➤ What does hospital indemnity insurance cover?
Hospital indemnity insurance pays a fixed cash benefit when you have a covered hospital stay. Most policies pay an admission benefit, a daily benefit for each day you are confined, or both. Depending on the plan, benefits may also be available for intensive care, observation stays, outpatient surgery, ambulance rides or skilled nursing care.
➤ Does hospital indemnity insurance pay if Medicare already paid the hospital?
Yes. Hospital indemnity benefits are paid directly to you based on the covered stay itself, not on the hospital bill. The policy pays its set benefit even when Medicare, a Medicare Advantage plan or other insurance has already paid its share.
➤ Is hospital indemnity insurance worth it with a Medicare Advantage plan?
For many Medicare Advantage members it can be. Many Medicare Advantage plans charge a daily copay for the first several days of an inpatient stay, and those copays count toward an out-of-pocket maximum that can reach several thousand dollars. A hospital indemnity plan with a daily benefit close to your plan’s hospital copay can offset much of that cost.
➤ Do I need hospital indemnity insurance if I have a Medicare Supplement plan?
Most Medicare Supplement plans, including Plan G and Plan N, already cover the Part A hospital deductible and coinsurance, so the medical gap is smaller. Hospital indemnity insurance can still be useful as extra cash for travel, home help and household bills during recovery, or for people with high-deductible or cost-sharing Medigap plans.
➤ How much does hospital indemnity insurance cost?
Premiums depend on your age, your state, the benefit amounts you choose, the number of days covered, any riders you add and the insurance company. Because pricing varies so widely, the most accurate way to see your cost is to request free quotes and compare plans side by side.
➤ Can I buy hospital indemnity insurance any time of year?
In most cases, yes. Hospital indemnity insurance is not a Medicare plan, so it is not limited to the Medicare Annual Enrollment Period. Many policies can be purchased year-round, though insurers may ask health questions and some apply waiting periods for pre-existing conditions.
➤ Are hospital indemnity insurance benefits taxable?
Benefits from a hospital indemnity policy you pay for with after-tax dollars are generally not considered taxable income. Rules can differ for policies paid with pre-tax dollars through an employer, so check with a tax professional about your situation.
➤ Is there a waiting period for hospital indemnity insurance?
Some policies have a waiting period before certain benefits begin, and many limit benefits for pre-existing conditions during the first months of coverage. Review the waiting period and pre-existing condition rules in any policy before you apply.