Hospital Indemnity Insurance | Aetna

Hospital Indemnity Insurance | Aetna

Hospital Indemnity Insurance

Helps you pay for out-of-pocket expenses that result from a hospitalization.

Here's what you need to know

The Aetna Hospital Indemnity Insurance plan provides you with a cash benefit you can use to help pay expenses when you have a covered inpatient hospital stay.¹

 

If you’ve ever been hospitalized, then you already know that your medical plan may not pay all of your medical expenses. Whatever remains is what you’ll be expected to pay on your own. Deductibles, copays, out-of-network charges, and other uncovered expenses can add up to big bills, even for a short hospital stay. 

 

That’s where the Hospital Indemnity Insurance Plan comes in handy. You can use the cash benefit you receive from this policy to help you cover not just bills related to your medical care, but any other expenses as well.

 

The Hospital Indemnity Plan:

  • Pays an admission benefit for the initial day you’re admitted to the hospital
  • Pays daily benefits for each day you have to stay in the hospital
  • Can be used for expectant mothers and families who are expecting a new baby to be born after the plan’s effective date
  • Helps cover out-of-pocket medical expenses associated with hospital stay
  • Pays benefits directly to you, letting you decide how to use the money 

 

You can collect this benefit in addition to whatever coverage you have, including your employer’s medical plan, any other type of medical coverage, disability coverage, or other benefits you may be eligible to collect. However, it is NOT a substitute for these coverages and does not meet minimum essential coverage as defined by federal law. 

Since you have the freedom and flexibility to choose how you spend your benefit payment, you can use it to help pay for anything you want. Even use it to help pay regular living expenses such as grocery bills, mortgage payments, childcare, and transportation – all of which could become a concern if you lose income while you’re in the hospital.

 

Instead of turning to your savings or taking on credit card debt to pay those medical bills, you can use the cash you receive from this policy to help pay them. That means less time spent worrying about money and more time spent focused on getting well again.

These are the periods when you can enroll in Hospital Indemnity Insurance:

 

  1. Within your new hire enrollment period
  2. If you have a qualifying life event (you get married, have a baby, etc.)
  3. During your employer’s annual enrollment

 

Check with your human resources/benefits team for specifics about these timeframes.

 

Keep in mind: If you enroll during these timeframes, you have what is called "guaranteed issue," which means you qualify for the Hospital Indemnity Insurance Plan without answering health questions. You must have the plan in place before you’re hospitalized to be eligible to collect the benefit when you need it.2

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

 

Benefit Summary

 

After you become a member, you’ll enjoy an Aetna Simplified Claims Experience™ on  MyAetnaSupplemental.com or on the My Aetna Supplemental app.

 

You can also view your coverage documents and sign up for direct deposit.

 

If you have questions or need a paper claim form call Aetna Member Services at 1-800-607-3366 (TTY: 711), Monday through Friday, 8 AM to 6 PM.

How It Works

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You enroll in the Hospital Indemnity Insurance 

Number two Hospital icon

After plan is in effect, you are hospitalized

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Receive a cash benefit

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Use your money however you want

You’re admitted to a hospital.

That’s when Hospital Indemnity Insurance comes in.

Because you have Hospital Indemnity Insurance, you get a cash payment you can use for any expenses you want – medical or not.

Frequently Asked Questions

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  • Who is the provider?

    Aetna

    With over 150 years of experience, Aetna is a leading innovator and a recognized leader in protection planning and retirement & savings solutions.

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  • When is a benefit paid under the plan?

    Once your plan is effective, you’ll receive benefits when you’re admitted to the hospital. See your disclosure statement or outline of coverage/disclosure document for full details on your coverage.
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  • Who in my family is eligible for this program?

    Members of your family who are considered eligible to enroll for coverage include:

    • You – if you are an active employee working 16+ hours per week
    • Your spouse – age 16 and older
    • Your child(ren) – under age 26
    • Family

     

    You must be enrolled in the Hospital Indemnity Insurance Plan for members of your family to also enroll.

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  • How much does coverage cost?

    This is a group plan offered at group rates, and everyone pays the same rate regardless of age, depending on the chosen plan. Refer to the policy documents for complete details. 
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  • Do I have to answer health questions or take a medical exam?

    No, you don’t. Your Hospital Indemnity Insurance Plan is guaranteed issue, which means no medical questions or tests are required to.
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  • What if my employment status changes?

    Good news! If you leave or retire from your current employer, you can continue your Hospital Indemnity Insurance without interruption (subject to applicable law and the policy’s terms and conditions). Although payroll deduction will no longer be available, you can opt for other payment methods such as credit card billing or home billing. 
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  • When would my coverage start?

    Coverage becomes effective for new members on the coverage effective date. Check with your HR team to determine when coverage begins for new hires and for qualifying life events.
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  • Am I really free to use the payment any way I choose?

    Yes, you are! There are no restrictions or requirements about how you can use your hospital indemnity benefit. You don’t even need to use it on expenses you incur while you’re IN the hospital – you can also use it for expenses after you’re discharged. You’re free to use this money on anything you choose, including out-of-pocket medical expenses and/or non-medical expenses such as regular monthly bills if you’re out of work. 

Are you ready To Enroll?

Act now to put the Hospital Indemnity Insurance in place to help offset expenses that may not be covered by other plans.

Do You Need Help?

Our team is ready

M-F 9a-6p ET

Phone Number: 1-866-795-4268