Hospital Indemnity Insurance

Basics

Visits and stays at a hospital can be costly. With an average cost of $10,000 per stay in 2011 in the U.S.,1 it's easy to see why having hospital indemnity insurance makes good financial sense.

MetLife offers Hospital Indemnity Insurance that can complement your medical coverage by helping to ease the financial impact of a hospitalization. It provides a lump sum payment that can be used for hospital admission, accident-related inpatient rehabilitation and hospital stays or any other expenses that you incur.2

1 Healthcare Cost and Utilization Project, Agency for Healthcare Research Quality, December 2013.

2 Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See your Disclosure Statement or Outline of Coverage/Disclosure Document for full details.

Covered Benefits and Features

This is an overview of a sample MetLife Hospital Indemnity plan. Plan design and plan benefits may vary. See your Disclosure Statement or Outline of Coverage/Disclosure Document for full details.

Hospital Benefit - related to an Accident

  • Admission
  • Confinement
  • Inpatient Rehab (paid per accident)

Intensive Care Unit Benefit - related to an Accident

  • Admission
  • Confinement

Hospital Benefit - related to a Sickness3

  • Admission
  • Confinement

Intensive Care Unit Benefit - related to a Sickness3

  • Admission
  • Confinement

Additional Benefits

  • Lodging - This benefit is provided for a companion accompanying a covered insured while hospitalized. This benefit may be paid for up to 30 nights per calendar year. The lodging facility must be located within 50 miles from the covered person's primary residence.
  • Health Screening (Wellness)3 - This benefit is provided if the covered insured takes one of the covered screening/prevention tests. It is payable 1 time per calendar year.

This insurance offers:

  • Guaranteed acceptance for you and your eligible family members5
  • Competitive group rates
  • Convenience of payroll deduction helps ensure continuous, worry-free coverage
  • Portable coverage if your employment status changes

If you would like to know more about Hospital Indemnity Insurance or have specific questions about your coverage and options, please contact your company's benefits administrator.

Frequently Asked Questions

You are eligible to enroll yourself and your eligible family members such as spouse/domestic partner and dependent children. You just need to enroll during your Enrollment Period and be actively at work for coverage to be effective. Dependents to be enrolled may not be subject to a medical restriction as set forth in the Certificate. Some states require the insured to have medical coverage.

Even quality medical plans can leave you with unexpected expenses to pay when you are hospitalized. Costs like plan deductibles, co-pays and co-insurance for doctor and emergency room care, testing and supplies, and extra costs for out-of-network care may not be covered. Many people aren't financially prepared to handle these extra costs. Having extra financial support if the time comes may mean less worry for you and your family, and give you the ability to protect your savings.

No. Your Hospital Indemnity Insurance is guaranteed issue, which means your acceptance is guaranteed, provided you enroll during the Enrollment Period and are actively at work and dependents to be covered are not under a medical restriction as set forth in the Certificate.7 Some states require the insured to have medical coverage.

Premiums will be conveniently paid through payroll deduction, so you don't have to worry about writing a check or missing a payment.

Payments will be paid directly to you,6 not to the doctors, hospitals or other health care providers. You will receive a check, payable to you, for maximum convenience. There is no coordination of benefits with any other insurance you may have.

Yes. This coverage is "portable," meaning you can take it with you if your employment status changes. Your coverage will only end if you stop paying your premium or if your current employer chooses to terminate the Group Hospital Indemnity Insurance Policy.

Yes. Once all required information is received, claims are generally processed within 10 business days. Only one claim form is needed per admission or hospital stay and every claim is reviewed by a claims professional.

1 Hospital does not include certain facilities such as nursing homes, convalescent care or extended care facilities. See your Disclosure Statement or Outline of Coverage/Disclosure Document for full details.

2 Statistical Brief #146, Healthcare Cost and Utilization Project, Agency for Healthcare Research Quality, 2013.

3 There is a preexisting exclusion for Hospital Sickness benefits in all states.

4 The Health Screening Benefit is not available in all states. In most states where the benefit is available there is a 30 day waiting period for the Health Screening Benefit.

5 Coverage is guaranteed provided (1) the employee is actively at work and (2) dependents to be covered are not subject to medical restrictions as set forth in the Certificate. Some states require the insured to have medical coverage.

6 An assignment of benefits to a hospital or other health care facility will be available when required by applicable law.

7Coverage is guaranteed provided (a) the employee is actively at work and (b) dependents are not subject to medical restrictions as set forth on the enrollment form and in the Certificate. Some states require the insured to have medical coverage. Additional restrictions apply to dependents serving in the armed forces or living overseas.

METLIFE'S HOSPITAL INDEMNITY INSURANCE IS A LIMITED BENEFIT GROUP INSURANCE POLICY. The policy is not intended to be a substitute for medical coverage. The policy or its provisions may vary or be unavailable in some states. There is a preexisting condition exclusion for hospital sickness benefits. There are benefit reductions that begin at age 65. Like most group accident and health insurance policies, polices offered by MetLife may include waiting periods and contain certain exclusions, limitations and terms for keeping them in force. For complete details of coverage and availability, please refer to the group policy form GPNP12-AX or GPNP12-HI or contact MetLife. Benefits are underwritten by Metropolitan Life Insurance Company, New York, New York. In certain states, availability of MetLife’s Group Hospital Indemnity Insurance is pending regulatory approval.

ADF# HI604.14