Hospital and Convalescent Care

Hospital coverage

• 95% reimbursement of the daily semi-private room rate
• Private room charges are reimbursed based on the regular semi-private room rate

Convalescent facility and home care coverage

• Covers up to 30 days per calendar year combined facility and home care
• 80% reimbursement to a maximum of $75 per day after a hospital stay of at least 24 hours
• Approved temporary stay in a convalescent care facility for the continued care of the same condition for which you were hospitalized
• Up to three days of home care following day surgery to a maximum of $75/day
• Someone without professional skills or training may provide convalescent home care provided they’re working under the supervision of a licensed home care agency or a home health care agency
• The days of home care don’t need to be consecutive, but they must take place within 90 days of the date of discharge from the hospital