Supplemental Gap Medical Insurance
What is Supplemental Gap Medical Insurance?
Supplemental Gap Medical Insurance helps individuals manage out-of-pocket medical expenses without relying on their savings. It is designed to help limit exposure to out-of-pocket medical expenses when the primary health insurance deductible has not been met.
Who needs Gap Medical Insurance?
Everybody is concerned about healthcare costs, and with high deductibles, co-pays, co-insurance and other out-of-pocket expenses, individuals can end up paying thousands of dollars even under a top-quality medical plan. Employees looking for help in managing these costs may find Gap Medical Insurance to be an attractive option — one that makes them feel good about their current or prospective employer.
What is included in Gap Medical Insurance Coverage?
- Coverage for most inpatient and outpatient services that are covered by the underlying primary healthcare plan and applied to the deductible or coinsurance provision.
- Inpatient and outpatient benefits can be different, or a combined benefit covering both inpatient and outpatient benefits can be requested.
- Plans can also include benefits for doctor’s office visits.
- Employer-paid, voluntary, and dependent buy-up options are available.
- Coverage can be layered with other Zurich Accident & Health benefits including Critical Illness Insurance, Group Personal Accident coverage and Hospital Indemnity Insurance.
How does Supplemental Gap Medical Insurance work?
- Benefits are paid directly to the medical service provider. Claim forms are not necessary in most cases when an assignment of benefits exists.
- Employers can choose a variety of coverage options, including varied inpatient and outpatient benefits. Deductibles can be added to the plan to manage premium costs.
- For employer-paid, voluntary, and dependent buy-up options, monthly premiums can be based on the employee’s attained age or a composite rating for the group can be provided.
- Coverage can be configured to be compatible with high-deductible health plans using health savings accounts.*
*Some product configurations may not be compatible with high-deductible health plans involving a tax-advantaged health savings account (HSA).
Zurich’s Supplemental Gap Medical Insurance options
Our supplemental gap medical insurance plans are flexible and can be customized to meet the specific needs of each employer group. We have the capability to work within a wide range of benefits administration platforms, whether managed by a broker or vendor. Our Underwriters can customize group-priced benefit solutions for your organization.
Related insurance offerings
The strength of Zurich’s Supplemental Gap Medical Insurance goes far beyond policy details. We offer a dedicated support team for coordination of plan development, marketing, administration onboarding, and program management. We provide you with a single point of contact, as well as administration that details processes, forms, and group/individual contact information. We’ll work with you to help simplify the administration of your program and we’re always ready to answer questions to help address your needs and those of your employees.