Hospital Indemnity Insurance

Here's what you need to know

What it does for you
Why it's important
When you can enroll

Hospital Indemnity Insurance pays a fixed daily benefit if you have a covered stay in a hospital on or after your coverage effective date. See the product brochure, certificate of coverage and any applicable riders for the definition of covered facilities, along with complete provisions, exclusions and limitations.

If you’ve ever been hospitalized, then you already know that your major medical insurance may not pay all of your medical expenses. Whatever remains is what you’ll be expected to pay on your own. Out-of-pocket deductibles, copays, out-of-network charges, and other uncovered expenses can add up.

You can use the paid benefit you receive from this coverage to help you pay for not just out of pocket expenses related to your medical care, but other expenses as well.

Pays a benefit directly to you to use however you want
It can help pay out-of-pocket expenses related to medical care associated with a covered accident or sickness
In addition to medical care, you may use it to pay for things like childcare, lodging, or over-the-counter medication

You can collect this benefit regardless of other coverage you have, including your employer’s major medical plan, any other type of medical coverage, disability insurance, or other benefits you may be eligible to collect. Hospital Confinement Indemnity Insurance is a limited benefit. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.

A hospital stay and the accompanying expenses can have an impact on your finances.

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.

These are the periods when you are eligible to enroll for Hospital Indemnity Insurance:

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

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

Keep in mind: Hospital Indemnity Insurance is guaranteed issue coverage which means no medical questions or tests are required to enroll. Pre-existing condition limitations may apply.

Who offers this coverage?

Voya Financial

Voya Financial, Inc. (NYSE: VOYA), is a leading health, wealth and investment company offering products, solutions and technologies that help its individual, workplace and institutional clients become well planned, well invested and well protected.

Hospital Indemnity Insurance is underwritten by ReliaStar Life Insurance Company (Minneapolis, MN), a member of the Voya® family of companies. Voya Employee Benefits is a division of ReliaStar Life Insurance Company.

When is a benefit paid under the plan?

Once your coverage is effective, Hospital Indemnity Insurance pays a daily fixed benefit if you have a covered stay in a hospital*, on or after your coverage effective date. The benefit amount is determined based on the type of facility and the number of days you stay.. The [admission and] daily confinement benefit amounts depend on the type of facility and the number of days of confinement. [Only one type of [confinement] [or] [admission] benefit is payable per day.] Any combination of confinement [and admission] benefits payable will not exceed a total of [30] days during a period of confinement. For a complete description of your available benefits, exclusions and limitations, see your certificate of insurance and any riders.

Who in my family is eligible for this program?
Members of your family who are considered eligible to enroll for insurance include:
- You – if you are an active employee
- Your legal spouse
- Your eligible dependent children
You must be enrolled in coverage for members of your family to also enroll.

How much does coverage cost?

Please refer to the enrollment materials or contact your employer for more information about rates.

Are there any exclusions or limitations?*
Benefits are not payable for any hospital-related condition that is contributed to, caused by or resulting from the following:
- Participation or attempt to participate in a felony or illegal activity.
- Operation of a motorized vehicle while intoxicated. Intoxication means your blood alcohol content meets or exceeds the legal presumption of intoxication under the laws of the state where the Accident occurred.
- Suicide, attempted suicide or any intentionally self-inflicted Injury, while sane or insane.
- War or any act of war, whether declared or undeclared (excluding acts of terrorism).
- Loss sustained while on active duty as a member of the armed forces of any nation. We will refund, upon written notice of such service, any premium which has been accepted for any period not covered as a result of this exclusion.
- Misuse of alcohol or taking of drugs, other than under the direction of a doctor.
- Elective surgery, except when required for appropriate care as determined by a Doctor as a result of your Injury or Sickness.
- Riding in or driving any motor-driven vehicle in a race, stunt show or speed test.
- Operating, or training to operate, or service as a crew member of, or jumping, parachuting or falling from, any aircraft or hot air balloon, including those which are not motor-driven. Flying as a fare-paying passenger is not excluded.
- Engaging in hang-gliding, bungee jumping, parachuting, sail gliding, parasailing, parakiting, kitesurfing or any similar activities.
- Practicing for, or participating in, any semi-professional or professional competitive athletic contests for which any type of compensation or remuneration is received.
* Exclusions and limitations may vary by state. Consult your certificate of insurance for exact language.

Do I have to answer health questions or take a medical exam?

No, you don’t. Your Hospital Indemnity Insurance is guaranteed issue, which means no medical questions or tests are required to enroll in this coverage. Pre-existing condition limitations may apply.

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 direct bank account deduction, credit card billing or home billing. Higher rates may apply.

When would my coverage start?

Coverage is effective on the 1st of the month after coverage is issued by the insurance company.

Am I really free to use the payment any way I choose?

Yes you are. There are no restrictions about how you can use a paid hospital indemnity benefit. You can use it for out of pocket expenses that you choose such as medical copays or deductibles, or other expenses such as groceries or childcare.

What are pre-existing conditions and are they covered?*

A pre-existing condition is a sickness, injury or physical condition for which you received medical treatment, consultation, care or services (including diagnostic measure) during the first 12 months** prior to your coverage effective date. For the first 12 months** after your coverage effective date or any increase in coverage, we will not pay benefits for a confinement resulting from a pre-existing condition. After the first 12 months** of coverage or any increase in coverage, benefits are payable for any eligible confinement even if resulting from a pre-existing condition.

* Definition and limitation/exclusion may vary by state.

Do You Need Help?

Our team is ready

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Phone Number: 1-855-546-5369

Email
customer.service@mercer.com

Carrier Disclaimers

This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of insurance and riders. All coverage is subject to the terms and conditions of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern. To keep coverage in force, premiums are payable up to the date of coverage termination. Hospital Confinement Indemnity Insurance is underwritten by ReliaStar Life Insurance Company (Minneapolis, MN), a member of the Voya® family of companies. Hospital Confinement Indemnity Insurance Policy form #RL-HI2-POL-18; Certificate form #RL-HI2-CERT2-24; Spouse Hospital Confinement Indemnity Rider form #RL-HI2-SPR2-24; Children's Hospital Confinement Indemnity Rider form #RL-HI2-CHR2-24; Continuation of Insurance Rider form #RL-HI2-CNT2-24; Diagnostic Test Benefit Rider form #RL-HI2-DGR2-24; Wellness Benefit Rider form #RL-HI2-WELL2-24; Accident Benefit Rider form #RL-HI2-ACD2-24; Critical Illness Rider form #RL-HI2-CIR2-24; Waiver of Premium Rider form #RL-HI2-WOP2-24; and Absence from Employment Premium Waiver form: #RL-HI2-AEPW2-24. Form numbers, provisions and availability may vary by state and employer's plan.

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Hospital Indemnity Insurance | Voya

Hospital Indemnity Insurance

Helps you pay for out-of-pocket expenses that result from a covered hospital stay.

Here's what you need to know

How It Works

You are admitted to the hospital.

You are admitted to the hospital.

That’s when Hospital Indemnity Insurance comes in.

Frequently Asked Questions

Are you ready To Enroll?