2020 211239 - Hospital Indemnity Plan Summary - 10.2019

Hospital Indemnity Insurance Plan Summary

HOSPITAL INDEMNITY INSURANCE BENEFITS With MetLife, you’ll have a comprehensive plan which provides payments in addition to any other insurance payments you may receive. Here are just some of the covered benefits/services, when an accident or illness puts you in the hospital. 1

MetLife Hospital Indemnity Insurance Pays YOU

Benefit Type 2

Hospital Coverage (Accident) Admission must occur within 180 days after the accident Confinement must occur within 180 days after the accident Inpatient Rehab stay must occur immediately following hospital confinement and occur within 365 days of accident

$1,000 per accident (non-ICU) $1,000 per accident (ICU)

$200 a day (non-ICU) for up to 31 days

$200 a day (ICU) for up to 31 days

$100 a day, up to 15 days per accident and 30 days per calendar year

Hospital Coverage (Sickness) 3

Admission Payable 1x per calendar year

$1,000 (non-ICU) $1,000 (ICU)

Confinement Paid per sickness

$200 a day (non-ICU) for up to 31 days

$200 a day (ICU) for up to 31 days

INSURANCE RATES MetLife offers competitive group rates and convenient payroll deduction so you don’t have to worry about writing a check or missing a payment! Your employee rates are outlined below.

Hospital Indemnity Insurance

Monthly Cost to You

Coverage Options

Plan

Employee

$13.54 $25.84 $24.50 $40.88

Employee & Spouse Employee & Child(ren)

Employee & Spouse/Child(ren)

ADF# HI681.14

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