Hospital Indemnity Insurance
A hospitalization is often unexpected and can be expensive. With the average cost of a three-day stay at about $30,000,1 just a short hospitalization can leave you with substantial out-of-pocket costs—even if you have a robust Health insurance plan.
IMPORTANT: This is a fixed indemnity policy,
NOT health insurance
This fixed indemnity policy may pay you a limited dollar amount if you’re sick or hospitalized. You’re still responsible for paying the cost of your care.
-
The payment you get isn’t based on the size of your medical bill.
-
There might be a limit on how much this policy will pay each year.
-
This policy isn’t a substitute for comprehensive health insurance.
-
Since this policy isn’t health insurance, it doesn’t have to include most Federal consumer protections that apply to health insurance.
Looking for comprehensive health insurance?
-
Visit HealthCare.gov or call 1-800-318-2596 (TTY: 1-855-889-4325) to find health coverage options.
-
To find out if you can get health insurance through your job, or a family member’s job, contact the employer.
Questions about this policy?
-
For questions or complaints about this policy, contact your State Department of Insurance. Find their number on the National Association of Insurance Commissioners’ website (naic.org) under “Insurance Departments.”
-
If you have this policy through your job, or a family member’s job, contact the employer.
Highlights
Hospital indemnity (HI) insurance, issued by The Prudential Insurance Company of America, can help cover the costs of a hospital admission and stay that may not be covered by other insurance. It pays a lump-sum that you can use for both medical and non-medical expenses that accompany a hospitalization.
HI insurance:
- provides cash benefits for hospital admissions and hospital stays
- can help cover out-of-pocket costs like copays, deductibles, and more
- pays you directly, so you decide how benefits are spent
- is guaranteed—there are no medical questions or exams
HI insurance is designed to be used with—but not as a replacement for—your major medical insurance. You must have ACA-compliant health insurance to enroll.
1 “Why Health Insurance is Important—Protection from High Medical Costs,” healthcare.gov, 2022.
Frequently Asked Questions
Why Hospital Indemnity insurance?
HI insurance is for people who already have Health insurance, especially those with high deductible plans. It can help pay for medical copays, deductibles and everyday living expenses.
What is covered?
HI insurance pays benefits if you’re admitted or confined to a hospital:
- Hospital Admission Benefit: $1,000
- Daily In-Hospital Stays: $150 per day (up to 30 days per stay)
- ICU Admission Benefit: $1,000*
- Daily UCU Stays: $300 per day (up to 30 days per stay)
*When admitted to the ICU, this benefit is paid in addition to the Hospital Admission Benefit.
For more details, read the Hospital Indemnity Plan Highlights and How This Plan Works
Who is eligible?
You must be under age 65 when you enroll, and dependent children must be under age 27. Coverage can continue to age 80.
What are the monthly premiums?
See Hospital Indemnity Insurance Plan Highlights for monthly premiums.
How do I receive my benefits?
You’ll submit one claim form per hospital stay, no matter how many services are received. Cash benefits are paid directly to you as a lump sum once your claim is approved.
Carrier
For more than 145 years, Prudential Financial has delivered on their promises to customers and earned recognition as one of the world’s most admired companies. For information on Prudential’s financial strength, click here to leave this site and visit Prudential’s.
Claims
If you need to file a claim, please call us at 973-774-7221.
This site may contain marketing language, on products issued by The Prudential Insurance Company of America, that has not yet been approved in all states.
The products issued by The Prudential Insurance Company of America may not be available in all states.
Not for residents of New Mexico
Not for use in New Mexico
This coverage is not health insurance coverage (often referred to as “Major Medical Coverage”).
This type of plan is NOT considered “minimum essential coverage” under the Affordable Care Act and therefore does NOT satisfy the individual mandate that you have health insurance coverage.
Hospital Indemnity insurance coverage is a limited benefit policy issued by The Prudential Insurance Company Hospital Indemnity insurance coverage is a limited benefit policy issued by The Prudential Insurance Company of America, a Prudential Financial company, Newark, NJ. Prudential’s Hospital Indemnity Insurance is not a substitute for medical coverage that provides benefits for medical treatment, including hospital, surgical, and medical expenses, and it does not provide reimbursement for such expenses. The Booklet-Certificate contains all details, including any policy exclusions, limitations, and restrictions, which may apply. If there is a discrepancy between this document and the Booklet-Certificate/Group Contract issued by The Prudential Insurance Company of America, the Group Contract will govern. Please contact Prudential for more information. Contract provisions may vary by state. Contract Series: 83500.
1065251-00001-00