Human Resource Services

Hospital Expense Supplemental Plans

Two supplemental hospitalization insurance plans are available and provide benefits to fill the gap between what health insurance pays and what the hospital charges. These charges include hospital deductions, room and board charges, co-payments, and any special fees.

Below is summary information about the plans. For complete plan details and for comparison purposes, please visit the the MyBenefits section of MyFlorida's web site.


ALTA

Preferred Provider Plus (PPP)

Biweekly
Premium

See brochure or enrollment form

Pre-Tax

Yes

Deductible

None

Co-Payment

None

Coverages

$250/hospital admission.
10 percent of first $25,000 of eligible in-hospital expenses and for walk-in surgical centers or ambulatory centers.
$250 inpatient emergency accident benefit per accident.
Up to $100 ambulance benefit per inpatient confinement.
Also provides limited vision coverage. See brochure for details.

Comments

The basic design of this plan is to assist payment of the deductible and co-payment of the primary health insurance.
Plan reverts to 30/20 Plus provision if hospital confined due to emergency outside state of Florida.

State Insurance Supplement (SIS)

Biweekly
Premium

See brochure or enrollment form

Pre-Tax

Yes

Deductible

None

Co-Payment

None

Coverages

Network Hospital
Plan pays $100/admission
10 percent of next $25,000 of eligible charges for room, board, intensive care, and hospital misc.

 

 

Non-Network Hospital
Plan pays $250/admission
$100/day room and board
$200/day intensive care
20 percent of hospital miscellaneous charges;
80 percent of charges for occupational and speech therapy up to a maximum of $1,000/calendar year;
10 percent of eligible charges for ambulatory surgery ctr.; maximum $2500/person/ calendar year; 80 percent of charges for ambulance; maximum $400 per occurrence.

Comments

The basic design of this plan is to assist payment of the deductible and co-payment of the primary health insurance.
Has slightly higher benefit than PPP for out-of-state coverages.
Benefits are per calendar year.
No pre-existing conditions provision.

Hospital Confinement Indemnity (365 Plus)

Biweekly
Premium

See brochure or enrollment form

Pre-Tax

Yes

Deductible

None

Co-Payment

None

Coverages

Pays for each day of hospital confinement as follows:
Option I $100
Option II $200
Option III $300
Also provides limited vision coverage. See brochure for details.

Comment

Pays one-day benefit for single-day surgery/ambulatory centers.
Pays 60 percent of daily benefit for convalescent care (20-day limit/ confinement).
50 percent of daily benefit for home health care (7-day limit/ confinement)

Hospital Supplement (30/20 Plus)

Biweekly
Premium

See brochure or enrollment form

Pre-Tax

Yes

Deductible

None

Co-Payment

None

Coverages

$30 daily hospital benefit.
$60 daily intensive care benefit.
$250 of first hospital "special charges"
20 percent of next $12,500 "special charges"
"Special charges" include all hospital charges other than room and board. Also provides limited vision coverage. See brochure for details.

Comment

Maximum payable for all daily room and board benefits/one confinement is $3,600.
Plan covers in-hospital only.
Plan is basically designed to assist paying deductible and co-payment of primary health insurance where no PPO facility is available.

How to Enroll

Choose one of the following methods to enroll:

  • Enroll online via the People First (PF) web site.
  • Call PF at 1-866-663-4735 to enroll or make a change by phone.
  • Mail your form or fax it to PF at 904-828-6092.
  • Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

In addition to your People First enrollment, you must also submit a company application found in the Alta brochure to complete the enrollment process. Call the Capital Insurance Agency at 1-800-780-3100 for additional questions. Be sure to retain a record of your transactions.

 

Philadelphia American Life Hospital Income

Biweekly
Premium

See brochure or enrollment form

Pre-Tax

Yes

Deductible

None

Co-Payment

None

Coverages

Option 1: $100 per day of hospital confinement.
Option 2: $200 per day of hospital confinement.
30 days extended care.
90-day pre-existing clause.
Does not include Workers' Compensation.

Comments

Maximum benefit each hospitalized injury or illness: 365 days.
Call (800) 277-2300 to get a claim form, ask for the Hospital Income Benefits department.

Option 1 with expanded coverage rider

Biweekly
Premium

See brochure or enrollment form

Pre-Tax

Yes

Deductible

None

Co-Payment

None

Coverages

Adds an additional benefit of $200 per day for days 4-10 while in the hospital.

Comment

 

How to Enroll

Choose one of the following methods to enroll:

  • Enroll online via the People First (PF) web site.
  • Call PF at 1-866-663-4735 to enroll or make a change by phone.
  • Mail your form or fax it to PF at 904-828-6092.
  • Attend the UF Benefits’ Group Enrollment Session for assistance with completing your online enrollment with People First.

In addition to your People First enrollment, you must also submit a company application found in the Philadelphia American brochure to complete the enrollment process. Call the State Securities Corp. at 1-800- 227-2300 for additional questions. Be sure to retain a record of your transactions.