Supplemental Medical
Supplemental Medical Plans pay a fixed, one-time benefit amount which you can use for any purpose you like. It can help pay for expenses not covered by your health care plan (such as your deductible or copays), lost income, childcare, travel to and from treatment, home health care costs, or any of your regular household expenses.
What’s great about these plans are that they complement your existing health care coverage, filling in the gaps and offering financial support where it’s needed most. The best part? It’s entirely up to you. These plans are 100% voluntary, allowing you to choose the coverage that fits your lifestyle and priorities. It’s insurance that puts you in control, providing peace of mind when life takes unexpected turns.
Accident Insurance
On his way to work, John was in a car accident.
- He was transported by ground ambulance to the emergency room and admitted to the hospital.
- He had a dislocated hip and spent five days in the hospital.
- He had several physical therapy sessions before returning to work.
- John submitted his accident claim and received $5,850 from his accident insurance coverage.
- He used it towards his deductible, copay, and supplemental income for his missed workdays.
Plan Information
Plan Name: XXXX
Policy Number: #XXXX
Effective Date: XX/XX/XXXX
Network: XXXX
Sample Reimbursements
Ground Ambulance: $300
Emergency Room: $150
X-Ray: $50
MRI: $150
Hospital Stay – Admission + 5 days: $2,000
Dislocated Hip: $3,000
Appliances: $100
Physical Therapy (4 sessions): $400
Total Benefit Paid: $5,850
What Accident Insurance Covers
● Emergency Room Visits
● Hospital Stays
● Fractures and Dislocations
● Medical Exams – including major diagnostic exams
● Physical Therapy
● Transportation and Lodging – if you are away from home when the accident happens
Critical Illness
Tom suffered a relatively small stroke.
- He was hospitalized for five days.
- He began rehab to get back to where he was physically before the stroke.
- Tom submitted his claim and received a lump-sum payment of $10,000.
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Sample Reimbursements
Employee and Spouse: $5,000 – $30,000 in $5,000 increments
Children: $1,000 – $15,000
What Critical Illness Insurance Covers
● Heart Attack
● Multiple Sclerosis
● Stroke
● Alzheimer’s Disease
● Parkinson’s Disease
● Major Organ Failure
Hospital Indemnity
In April, Sarah unexpectedly needed back surgery.
- Sarah was admitted to the hospital for surgery.
- After surgery, she began physical therapy to increase her strength and flexibility.
- Sarah submitted her claim and received a lump-sum payment of $1,000.
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Sample Reimbursements
Total Benefit Paid: $1,000
What Hospital Insurance Covers
● Hospital Admission
● Hospital Confinement
● Hospital Intensive Care
● Surgical Care
● Medical Diagnostic and Imaging
● Transportation and Lodging
Cancer Insurance
During her wellness visit, Maria was diagnosed with cancer.
- Maria travels 200 miles for pre-op testing and is admitted to the hospital for surgery.
- At the hospital, Maria has surgery with anesthesia, receives medication and is visited by her doctor during her 3-day stay.
- Once out of the hospital, Maria has radiation/chemo every 2 weeks, is given medication and sees her doctor 3 times. She also purchases a hair prothesis.
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Sample Reimbursements
Wellness Exam: $100
Hospital Confinement: $300
Cancer Initial Diagnosis: $2,000
Non-Local Transportation: $400
Surgery: $1,500
Anesthesia: $375
Radiation/Chemo: $4,500
Medical Imaging: $250
Inpatient Medicine: $75
Physician Visits: $150
Hair Prothesis: $25
Anti-Nausea Medication: $200
Total Benefit Paid: $9,875
What Cancer Insurance Covers
● Cancer Screenings and Tests
● Radiation/Chemotherapy
● Inpatient and ICU Care
● Surgery, Including Reconstructive
● Rehabilitation Care
● Transportation and Lodging