Metlife- Hospital Indemnity

Subcategory Benefit Limits
(Applies to Subcategory)		 Benefit Low Plan High Plan
Hospital Benefits
Admission Benefit 4 time(s) per calendar year* Admission $500 $1,000
ICU Supplemental Admission (Benefit paid concurrently with the admission benefit when a Covered person is admitted to ICU) $500 $1,000
Confinement Benefit 15 days per calendar year ICU Supplemental Confinement will pay an additional benefit for 15 of those days Confinement* $100 $100
ICU Supplemental Confinement (Benefit paid concurrently with the admission benefit when a Covered person is admitted to ICU) $65 $65
  • No Limitation on Pre Existing conditions
  • Benefit Paid Directly- No Coordination of Benefits
  • Pregnancy is Covered, NO WAITING PERIOD
  • Treatment for Drugs and Alcohol or the result of are NOT COVERED
  • Benefit Reduction by 25% at age 65-69, 50% at age 70 or older

Proposed Rates - Low Plan

Type Monthly
Employee Only $5.06
Employee + Spouse $11.06
Employee + Children $8.44
Employee + Spouse & Children $14.42

Proposed Rates - High Plan

Type Monthly
Employee Only $8.35
Employee + Spouse $18.27
Employee + Children $13.61
Employee + Spouse & Children $23.53

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