Fixed Benefit or Hospital and Doctor Plans, offer the most value for people that want decent, long-term coverage for those everyday healthcare needs.
Fixed benefit plans pay a “defined benefit” for each healthcare service, ranging from doctor visits to hospital-stays to prescriptions, allowing the consumer to know, going in, exactly what the plan will pay, and can remove much of the guesswork of what your out-of-pocket will be.
Each fixed benefit plan will usually come with a deductible of $0, which means each plan will pay from the first-day and the first-dollar.
Members can choose how many office visits they would like, anywhere from two to ten.
Members can choose their hospital stay benefit, the best plans range from $1000 to $5000 per day. This is important because most hospitals average a charge of $1900 per day.
If prescription coverage is important to you, you can choose anywhere from a $10 benefit for generic medications, to a $40 benefit for brand name.
Like every health insurance plan, and especially in this day and age, it is difficult to predict every health event that could potentially happen, and NO plan on the market will ever cover EVERYTHING.
Things will happen that are outside of your control: a major or minor accident, an unexpected ER visit, a stroke, heart attack or cancer. I’m sure each of you love someone or know of someone that has experienced such, and that is why GAP coverage is so important. GAP coverage can step in where any primary plan cannot, and limit your financial exposure to an unforeseen event.
To find out if this is the right option for you, contact us today!