Selling Hospital Indemnity Coverage To Medicare Clients

Customer Retention, General, Sales March 2, 2017 0
Selling Hospital Indemnity Medicare Clients | Senior Market Advisors

Now that AEP is well behind us, have you been speaking with clients about ancillary products? Selling hospital indemnity coverage is a good way to get back into meetings with clients, offering to check in, and introducing them to ancillary products, which will, in turn, build loyalty. You can sell these products to clients of any age at any time. Additionally, as long as ancillary products are disclosed under the scope of appointment, agents are free to discuss hospital indemnity insurance during a Medicare Advantage meeting.  

Senior citizens are living on a very fixed budget, and the most seemingly simple emergency room visit or standard injury can financially set patients back for months. Some patients may not realize the costs of hospital stays, and may not realize that they are not covered under their current insurance plans.

Hospital indemnity coverage is a reasonable, cost-effective way to prevent sky-high costs in the event of hospital stays. Most health insurance plans, including Original Medicare, will not provide enough funds to cover elongated stays. Hospital indemnity plans, however, can provide returns worth hundreds of dollars per night spent in the hospital. The limit on the number of nights spent varies. All of this can cost the consumer as little as $12 per month, and most carriers will accept patients with preexisting conditions. Clients with $0-premium Medicare Advantage plans with high deductibles will most benefit from Hospital Indemnity plans. They can receive just the right amount of additional coverage for very little cost.

One important note about hospital indemnity is that there may be waiting periods for benefits used towards illnesses, but accidental injuries most often do not include a waiting period.

The average cost for one day in a hospital varies both by U.S. state and by whether the hospital is for- profit, nonprofit, or government owned and ranges from $1500 – $3000 per day. The average length of a hospital stay for senior citizens is 5.5 days ). As far as total costs go, let’s remember that those numbers are before additional services, drugs, and procedures.


Clients will need to make a claim after their hospital visit, then they will directly receive a check for the predetermined cash value (per hospital day). For example, if the copay for a daily hospital stay is $400, that amount is still due, but a patient may receive a check for $250 in the mail directly from their indemnity insurance carrier.

Aside from indemnity checks, indemnity plans can include funds for laboratory and radiology tests, ambulance transportation, emergency room visits, outpatient surgeries, and even smaller expenses like hospital parking. Some plans even include post-hospital skilled nursing facilities, primary care doctor visits, and preventive care/wellness benefits. Checks sent to patients can be used to pay for any expense conjured from a hospital visit. Most plans send checks based on a predetermined cash value.

This month is a great time to start selling hospital indemnity plans. Start by revisiting with clients and explaining what hospital indemnity means. Ancillary plans are an excellent way to fill in some of the gaps that your client’s plans may not cover.

Anastasia Iliou
Anastasia Iliou
Content Marketing Manager at Senior Market Advisors
Anastasia graduated from Belmont University with a Bachelor's degree in Songwriting. When she's not writing, she's on a mission to visit all 50 states in the U.S (and to date has reached 27). Anastasia loves writing music, hiking, and her pet hedgehog, Luna. She loves animals (but not so much bugs) and spends her free time volunteering for The Elephant Sanctuary in Tennesee.