HOSPITAL COPAY BASICS · HOSPITAL INDEMNITY
A little help with
the unexpected.
✦
START HERE
You don’t have to
learn it all today.
Medicare has different pieces. We’ll help you understand how they can fit together for you.
THE ESSENTIALS
Three things to know.
01
A defined cash benefit
The policy sets what it pays for a qualifying admission, day, or other covered event. Payment is not based on the full hospital bill.
02
Room for real-life costs
Benefits may help with hospital copays or everyday expenses while you recover. The benefit may be less than what you owe.
03
An extra layer of support
This is limited supplemental coverage. It does not replace comprehensive health Insurance or Medicare.
Benefits, eligibility, covered events, and limits vary by policy and location.
MAKE IT PERSONAL
Let’s talk about
what matters to you.
Your needs, your current coverage, and your budget are a good place to start.
QUESTIONS TO BRING
What would my current plan charge for a hospital stay?
Which hospital events qualify, and how much would a policy pay?
What limits, waiting periods, or exclusions should I understand?
GOOD TO KNOW
A few good questions.
Will it pay all of my hospital copays?
Not necessarily. A policy pays its stated benefit for qualifying events. Compare that benefit with your existing plan’s costs and the policy’s limits.
Does any visit to a hospital qualify?
No. An inpatient admission, an observation stay, and an emergency room visit may be treated differently. We’ll look at the policy’s definitions and covered events together.
A little more reading: CMS explanation of fixed indemnity coverage ↗ · Questions to ask about coverage from the NAIC ↗.