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

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

Aetna Voluntary Enrollment Kit

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