
This policy is designed to pay cash benefits when an employee is hospitalized or receives other medical treatment covered under the policy and provides cash benefits with streamlined flexibility from day one. • Supplements existing medical coverage by filling gaps created by rising: • Deductibles • Increasing co-payments • Higher out-of- pocket maximums • Benefits are paid directly to the employee or medical service provider and are not coordinated with any other form of insurance • Use the cash benefits as needed to cover: • Out-of-pocket medical expenses • Everyday living expenses • Unexpected expenses | ||
POLICY BENEFITS | Low | High |
First Day Hospital Confinement | $5,000 | $5,000 |
Maximum Days Payable per Year | 1 Day | 1 Day |
Daily Hospital Confinement (Day 2 Forward) | $100 | $100 |
Maximum Days Payable per Year | 31 Days | 31 Days |
First Day ICU Confinement | $500 | |
Maximum Days Payable per Year | Not Covered | 1 Day |
Daily ICU Confinement (Day 2 Forward) | $100 | |
Maximum Days Payable per Year | 31 Days | |
Emergency Room Treatment (Covered Accident) | $150 | |
Maximum Days Payable per Year | 3 Days | |
Emergency Room Treatment (Covered Sickness) | $100 | |
Maximum Days Payable per Year | 2 Days | |
Inpatient Surgery | $1,000 | |
Maximum Days Payable per Year | 1 Day | |
ADDITIONAL BENEFITS | Low | High |
Maternity | Included | Included |
Pre-existing Limitation | 6/6 | 6/6 |
THIS IS NOT MAJOR MEDICAL INSURANCE AND IS NOT A SUBSTITUTE FOR MAJOR MEDICAL INSURANCE. IT DOES NOT QUALIFY AS MINIMUM ESSENTIAL COVERAGE
(MEC) AS DEFINED BY THE FEDERAL AFFORDABLE CARE ACT (ACA).
This is not a complete disclosure of plan qualifications and limitations. Please review this information before applying for coverage. The amount of benefits provided depends
on the plan selected. Premiums vary according to the selection made.