Short Term Recovery Insurance Plan

Short Term Recovery Insurance Plan  

Overview

Short Term Recovery insurance helps pay for hospitalization and home recovery care services that Medicare doesn’t cover. It can provide extra funds to pay for hospital deductibles and cost-shares as well as for expenses related to home recovery care, including physical therapy, occupational therapy, speech therapy, nursing care, companion services, home health and homemaker services.

 

At a Glance

When you're recovering at home after a hospital stay, you want to keep your self-reliance — stay in control of your health care choices — and get well quickly. But without a backup plan, you may find out too late that you can't afford the home recovery care you want. You could end up settling for home health care that's just not up to your standards.
 

You could use your savings or retirement income to help pay for home recovery care or you can enroll in your association's Short Term Recovery Insurance Plan. This member benefit was designed and negotiated to help with expenses Medicare may not cover. (Medicare covers a lot, but it was never meant to cover everything.)
 

The Short Term Recovery Plan provides cash benefits for Hospitalization for a covered injury or sickness and your recovery afterward. The recovery benefit is provided for the following  services including physical therapy, occupational therapy, speech therapy, nursing care, companion services, home health and homemaker services.
 

With the Recovery Plan Hospital benefit, you'd collect $750 once you're admitted to a Hospital or Skilled Nursing Facility as an Inpatient for at least one day due to a covered sickness or injury - regardless of whether you need home recovery care later.
 

And, if you find you need longer care, you'd collect an additional $500.00 after 14 days staying in a Hospital or Skilled Nursing Facility. Another $200.00 after 30 days in the Hospital! That's up to $1,450.00 in cash benefits you could get paid to use toward your recovery care. Benefits are paid directly to you or to anyone you designate.
 

The Home Recovery Care Benefit pays you $200.00 in cash benefits for each day (from the very first day) you incur a covered home recovery care expense. Benefits are paid up to 40 days per year (maximum 20 days per occurrence).  That's up to $8,000.00* in lump sum cash benefits paid directly to you or you may assign benefits to be paid directly to the Hospital or any other health care facility in which you received care up to $9,450* each year.
 

*At age 80 the home recovery care benefit would reduce to an annual maximum of $4,000.00 for covered services.
 

Hospital Indemnity Form Series includes SRP-1151, or state equivalent

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Insurance Application & Additional Forms

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

 

FAQs

  • What benefits would I collect?

    The plan would pay cash benefits for your hospitalization for a covered sickness or injury and your recovery afterward:

    1. Hospital Benefit: You'd collect $750 when you're admitted to a Hospital as an Inpatient for at least one day, regardless of whether you need home recovery care later. If your Hospital stay exceeds 14 days, you'd get an additional $500. After 30 days in the Hospital, you'd collect another $200. That's a total of $1,450!
    2. Home Recovery Care Benefits: You'd collect $200 a day for each day you incur a covered home health care expense. Benefits are paid to you or anyone you choose for benefit periods up to 40 days* per Accrual Year. (Maximum of 20 days per occurrence.)


    That's up to a total of $8,000* per year for the home recovery care you need.


    Conditions for which you've received medical care or treatment in the 6 months before your effective date will be covered after you've been in the plan for 6 months; or when you've gone 6 months without treatment for the condition, whichever is sooner.

     

    * At age 80, Home Recovery Care Benefits reduce to $200 a day for you up to 20 days per Accrual Year (one benefit period) and an annual maximum of $4,000.

  • How does this plan work?

    The Short Term Recovery Plan pays you or anyone you choose cash benefits once you're admitted to the Hospital as an Inpatient.
     

    This plan also helps pay benefits that can be applied for home health care expenses when you're recovering at home after the Hospital stay. You'd receive benefits for physical, speech and occupational therapy. Nursing services by a Registered Nurse (RN) and Licensed Practical Nurse (LPN) are also covered.
     

    In some cases, you may need personal care after your Hospital stay as well. The Short Term Recovery Plan helps to pay when a Home Health Aide to assist you with items such as bathing and getting dressed. It even can help to cover homemaker services if you need someone to help with your laundry, shopping, cleaning and cooking.

  • When does my protection end?

    You can keep the Short Term Recovery Plan as long as you want. Your coverage won't end due to age. At age 80, home health benefits reduce from a $8,000.00 per year maximum to a $4,000.00 per year maximum. As long as the Master Policy remains in force, you only need to pay your premiums when due and remain an association member to keep your protection. A member's spouse's coverage ends when the member's does, the Master Policy terminates, and when premiums are not paid. Your spouse can not be legally separated or divorced from you.).
  • Will acceptance into this plan always be guaranteed?

    We're hopeful it will be. However, it's unclear at this point whether underwriting will be necessary in the future for you to qualify.

    This means now is the perfect time to get in on the plan, when you can't be turned down for any reason (subject to the Pre–Existing Conditions Limitation).
  • Do I have to meet with an insurance agent?

    Issuance of this policy is handled over the Internet and the mail. You can review the materials in the privacy of your home and purchase your policy directly through the mail without meeting with an agent. You can, of course, talk to a licensed representative if you'd like. Please view the Contact Us section for the toll-free number.
  • Who can sign up?

    All members, over age 65 and their spouse, are guaranteed acceptance into this plan. Insurance benefits payable are subject to your policy's Pre-Existing Conditions limitation. All active members who are age 65 or over who are enrolled in Medicare.
  • How soon can my protection start?

    Your protection starts as soon as the first day of the month after we receive your Confirmation Form and first premium payment.
  • What if I have second thoughts after I enroll?

    You will have 30 days from the date of receipt to review the insurance Certificate. If you are not satisfied with the terms of the Certificate, simply return it to the Insurance Administrator and any premiums paid will be refunded in full, minus any claims paid.

 

Underwritten by Hartford Life and Accident Insurance Company, One Hartford Plaza, Hartford, CT 06155.

Hospital Indemnity Form Series includes SRP-1151, or state equivalent.

Contact Us

We're here to help! Please contact us in whatever manner is most convenient for you.

 

Program Administrator

 Address
ASME Insurance Program Administrator
Mercer Consumer
12421 Meredith Drive
Urbandale , IA 50398
 Phone
1-800-289-2763
 Hours
 M-F 7:30am-6pm, Sat. 8am-1pm CT
 Email
[email protected]

 

Application Mailing Address

 Address
Administrator, ASME Insurance Program
P.O. Box 10374
Des Moines , IA 50306-8812

 

Payment Mailing Address

 Address
Administrator, ASME Insurance Program
P.O. Box 10425
Des Moines , IA 50306-0425
Mercer's Role & Compensation

Details of Mercer disclosure of the compensation.