Out-of-Pocket Medical Expense (GAP) Insurance
Transamerica's supplemental health insurance does not replace your major medical insurance. Supplement Health Insurance can help protect your family's finances if an unexpected accident, critical illness or other medical emergency occurs. Then, you and your family can focus on more important things- each other. This plan pays benefits for out of pocket expenses of deductibles, co-insurance and co-payments for charges from your employer's comprehensive medical plan.
This plan must be partnered with either Option 7 or 8 for applicable coverage. Gap plans reimburses first dollar costs for inpatient/outpatient & ambulance claims that would have otherwise be paid by you out of pocket as part of your deductible or coinsurance.
A) Inpatient: Plan covers up to $4,000 of hospital stay, procedures physician charges and routine nursery care for dependent children.
B) Outpatient: Plan covers up to $2,000 of MRI’s, PET/CT Scans, ultrasounds, echo-cardiograms, surgical procedures in a Dr’s office, surgery & radiological diagnostic testing in a facility and radiation/chemotherapy. Also covers ER or Urgent care for accidents or injuries only.
C) Ambulance Benefit-Accident only: pays up to $350 per calendar year for ambulance expenses.
Rates pay period:
EE: Under 55 $22.97 /Over 55 $38.23
EE+SP: Under 55 $49.34/Over 55 $82.14
EE+CH: Under 55 $41.87/Over 55 $57.13
Family: Under 55 $73.36/Over 55 $106.15
560 East 500 South, Suite 200, Salt Lake City, Utah 84102