Supplemental Benefits – Accident, Hospital Recovery, Critical Illnesses

Give Your Health Package a Boost

Coverage Beyond Your Regular Health Plan

Supplemental insurance benefits let you improve your personal and family coverage by building up your benefits package without changing your regular health insurance plan.  Supplemental benefits pay you directly, not the health  providers.

Most people are concerned about being better prepared for unforseen health situations and the large budget-busting claims that can result, even after your regular health insurance pays its share.  Situations such as:

Accidents on- and off-the job

Hospital admission or observation

Critical illnesses, like cancer, heart attack or stroke

Can you afford unexpected health bills?  Does your household have an emergency expense fund that can cover a $400 or higher health expense?  Can you cover your deductible?  Will you have to miss work and lose income?  How much will follow-up care cost?

If you’re concerned your household will need extra cash for unexpected health bills, look into our sponsored Supplemental benefits that will give you “indemnity” coverage – beyond your regular health insurance plan or your Medicare coverage – by paying cash benefits directly to you.  Use the supplemental cash benefits to help with:

• Medical plan deductibles, copays and coinsurance – amounts you must pay under the provisions of your regular health plan when large claims happen.
• Services not fully covered – such as physical therapy, rehabilitation, emergency room and ambulance, major diagnostic exams, high-cost drugs, out of network providers.
• Non-health related expenses during recovery – such as housekeeping, childcare, rent or mortgage payments, lost earnings – or any other out-of-pocket expenses, since you decide how to use your supplemental cash benefits.

How these Supplemental benefits work

Three Supplemental benefits are available:  Personal Accident, Hospital Recovery and Critical Illnesses.  You can enroll yourself and your family in any one or all three of these Supplemental insurance benefits.  Issue ages:  18-65 (higher ages available in some states).

They work as a “Benefit Bank” where you select the dollar amount of the supplemental benefit that will be available to you during the year, so you get the dollar level of benefits you want.  Your Benefit Bank for each benefit is then replenished each January.

The Extra Value Added

Most people carry regular medical insurance to pay the hospital and doctor.  But when a significant illness or injury occurs, you are still financially impacted because you are faced with paying deductibles, co-payments and other out-of-pocket expenses.

If you experience a serious illness or accident, you should be focused on your health and recovery, not your finances.  These Supplemental insurance benefits help you by paying cash benefits directly to you.

The Value In “Observation Coverage”

Hospital indemnity coverage has always been an important solution that can help protect you from financial risks associated with a few days in the hospital. But what if you’re now more likely to receive care without actually being admitted for an inpatient stay?

More hospital patients are being placed under observation care for longer periods as an alternative to an inpatient admission*.  In many cases, a patient will spend a day or two under observation and then be sent home if a physician decides that an inpatient admission isn’t necessary.

This should be a key concern, as new trends in hospital care like observation often come with many of the same financial risks as an inpatient stay.

That’s why this supplemental Hospital Recovery benefit pays the same Daily Benefit Amount to you for up to four days of care in an observation unit as it does for an inpatient stay (available in most states), up to $900/day.

* Medical Care Research and Review, 2017

The Extra Value for Those on Medicare

Medicare Advantage plans, while often having subsidized low or $0 monthly premiums, still have high co-pays, deductibles and out-of-pocket maximum requirements.  To help cover these higher costs, especially when even short hospital stays happen, consider adding our Hospital Recovery benefit that pays a cash benefit directly to you for each day of a hospitalization, up to $900 per day.  See: Supplemental Insurance Benefits – Dealer Benefits Network

Consider that the average length of a hospital stay for adults ages 65 to 84 is 5.2 days at an average cost of $14,500.*  Even if you have a Medicare Advantage plan, it’s easy to see how a short hospital stay can quickly add up to big unexpected cost and financial stress when the focus should be on healing.

*Source:  Agency for Healthcare Research and Quality, H-CUP Statistical Brief #246, December 2018.

Insurance Disclosures

These Supplemental insurance plans are available in most, but not all states, and benefit provisions, limitations and conditions vary by state, since these plans are filed for approval by the insurance underwriter with the state insurance departments.  Supplemental plans and benefits are not substitutes for regular comprehensive health insurance.