Benefits are paid in a lump sum directly to you.
Daily Inpatient Hospital Confinement Benefit with Doctor Office visit ** (per hospital admission)
You may choose a daily inpatient benefit of either:
-
$100 a day
-
$200 a day
If you are confined in a hospital as a resident inpatient* We pay the daily inpatient
benefit you select up to 10 days per hospital confinement. (In Texas benefit is
limited to a maximum benefit period shown in your policy)
First Hospital Admissions (1 per year)
You may choose an admission benefit of either:
If you are admitted to a hospital as a resident inpatient* we pay the Hospital
Admission Benefit you selected.
This benefit is not payable for the treatment of Mental/Nervous
Disorders and Substance Abuse.
Optional Benefits
Outpatient Surgery Benefit *** (2 per year):
You may choose a daily benefit of either:
(refer to policy for limitations on this benefit)
For surgical services rendered in an Ambulatory Surgical Center or Outpatient Hospital
Facility, We pay the amount shown on the Schedule of Benefits for the Outpatient
surgery performed.
Emergency Accident Benefit (4 per year):
-
$250
If you sustain an injury which requires emergency care by a physician, We pay
the actual expenses incurred up to the amount per treatment you receive in a hospital
outpatient emergency room or urgent care facility. The treatment must be received within
72 hours of the injury.
* Confined as a resident inpatient means assigned to a hospital bed for an overnight
stay for medically necessary reasons resulting from injury or illness on the advice
of a physician
** A day is a 24 hour period where room and board is charged
*** Refer to policy for limitations on this benefit