University Human Resources

Hospital Indemnity Insurance Benefit Summary

Overview

Insurance Provider: Lincoln Financial

Hospital indemnity insurance is a supplemental health product that provides cash benefits if you or a covered dependent visit a hospital or intensive care unit (ICU) due to a covered illness or injury. The benefits paid can be used for health insurance deductibles, transportation, childcare, or any other recovery expenses.

  • Eligibility: All Full-Time Employees
  • Contribution: Employee-paid coverage
  • Portability: Included (coverage can be portable if you leave your employer)
  • Preexisting Conditions: Not applicable

Benefit Schedule

Core Hospital Benefits

  • Hospital Admission: $1,000 per day for up to 4 days per calendar year (for initial day of admission due to sickness or injury).
  • Hospital Confinement: $200 per day for up to 30 days per calendar year, starting on day 2 of confinement.
  • Hospital ICU Admission: $2,000 per day for 1 day per calendar year (for initial day of ICU admission).
  • Hospital ICU Confinement: $400 per day for up to 30 days per calendar year, starting on day 2 of confinement.

Confinement & Special Care Benefits

  • Rehabilitation Facility: $100 per day for up to 30 days per calendar year.
  • Substance Abuse Treatment Facility: $100 per day for up to 30 days per calendar year.
  • Mental Disorder Treatment Facility: $100 per day for up to 30 days per calendar year.
  • Newborn Care: $500 per day for 1 day per calendar year (for routine postnatal care following birth).

Wellness Benefit

  • Health Assessment/Wellness: $50 annual cash benefit for each covered family member who completes a single covered exam, screening, or immunization.

Enhanced Newborn Benefits

  • Hospital NICU Admission: Increases the Hospital ICU Admission benefit by 25% for a newborn child's ICU or NICU admission.
  • Hospital NICU Confinement: Increases the Hospital ICU Confinement benefit by 25% for a newborn child's ICU or NICU confinement.

Rate Information

Coverage TierMonthly Premium
Employee Only$19.65
Employee + Spouse$41.97
Employee + Child(ren)$29.84
Employee + Family$54.33

Exclusions and Limitations

Note: Exceptions to exclusions apply when substance abuse and mental disorder benefits are selected. The policy may not cover treatment/events resulting from:

  • Suicide, attempted suicide, or intentionally self-inflicted injury (sane or insane).
  • Voluntary intake/use of drugs, poison, gas, or fumes, unless prescribed/administered by a physician and taken as instructed.
  • Committing or attempting to commit a felony.
  • War or act of war (declared or undeclared), riots, insurrections, rebellions, or acts of terrorism.
  • Military duty (including reserves or National Guard).
  • Aviation travel, except as a fare-paying passenger on a commercial flight or on a group policyholder aircraft under specified conditions.
  • Driving a vehicle while intoxicated.
  • Dental care/procedures (unless resulting from a covered event).
  • Experimental procedures.
  • Travel outside the U.S. and its possessions for the sole purpose of receiving medical care.
  • Participation in semi-professional or professional sports, or motor-driven vehicle racing/stunt shows.
  • Hazardous recreational activities (e.g., scuba diving, mountaineering, spelunking, bungee jumping, hang
    gliding, skydiving).
  • Being incarcerated in a penal or detention facility.
  • Residing outside the United States, U.S. Territories, Canada, or Mexico for more than 12 months.

Disclaimers & Contact Information

  • Policy Notes: This summary does not constitute a binding contract. Controlling provisions are detailed in the insurance policy and certificate of coverage.
  • Issuer: Group insurance products are issued by The Lincoln National Life Insurance Company (Fort Wayne, IN) or Lincoln Life & Annuity Company of New York (Syracuse, NY).
  • Website: LincolnFinancial.com