Latest Hospital Indemnity enhancements offer robust benefits
Now featuring newborn baby care and mental health/substance use treatment daily benefits
May 01, 2024
Whether a trip to the hospital* is unexpected — or expected, like having a baby — Hospital Indemnity Insurance can help employees cover out-of-pocket health care costs. To better support employees during what can be stressful life moments, we have further enhanced our Hospital Indemnity Insurance coverage to help address the well-being of the whole person. New benefits and features include expanded daily benefits for newborn babies and mental health and substance use care.
Newborn babies
Both routine and non-routine daily and admission benefits will be available for newborns beginning on the date of their birth — and employers can choose from variable levels of newborn baby coverage. A new mom may not be thinking about Hospital Indemnity Insurance in the month after giving birth. So, we provide automatic hospital and critical care unit admission and confinement benefits for newborn babies in the first 30 days — even if the employee is the only one enrolled. (Only one type of benefit is payable per day.) The newborn is then enrolled for the offered child coverage during the Qualified Life Event (QLE) period. In addition, there are no pre-existing or pregnancy exclusions.
Mental health and substance use treatment
There are no mental health-related exclusions in our base coverage — and daily benefits for mental health and substance use inpatient care within a hospital or rehabilitation facility are now a standard offering. In addition, outpatient rehabilitation facility daily benefits are available due to sickness, injury, substance use and mental health conditions.
Other new benefits and features
Besides new and improved contract language to simplify claims processing, employers can choose to offer their employees: Absence From Employment Premium Waiver (AEPW), HealthChampion® Plus advocacy support and Voya Travel Assistance services.
Additional new benefits and features include, but are not limited to:
- Unlimited admissions per confinement type
- “Elective surgery” exclusion changed to “cosmetic surgery” to enable benefits for insured donors for live organ donation
- Decrease in number of days between confinements for the same or related condition
- Optional mobile urgent care center coverage for non-life-threatening events or injuries
- Covering birthing centers that meet the definition of a hospital
More about our Hospital Indemnity Insurance
Our Hospital Indemnity Insurance is guaranteed issue and employers can create a customized benefit program by selecting the optional benefits and benefit level that works best for their employee group. Benefit types and amounts are determined by the plan selected and the care received. And with flexible plan design, organizations can decide how premiums will be paid (by employer, employee or a hybrid), as well as adjust benefits as deductibles and out-of-pocket maximums change.
Designed to pay a daily benefit for a covered stay in a hospital, critical care unit (CCU) or rehabilitation facility, paid Hospital Indemnity benefits can be used for any purpose, including out-of-pocket medical costs, unplanned expenses, non-medical bills — even everyday expenses like gas or groceries. Hospital Confinement Indemnity Insurance is a limited benefit policy. It is not health insurance and does not satisfy the requirement of minimum essential coverage under the Affordable Care Act.
Contact your Voya representative today to learn more about our Hospital Indemnity Insurance and how we can help you empathetically support your employees.
- “Which babies need care in the NICU?” Oakbend Medical Center, oakbendmedcenter.org, 2023.
- “Drug Abuse Statistics.” National Center for Drug Abuse Statistics (NCDAS), drugabusestatistics.org, 2023
*The definition of “hospital” does not include an institution or any part of an institution used as: a hospice unit, including any bed designated as a hospice or swing bed; a convalescent home; a rest or nursing facility; a free-standing surgical center; an extended care facility; a skilled nursing facility; or a facility primarily affording custodial, educational care, or care for the aged; [or care or treatment for persons suffering from mental diseases or disorders or drug or alcohol addiction. “Critical care unit” and “rehabilitation facility” are also defined in the certificate. See the certificate and any riders for a complete description of benefits, exclusions and limitations.
Voya Travel Assistance services are provided by International Medical Group, Inc. (IMG), Indianapolis, IN. Provisions and availability may vary by state.
HealthChampion® Plus services are provided by ComPsych® Corporation, Chicago, IL. Provisions and availability may vary by state.
As of April 1, 2024, new features and provisions are pending state and regulatory approvals and may change or vary by state.
There may be pre-existing condition limitations for any confinement or other covered loss resulting from a pre-existing condition.
There may be exclusions that apply for any confinement or other covered loss that is contributed to, caused by or results from exclusions shown in the certificate of coverage and any riders.
See the product brochure, certificate of coverage and any applicable riders for the definition of covered facilities, along with complete provisions, exclusions and limitations.
This is a summary of benefits only. A complete description of benefits, limitations, exclusions and termination of coverage will be provided in the certificate of insurance and riders. All coverage is subject to the terms and conditions of the group policy. If there is any discrepancy between this document and the group policy documents, the policy documents will govern. To keep coverage in force, premiums are payable up to the date of coverage termination. Hospital Confinement Indemnity Insurance is underwritten by ReliaStar Life Insurance Company (Minneapolis, MN), a member of the Voya® family of companies. Policy form RL-HI2-POL-18; Certificate form RL-HI2-CERT2-24; Spouse Hospital Confinement Indemnity Rider form RL-HI2-SPR2-24; Children’s Hospital Confinement Indemnity Rider form RL-HI2-CHR2-24; Wellness Benefit Rider form RL-HI2-WELL2-24; Diagnostic Test Benefit Rider form RL-HI2-DGR2-24; Accident Benefit Rider form RL-HI2-ACD2-24; Critical Illness Rider form RL-HI2-CIR2-24; Waiver of Premium Rider form RL-HI2-WOP2-24. Continuation of Insurance Rider form: RL-HI2-CNT2-24; Absence from Employment Premium Waiver form: RL-HI2-AEPW-24. Form numbers, provisions and availability may vary by state.
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