MEDPLUS PLAN BENEFITS
If you have looked at medical gap plans in the past and came away less than thrilled with poorly matched plan designs, inconsistent Inpatient/Outpatient benefits, per occurrence deductibles, age banded rates, inefficient claims service, etc…it’s time to take a second look. MedPlus plans are specifically designed to mirror major medical plan benefits and act as true secondary health insurance, all while lowering the employee’s deductible, reducing out of pocket exposure, and saving employer cost.
The complaint that there are “gaps in the gap” does not apply to our plans. There are no limitations or exclusions outside of the major medical plan, and MedPlus plans are designed to satisfy the primary plan deductible or max out-of-pocket. Right down to the single ID card, MedPlus plans are built to sync with major medical and feel like one plan to the employee…as it should.
Further, a properly designed secondary insurance plan should have a positive impact on group’s claims experience with the primary carrier and is a creative solution to maintain desired benefits while meeting the Affordability Test under ACA mandates.
BENEFIT |
OPTIONS |
|---|---|
| Deductible per Covered per Calendar year | $100; $250; $500; $1,000; $1,500; $2,000; $2,500 |
| Deductible per Family per Calendar year | 2x or 3x multiple consistent with Primary Plan |
| Inpatient Benefit | $1,000 to $7,200 per covered per year; multiple for all covered consistent with Primary Plan |
| Outpatient Benefit | $1,000 to $7,200 per covered per year; multiple for all covered consistent with Primary Plan |
| Coinsurance Percentage | Primary Plan matching coinsurance at 50%, 60%, 70%, 80% or 90% | 100% coinsurance available |
| Physician Office Benefit Rider | Pays $25 office visit or specialist co-pay up to 4 per year per covered |
- Quote requests submitted with complete information completed in up to five business days
- Coverage is group, guaranteed issue and not offered on a voluntary basis; all eligible employees covered on the employer’s major medical health plan must be covered on the MedPlus plan
- Any change in the primary health plan attached to the MedPlus application could render quoted rates invalid
- No more than 100% of eligible charges will be paid by both plans
- MedPlus coverage issues through age 70
- Rates are subject to change in the event of a 10% variance in census eligibility from the time of original application
- No broker or agent can bind coverage without the authorization of HCC Life Insurance Company
QUESTIONS YOUR EMPLOYEES MAY HAVE
NECESSARY INFORMATION FOR A GROUP QUOTE:
- Primary plan renewal (Summary of Benefits/Rates)
- Alternate HDHP plans (Summary of Benefits/Rates)
- Current supplemental coverage (if applicable)
- Group census in Excel format (DOB, Gender, Medical Enrollment)
- Group information (legal name, address, etc.)
CONTACT
P.O. BOX 2367
Birmingham, AL 35201
Phone: 205-388-5732
Fax: 205-778-1783
Request a quote: [email protected]
Submit a claim: [email protected]