Supplemental Medical
Supplemental Medical
Just as it sounds, Supplemental Medical plans can help you pay for costs you may incur after an accidental injury, illness or hospitalization. These plans are 100% voluntary programs you can elect.
You may supplement your Medical and Life/AD&D insurance coverages with Voluntary Accident, Critical Illness and/or Hospital Indemnity Insurance. You elect these benefits in the ADP benefits enrollment system and will have the cost deducted from your paycheck. Voya is the insurance provider and will provide you with a lump-sum payment if you or your enrolled family members experience a covered accident-related injury, sever illness or qualified hospital visit.
These Supplemental Medical policies also provide you a pay-out for several types of annual wellness screenings, including an annual exam. Even more reason to schedule your preventive visit each year.
Accident Insurance
Accidents can happen at anytime, anywhere — and always when you least expect them.
Accident Insurance provides a lump-sum payment if you or your enrolled family members are injured in an accident. You can use the money however you wish, whether it’s to help pay medical expenses or just daily living expenses.
Accident insurance covers qualifying injuries, which might include a broken limb, loss of a limb, burns, lacerations or paralysis. In the event of your accidental death, Accident insurance pays out money to your designated beneficiary. While health insurance companies pay your provider or facility, Accident insurance pays you directly.
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How the Plan Works
Accident insurance policies can provide you with a lump sum paid directly to you that will help pay for a wide range of situations, including initial care, surgery, transportation and lodging, and follow-up care. Here’s how it works:
- A set amount is payable based on the injury you suffer and the treatment you receive.
- Benefits are payable directly to you (unless you specify otherwise) and can be used as you see fit.
- Coverage is available for you, your spouse and eligible dependent children.
- You do not need to answer medical questions or have a physical exam to get basic coverage.
- Accident insurance covers injuries that happen on the job or off the job — unlike workers’ compensation, which only covers on-the-job injuries.
- Benefit payments are not reduced by any other insurance you may have with other companies
Examples of covered services include:
- Emergency Room
- Hospitalization
- Doctor’s visits
Additional benefits available for certain injuries such as:
- Dislocations
- Fractures
- Burns
- Lacerations
Critical Illness Insurance
While Medical insurance is vital, it doesn’t cover everything. If you suffer from a serious illness, such as cancer, stroke or a heart attack, Medical insurance may not provide the coverage you need. Critical Illness insurance can ease the financial strain and help you focus on your recovery.
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How Will a Critical Illness Claim Get Paid?
After purchasing Critical Illness insurance, if you suffer from one of the serious illnesses covered by your policy, you’ll be paid in a lump sum. The payment will go directly to you instead of to a medical provider. You can qualify for coverage without having to answer any health questions.
Examples of major conditions that are covered under this policy:
- Cancer
- Heart attack
- Stroke
- Major organ failure
- End-stage renal (kidney) failure
- Alzheimer’s diseases
The payment you receive can be used for many things including:
- Child care costs
- Medical expenses
- Travel expenses for you and your family
- Lost wages from missed time at work
- Living expenses
Hospital Indemnity Insurance
Hospital Indemnity insurance is a plan designed to pay for the costs of a hospital admission that may not be covered by other insurance. The plan covers employees who are admitted to a hospital or ICU for a covered sickness or injury. Even if your medical insurance covers most of your hospitalization, you can still receive payments from your Hospital Indemnity insurance plan to cover extra expenses while you recover.
Being hospitalized is often unexpected and costly, but Hospital Indemnity Insurance from Voya can provide you with some financial protection and peace of mind. Hospital Indemnity Insurance provides you and your covered dependents with a lump-sum payment if you’re hospitalized as the result of a serious accident or illness, or as part of a routine newborn child delivery.
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How Does Hospital Indemnity Insurance Work?
You pay monthly premiums for your Hospital Indemnity insurance plan. If you are admitted to the hospital for an injury or illness, your Hospital Indemnity plan makes cash payments to you. And with the payments going directly to you, you can use these emergency funds to pay for costs not covered by your Medical insurance, Medical insurance deductibles, copays and coinsurance, child care expenses while you are in the hospital, or cost-of-living expenses as you recover.
The payout amount does not depend on the amount of your hospital charges or other insurance coverage and benefits you may have. However, the benefit payout you receive varies based on the length and type of hospital care you receive—see the plan benefit summary for more details.
IMPORTANT: Hospital indemnity insurance is a fixed indemnity policy, not health insurance
The 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.