Hospital Indemnity
Insurance
Hospital Indemnity Insurance offers financial protection by paying a cash benefit if you or an insured dependent are hospitalized.
This coverage supplements your medical insurance and helps offset costs associated with a hospital stay. You can use the cash benefit to cover:
- Out-of-pocket medical expenses
- Daily living costs
- Unpaid time off from work
Coverage Guidelines &
Benefits
Hospital Admission & Confinement
Admission benefits are payable up to a combined total of 1 day per policy year and are not payable on the same day; Confinement benefits are payable up to a combined total of 30 days per policy year unless otherwise noted and are not payable on the same day as Hospital/ICU admission benefits.
| Benefit | Amount |
|---|---|
| Hospital Admission | $1,000 per admission |
| Daily Hospital Confinement | $100 per day |
| ICU Admission | $2,000 per admission |
| Daily ICU Confinement | $200 per day |
| Daily Newborn Nursery Care Confinement (Up to 2 days per policy year) | $75 per day |
Additional Benefits
| Benefit | Amount |
|---|---|
| Health Screening Benefit (1 time per insured per calendar year;up to 6 per family per calendar year) | $100 |
| Express Benefits (1 benefit per hospital admission) | $100 |
Hearing Discount Program
The Hearing Discount program provides you and your family discounted hearing products, including hearing aids and batteries. Call 1-888-534-1747 or visit www.amplifonusa.com/mutualofomana to learn more.
Coverage Cost
Per Paycheck
| Coverage Level | Cost per Paycheck |
|---|---|
| Employee Only | $9.41 |
| Employee + Spouse | $21.63 |
| Employee + Child(ren) | $13.25 |
| Family | $26.49 |
💡Tips
- Hospital stays for childbirth are covered.
- You’ll also receive a $100 annual wellness reimbursement per covered person for completing a preventive care visit.