Group Hospital & Home Care Recovery Plan Insurance

For one affordable rate, you’ll be covered with:

1. Up to $1,000 per hospital stay.
2. Up to $4,000 each year for home care recovery. Typically less expensive than nursing home stays, in-home care can bring more personalized service and help people recover more quickly.

Acceptance is guaranteed for eligible APWU members. Both you and your spouse may be eligible for this valuable protection. There’s no medical exam or health questions, only one short application to fill out.

Rates may be changed by New York Life Insurance Company on any premium due date and any date on which benefits are changed.

The rates are based on your age at issue and will increase according to the age groups shown in the above rate chart. There is no termination age. Coverage will remain in effect as long as you continue to pay premiums when due, the group policy remains in force and you remain otherwise eligible.

All rates are current as of 2019.​

Eligibility

Hospital Benefits

Duration of Hospital Stay	Lump Sum Payment
1 to 14 consecutive days, or	$300
15 to 30 consecutive days, or	$650
31 or more consecutive days	$1,000

Home Recovery Benefits: In addition to the hospital benefits, if you are discharged from the hospital with a home health care plan of treatment approved by a doctor or Medicare, you are eligible to receive $100 per day for up to 20 days for covered services of an RN, LPN, licensed home health aide, homemaker, companion services, speech, occupational or physical therapy. Services must be received within 90 days of discharge after a covered hospital stay. If you are under age 80, you are eligible for two 20-day benefit periods for a total maximum benefit of up to $4,000 per year. For anyone age 80 or older, you are eligible for one 20-day benefit period for a total maximum benefit of up to $2,000 per year.

Hospital:Means a licensed institution which is approved by the Joint Commission of Accreditation of Hospitals. A hospital is not a place of rest, a place primarily for the treatment of tuberculosis, a place for the aged, drug addicts, alcoholics or a place for convalescent, custodial or rehabilitory care.

Successive Periods of Confinement: Successive periods of confinement are treated as if they were one unless they are separated by 90 consecutive days during which you have not been confined to an institution for medical care or treatment or they are due to unrelated causes.

Exclusions & Limitations: At the time your coverage goes into effect, there are certain limitations to the coverage. Any pre-existing conditions you may already be receiving medical treatment for during the 12 months prior to your effective date will not be covered under this policy. Once you have been continuously insured under this policy for twelve months, these limitations do not apply.

Pre-existing Condition: Means an Injury, Sickness or Pregnancy or any related condition for which a person consults a doctor, receives medical services or supplies, or has taken any medication during the twelve month period, immediately before your coverage is effective It does not include any such condition after you have been continuously insured for twelve months.

Effective Date: Coverage will become effective on the first day the premium is deducted from your paycheck following date of approval. If you or your covered spouse is confined at home or a hospital on the date coverage would have been in effect, the insurance will be effective on the day the covered person is no longer confined and is still otherwise eligible.

When Coverage Ends: Coverage ends when you are no longer a dues paying member, premium is not paid when due, when you request that coverage be terminated, or when the group policy is terminated. Spousal coverage ends when your coverage ends, unless your coverage ends due to death.

Your Evidence od Insurance: Once insured, you will receive a certificate of insurance evidencing coverage is provided under Group Policy G-29315-7.

Limited Benefits Health Insurance: The insurance described provides limited benefit health insurance only. It does not provide basic hospital, basic medical, or major medical insurance.

Not a Medicare Supplement Plan: This plan doesn’t provide Medicare supplement insurance, long term care insurance, nursing home insurance only, home care insurance only, or nursing home and home care insurance. If you are eligible for Medicare, contact your local Social Security office and request a copy of the Medicare Supplement buyer’s guide.

30-Day Review Period:  You must be completely satisfied or you get a refund of premium. Once you receive your Certificate of Insurance, you have 30 days to review it.  If you are not 100% satisfied, return your Certificate.  We will cancel your coverage and return any premium you have paid less claims paid.

The Hospital & Home Care Recovery Plan is not currently available in AZ, CA, CO, MN, MT, ND, NH, NM, VT, WA.

It’s Easy to Apply!

1. Simply complete the provided Group Hospital and Home Care Recovery Insurance application authorizing payroll deductions.

Click Here for an Application​​

Please make sure you complete all the information requested. An incomplete application will be returned, resulting in a delay in processing your application.

2. Return your application to:

Please call our office if you have any questions at:

Please Note

You must notify The Voluntary Benefits Plan of any address change for you, your dependents and/or beneficiaries, and any change in employment and union membership status change, life status change (i.e., marriage, divorce, beneficiary or name change), or benefit changes requested. Notice must be in writing.​

This is only a brief summary of benefits and is subject to the terms, conditions, exclusions, and limitations of group policy number G-29315-7. Complete terms and conditions are found in the group master policy and are summarized in your certificate.

Underwritten By