Fixed Indemnity
Michaels offers you health benefits to help you pay for expenses and provide security when the unexpected happens.
You may choose one or more of three plans. You are eligible to enroll within 30 days of your hire date. In addition, we have an open enrollment once per year in the Spring. These plans are offered through Aetna Voluntary and enrollment will need to be completed in Workday.
What the Plan Covers
blank
Covered Benefit For Inpatient Stays
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum. |
|
|---|---|
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Mental disorder stay — daily Pays a daily benefit for each day you have a stay in a mental disorder treatment facility. |
$200 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Maximum days per plan year — shared with the hospital stay benefit max |
365 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Rehabilitation unit stay — daily Pays a daily benefit beginning on day 2 for each day of your stay in a rehabilitation unit immediately after your hospital stay. |
$200 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Maximum days per plan year — shared with the hospital stay benefit max |
365 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Skilled nursing facility stay — daily Pays a daily benefit beginning on day 2 for each day you have a stay in a skilled nursing facility. |
$200 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Maximum days per plan year — shared with the hospital stay benefit max |
365 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Hospice care — daily Pays a daily benefit beginning on day 2 for each day you have a stay in a hospice facility or each day you receive hospice care. |
$200 |
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum.Maximum days per plan year — shared with the hospital stay benefit max |
365 |
Covered Benefits for Surgery
| Covered benefits for surgery | |
|---|---|
| Covered benefits for surgeryInpatient surgery Pays a daily benefit for each day you have an inpatient surgical procedure during your stay. |
$200 |
| Covered benefits for surgeryMaximum days per plan year | 1 |
| Covered benefits for surgeryOutpatient surgery — hospital outpatient or ambulatory surgical center Pays a daily benefit for each day you have an outpatient surgical procedure performed by a physician. |
$200 |
| Covered benefits for surgeryMaximum days per plan year | 1 |
| Covered benefits for surgeryOutpatient surgery — doctor’s office, urgent care facility or hospital emergency room Pays a daily benefit for each day you have an outpatient surgical procedure performed by a physician. |
$25 |
| Covered benefits for surgeryMaximum days per plan year | 1 |
Additional Covered Benefits
| Additional covered benefits | |
|---|---|
| Accidental injury treatment Pays a benefit when you are treated in a doctor’s office, hospital emergency room or walk-in clinic for an accidental injury. |
$100 |
| Maximum days per plan year | 1 |
| Lodging Pays for one motel / hotel room for a companion to accompany you for each day of a stay. Your stay must be more than 50 miles from your home. |
$100 |
| Maximum days per plan year | 10 |
| Transportation Pays a benefit for each day on which you travel from your residence more than 50 miles one way on doctor’s advice. |
$100 |
| Maximum days per plan year | 1 |
Prescription Drugs
We will pay the prescription drugs benefit amount shown in the schedule of benefits section of your certificate for each day you have a prescription filled. Prescription drugs must be dispensed by a licensed pharmacist on an outpatient basis.
The prescription drugs benefit amount will not be paid for:
- Immunization agents, biological sera, blood or blood plasma
- Any contraceptive method, device, material, or medicine
- Prescription drugs, medicine, or insulin used by, or administered to, you while you are confined as an inpatient to any facility or institution
- Prescription drugs and medicine related to infertility
- Therapeutic devices or appliances
Covered Benefit for Inpatient Stays
| Covered benefit for inpatient stays Unless otherwise stated, all inpatient daily stays begin on day two and count toward the plan year maximum. |
|
|---|---|
| Hospital stay — admission Pays a lump sum benefit for the first day of your stay in a non—ICU room of a hospital. 2nd admission requires 30 day separation period from the first stay. |
$200 |
| Maximum stays per plan year | 2 |
| Hospital stay — intensive care unit (ICU) — admission Pays a lump sum benefit for the initial day of your stay in an ICU room of a hospital. 2nd admission requires 30 day separation period from the first stay. |
$400 |
| Maximum stays per plan year | 2 |
| Hospital stay — daily Pays a daily benefit beginning on day 2 for each day of your stay in a non-ICU room of a hospital. |
$200 |
| Maximum days per plan year | 365 |
| Hospital stay — ICU daily Pays a daily benefit beginning on day 2 for each day of your stay in an ICU room of a hospital. |
$400 |
| Maximum days per plan year | 365 |
| Newborn routine care Pays a lump sum benefit on the birth of your newborn with an inpatient stay. |
$100 |
| Maximum days per plan year | 1 |
| Observation unit Pays a lump sum benefit for the initial day of your observation. |
$100 |
| Maximum stays per plan year | 1 |
| Substance abuse stay — daily Pays a daily benefit beginning on day 2 for each day you have a stay in a substance abuse treatment facility. |
$200 |
| Maximum days per plan year— shared with the hospital stay benefit max | 365 |
What the Plan Costs
blank
Bi-Weekly Plan Costs for You and Your Dependents
| Fixed Indemnity | |
|---|---|
| Fixed IndemnityYou | $14.74 |
| Fixed IndemnityYou + child(ren) | $26.52 |
| Fixed IndemnityYou + Spouse | $33.96 |
| Fixed IndemnityYou + Family | $43.82 |
Additional Resources
What if I miss a payroll deduction?
If you miss a payroll deduction after your coverage begins, you will not have coverage during the time that payroll deduction would cover, unless you pay the full missed premium directly to Aetna Voluntary.
See Missed Premium Payment Coupon for more information!
Provider
