Hospital Indemnity Policy for CFers

julie · Mar 31, 2011

Lauren, hospital indemnity and sickness/accident policies are the same thing. Combined insurance's policy that I'm referring to is the same as Aflac's, only Aflac no longer covers Cfers (you can't get a NEW policy now, if you are already covered, by law they cannot terminate your coverage).

There is NOTHING with combined in my state that says you can't get benefits while on disability.

To answer your question honestly... yes, I think you are being ignorantly optimistic. There is likely going to come a time when your doctor feels that your needs and recovery would be better treated in a hospital. The thing is, I think it's only a matter of years, if not months, before Combined insurance has CF as an exclusion, just life AFLAC did 2 years ago. I've never heard of anyone getting a "home hospitalization" paid for, but there's a first for everything. Just my thoughts though

julie · Mar 31, 2011

Lauren, hospital indemnity and sickness/accident policies are the same thing. Combined insurance's policy that I'm referring to is the same as Aflac's, only Aflac no longer covers Cfers (you can't get a NEW policy now, if you are already covered, by law they cannot terminate your coverage).
 
 There is NOTHING with combined in my state that says you can't get benefits while on disability.
 
 To answer your question honestly... yes, I think you are being ignorantly optimistic. There is likely going to come a time when your doctor feels that your needs and recovery would be better treated in a hospital. The thing is, I think it's only a matter of years, if not months, before Combined insurance has CF as an exclusion, just life AFLAC did 2 years ago. I've never heard of anyone getting a "home hospitalization" paid for, but there's a first for everything. Just my thoughts though

zoe4life · Mar 31, 2011

Our agent is coming to the house tonight...I'll try to get some answers on some of the questions...but like Julie said, I believe it varies from state to state. A couple of things I forgot to mention are:
Our quotes were on the adults being between the ages of 40-44, if we wait until one of us turns 45, the rate goes up $30.00 a month!!
Also, the policy price is LOCKED in...it will NEVER increase.
They also pay for traveling and hotel expenses if your hospital is 100 miles or more from your home.

I personally think, like Julie, if you or yours has CF, none of the other conditions, you owe it to yourself to get a quote in your state. I believe also, that they will exclude CF'ers soon. My friend called Allstate to check on theirs the other day, CF is an automatic deny. I think Combined is the only still writing these types of policies to Cf'ers.

zoe4life · Mar 31, 2011

Our agent is coming to the house tonight...I'll try to get some answers on some of the questions...but like Julie said, I believe it varies from state to state. A couple of things I forgot to mention are:
Our quotes were on the adults being between the ages of 40-44, if we wait until one of us turns 45, the rate goes up $30.00 a month!!
Also, the policy price is LOCKED in...it will NEVER increase.
They also pay for traveling and hotel expenses if your hospital is 100 miles or more from your home.

I personally think, like Julie, if you or yours has CF, none of the other conditions, you owe it to yourself to get a quote in your state. I believe also, that they will exclude CF'ers soon. My friend called Allstate to check on theirs the other day, CF is an automatic deny. I think Combined is the only still writing these types of policies to Cf'ers.

zoe4life · Mar 31, 2011

Our agent is coming to the house tonight...I'll try to get some answers on some of the questions...but like Julie said, I believe it varies from state to state. A couple of things I forgot to mention are:
 Our quotes were on the adults being between the ages of 40-44, if we wait until one of us turns 45, the rate goes up $30.00 a month!!
 Also, the policy price is LOCKED in...it will NEVER increase.
 They also pay for traveling and hotel expenses if your hospital is 100 miles or more from your home.
 
 I personally think, like Julie, if you or yours has CF, none of the other conditions, you owe it to yourself to get a quote in your state. I believe also, that they will exclude CF'ers soon. My friend called Allstate to check on theirs the other day, CF is an automatic deny. I think Combined is the only still writing these types of policies to Cf'ers.

LouLou · Mar 31, 2011

my sickness/accident insurance is purely based on time away from work due to a sickness or an accident. I have to have doctor's and works signatures to get paid out. After one is considered disabled they can't be paid because I'm no longer making a wage. The amount I get per day of sickness or accident (injury) is purely based on my income when I applied. And the rate I pay is based on the fact that I have a 7 day exlusionary period and that I wanted it to pay for up to 6 months.

At the time I recall seeing a hospital indemnity policy which required I be hospitalized. At the time I did not see a fit. I believe I will contact first Aflac and see if they will offer me a hospital indemnity policy and what the cost would be per month since I am already a customer.

Also, the comment about the money not being taxed. This is true if the policy is paid with income after taxes. Be careful if the premiums are deducted from your paycheck. Don't let them pull it out before taxes because then if you ever get paid out the settlment will have to be taxed. It's better to pay taxes on the premiums than the settlement!

LouLou · Mar 31, 2011

my sickness/accident insurance is purely based on time away from work due to a sickness or an accident. I have to have doctor's and works signatures to get paid out. After one is considered disabled they can't be paid because I'm no longer making a wage. The amount I get per day of sickness or accident (injury) is purely based on my income when I applied. And the rate I pay is based on the fact that I have a 7 day exlusionary period and that I wanted it to pay for up to 6 months.

At the time I recall seeing a hospital indemnity policy which required I be hospitalized. At the time I did not see a fit. I believe I will contact first Aflac and see if they will offer me a hospital indemnity policy and what the cost would be per month since I am already a customer.

Also, the comment about the money not being taxed. This is true if the policy is paid with income after taxes. Be careful if the premiums are deducted from your paycheck. Don't let them pull it out before taxes because then if you ever get paid out the settlment will have to be taxed. It's better to pay taxes on the premiums than the settlement!

LouLou · Mar 31, 2011

my sickness/accident insurance is purely based on time away from work due to a sickness or an accident. I have to have doctor's and works signatures to get paid out. After one is considered disabled they can't be paid because I'm no longer making a wage. The amount I get per day of sickness or accident (injury) is purely based on my income when I applied. And the rate I pay is based on the fact that I have a 7 day exlusionary period and that I wanted it to pay for up to 6 months.
 
 At the time I recall seeing a hospital indemnity policy which required I be hospitalized. At the time I did not see a fit. I believe I will contact first Aflac and see if they will offer me a hospital indemnity policy and what the cost would be per month since I am already a customer.
 
 Also, the comment about the money not being taxed. This is true if the policy is paid with income after taxes. Be careful if the premiums are deducted from your paycheck. Don't let them pull it out before taxes because then if you ever get paid out the settlment will have to be taxed. It's better to pay taxes on the premiums than the settlement!

LouLou · Mar 31, 2011

One other thing is taht though I signed up through work the policy is not tied to my previous workplace. I can't remember what the term is but I was able to take it with me when I left. I just had to take over the policy.

Oh and I thought you'd find this interesting was the reason my employer had this program was because of me. I learned in 2006 that Aflac paid for pregnancies (six weeks paid) with a one year no pregnancy exclusion. I wanted to get paid for maternity leave even though my company did not offer it. They later changed their mind but I still got the Aflac money. Then I kept it and by the time I started to have difficulties with my cf to the point of considering SSDI I had met the one year exclusion of no cf claims. My first and last cf claim was a doozy. 6 months - the max length they will pay out. It was a wonderful windfall. Then with Vertex 770 entering my life in 2008 I thought I better keep the policy in case I ever became "un disabled" I'd have this policy that may be difficult to get. Now I hear it's impossible to get one. As long as the SSA doesn't change their ruling about cfers being able to be on SSDI purely by being on inhaled nebs I'm safe otherwise I might be looking for a job. Let's hope I feel that well right?!

LouLou · Mar 31, 2011

One other thing is taht though I signed up through work the policy is not tied to my previous workplace. I can't remember what the term is but I was able to take it with me when I left. I just had to take over the policy.

Oh and I thought you'd find this interesting was the reason my employer had this program was because of me. I learned in 2006 that Aflac paid for pregnancies (six weeks paid) with a one year no pregnancy exclusion. I wanted to get paid for maternity leave even though my company did not offer it. They later changed their mind but I still got the Aflac money. Then I kept it and by the time I started to have difficulties with my cf to the point of considering SSDI I had met the one year exclusion of no cf claims. My first and last cf claim was a doozy. 6 months - the max length they will pay out. It was a wonderful windfall. Then with Vertex 770 entering my life in 2008 I thought I better keep the policy in case I ever became "un disabled" I'd have this policy that may be difficult to get. Now I hear it's impossible to get one. As long as the SSA doesn't change their ruling about cfers being able to be on SSDI purely by being on inhaled nebs I'm safe otherwise I might be looking for a job. Let's hope I feel that well right?!

LouLou · Mar 31, 2011

One other thing is taht though I signed up through work the policy is not tied to my previous workplace. I can't remember what the term is but I was able to take it with me when I left. I just had to take over the policy.
 
 Oh and I thought you'd find this interesting was the reason my employer had this program was because of me. I learned in 2006 that Aflac paid for pregnancies (six weeks paid) with a one year no pregnancy exclusion. I wanted to get paid for maternity leave even though my company did not offer it. They later changed their mind but I still got the Aflac money. Then I kept it and by the time I started to have difficulties with my cf to the point of considering SSDI I had met the one year exclusion of no cf claims. My first and last cf claim was a doozy. 6 months - the max length they will pay out. It was a wonderful windfall. Then with Vertex 770 entering my life in 2008 I thought I better keep the policy in case I ever became "un disabled" I'd have this policy that may be difficult to get. Now I hear it's impossible to get one. As long as the SSA doesn't change their ruling about cfers being able to be on SSDI purely by being on inhaled nebs I'm safe otherwise I might be looking for a job. Let's hope I feel that well right?!

julie · Apr 1, 2011

Good point that I forgot to mention Jada about locking in the policy amount!!! Thanks for mentioning that! That's another reason why I got mine now.

julie · Apr 1, 2011

Good point that I forgot to mention Jada about locking in the policy amount!!! Thanks for mentioning that! That's another reason why I got mine now.

julie · Apr 1, 2011

Good point that I forgot to mention Jada about locking in the policy amount!!! Thanks for mentioning that! That's another reason why I got mine now.

julie · Apr 1, 2011

Lauren, you must have an Aflac Accident and sickness DISABILITY policy. Combined offers those too. Because i wasn't working when I signed up for my Comined hospital indemnity policy, I couldn't apply for the disability policy as well at that time. However, once I finish school and start working again, you better believe I'm getting myself one!!! Sorry I misunderstood. <img src="i/expressions/face-icon-small-smile.gif" border="0">

I'm 99.9% sure that aflac will not issue you a policy even though you are an existing customer. Every policy requires underwriting, and since you have a CF diagnosis, AFLAC in all 50 states specifically excludes CFers for ANY and ALL policies. i'd be curious to hear if they do make an exception for you, so let us know what comes of it please

I just want to stress how soon I see it "coming" that CF will be an exclusion under which combined no longer offers ANY coverage. AFLAC did this 3 years ago.

Also, in my state (again, this might vary from state to state) combined does NOT contract with employers, so you wouldn't have to worry about this as a payroll deduction versus paying out of pocket and reporting it/not reportint it.

Lauren, are you saying yours came out pre-taxes? That doesn't sound right.... it certainly can be a payroll deduction, but it is not a "non-taxable" deduction like an IRA or medical premiums would be. Doesn't sound like your employer quite knew what they were doing...

julie · Apr 1, 2011

Lauren, you must have an Aflac Accident and sickness DISABILITY policy. Combined offers those too. Because i wasn't working when I signed up for my Comined hospital indemnity policy, I couldn't apply for the disability policy as well at that time. However, once I finish school and start working again, you better believe I'm getting myself one!!! Sorry I misunderstood. <img src="i/expressions/face-icon-small-smile.gif" border="0">

I'm 99.9% sure that aflac will not issue you a policy even though you are an existing customer. Every policy requires underwriting, and since you have a CF diagnosis, AFLAC in all 50 states specifically excludes CFers for ANY and ALL policies. i'd be curious to hear if they do make an exception for you, so let us know what comes of it please

I just want to stress how soon I see it "coming" that CF will be an exclusion under which combined no longer offers ANY coverage. AFLAC did this 3 years ago.

Also, in my state (again, this might vary from state to state) combined does NOT contract with employers, so you wouldn't have to worry about this as a payroll deduction versus paying out of pocket and reporting it/not reportint it.

Lauren, are you saying yours came out pre-taxes? That doesn't sound right.... it certainly can be a payroll deduction, but it is not a "non-taxable" deduction like an IRA or medical premiums would be. Doesn't sound like your employer quite knew what they were doing...

julie · Apr 1, 2011

Lauren, you must have an Aflac Accident and sickness DISABILITY policy. Combined offers those too. Because i wasn't working when I signed up for my Comined hospital indemnity policy, I couldn't apply for the disability policy as well at that time. However, once I finish school and start working again, you better believe I'm getting myself one!!! Sorry I misunderstood. <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
 I'm 99.9% sure that aflac will not issue you a policy even though you are an existing customer. Every policy requires underwriting, and since you have a CF diagnosis, AFLAC in all 50 states specifically excludes CFers for ANY and ALL policies. i'd be curious to hear if they do make an exception for you, so let us know what comes of it please
 
 I just want to stress how soon I see it "coming" that CF will be an exclusion under which combined no longer offers ANY coverage. AFLAC did this 3 years ago.
 
 Also, in my state (again, this might vary from state to state) combined does NOT contract with employers, so you wouldn't have to worry about this as a payroll deduction versus paying out of pocket and reporting it/not reportint it.
 
 Lauren, are you saying yours came out pre-taxes? That doesn't sound right.... it certainly can be a payroll deduction, but it is not a "non-taxable" deduction like an IRA or medical premiums would be. Doesn't sound like your employer quite knew what they were doing...

Jana · Apr 2, 2011

Thanks so much for this information, Julie! A rep came to my house today (I'm in VA). The benefits for Virginia are exactly as Jada listed.

One thing different than I've seen above is there doesn't seem to be a 365 day restriction on the hospital stay--it says the payment is for life. Hopefully that would never matter anyway!

Also, I don't see anywhere about the 2 hospitalizations in the same month restriction.

My policy does include the hospital recovery time.

For just me (I'm 38), the cost is $56.67/month. They also offer a policy with half of the amount for each benefit which would have cost me about $28/month.

Thanks again, Julie--I would never have thought to look into this, and it's a no-brainer for us, really.

Jana · Apr 2, 2011

Thanks so much for this information, Julie! A rep came to my house today (I'm in VA). The benefits for Virginia are exactly as Jada listed.

One thing different than I've seen above is there doesn't seem to be a 365 day restriction on the hospital stay--it says the payment is for life. Hopefully that would never matter anyway!

Also, I don't see anywhere about the 2 hospitalizations in the same month restriction.

My policy does include the hospital recovery time.

For just me (I'm 38), the cost is $56.67/month. They also offer a policy with half of the amount for each benefit which would have cost me about $28/month.

Thanks again, Julie--I would never have thought to look into this, and it's a no-brainer for us, really.

Jana · Apr 2, 2011

Thanks so much for this information, Julie! A rep came to my house today (I'm in VA). The benefits for Virginia are exactly as Jada listed.
 
 One thing different than I've seen above is there doesn't seem to be a 365 day restriction on the hospital stay--it says the payment is for life. Hopefully that would never matter anyway!
 
 Also, I don't see anywhere about the 2 hospitalizations in the same month restriction.
 
 My policy does include the hospital recovery time.
 
 For just me (I'm 38), the cost is $56.67/month. They also offer a policy with half of the amount for each benefit which would have cost me about $28/month.
 
 Thanks again, Julie--I would never have thought to look into this, and it's a no-brainer for us, really.

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