Unified Fire Authority 2024-2025 Employee Benefit Guide | Page 40

Unified Fire Authority
Hospital Indemnity
Insured by Aflac
The Hospital Indemnity Plan provides financial assistance to enhance your current coverage . So you may be able to avoid dipping into savings or having to borrow to address out-of-pocket-expenses major medical insurance was never intended to cover . Like transportation and meals for family members , help with child care , or time away from work , for instance .
Benefits Overview
Hospital Admission ( per confinement ) Payable when an insured is admitted to a hospital and confined as an in-patient because of a covered accidental injury or covered sickness . We will not pay benefits for confinement to an observation unit , or for emergency room treatment or outpatient treatment .
Hospital Confinement ( per day ) Payable for each day that an insured is confined to a hospital as an inpatient as the result of a covered accidental injury or covered sickness . If we pay benefits for confinement and the insured becomes confined again within six months because of the same or related condition , we will treat this confinement as the same period of confinement . This benefit is payable for only one hospital confinement at a time even if caused by more than one covered accidental injury , more than one covered sickness , or a covered accidental injury and a covered sickness .
Hospital Intensive Care Benefit Payable for each day when an insured is confined in a Hospital Intensive Care Unit because of a covered accidental injury or covered sickness . We will pay benefits for only one confinement in a Hospital ’ s Intensive Care Unit at a time . Once benefits are paid , if an insured becomes confined to a Hospital ’ s Intensive Care Unit again within six months because of the same or related condition , we will treat this confinement as the same period of confinement . This benefit is payable in addition to the Hospital Confinement Benefit .
Intermediate Intensive Care Step-Down Unit Payable for each day when an insured is confined in an Intermediate Intensive Care Step-Down Unit because of a covered accidental injury or covered sickness . We will pay benefits for only one confinement in an Intermediate Intensive Care Step-Down Unit at a time . Once benefits are paid , if an insured becomes confined to a Hospital ’ s Intermediate Intensive Care Step-Down Unit again within six months because of the same or related condition , we will treat this confinement as the same period of confinement . This benefit is payable in addition to the Hospital Confinement Benefit .
Benefit Amount
Once per covered sickness or accident per calendar year for $ 1,250 each insured
Maximum of 31 days per confinement for each covered sickness or accident for $ 250 each insured
Maximum of 10 days per confinement for each covered sickness $ 250 or accident for each insured
Maximum of 10 days per confinement for each $ 75 covered sickness or accident for each insured
Health Screening Benefit $ 50
Premium Rates Monthly Premiums
Coverage
Premium Employee $ 22.48 Employee and Spouse $ 41.06 Employee and Child ( ren ) $ 33.56 Family $ 52.14
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