Limited-Benefit Indemnity Plans for Part-time, Hourly and Seasonal Workforce
of workers are living paycheck to paycheck. WHILE ACA health insurance premiums have increased by 123% since 2013.
of workers have enough savings to cover a $1,000 emergency. BUT ACA maximum deductibles have increased from $6,350 to $7,900.
of workers agree that a monthly premium over $200 would be unfair. YET the national average for ACA unsubsidized insurance premium is $440.
Working adults average $6,632 annually in medical expenses.
Less than 5 percent of insured individuals incur over $17,402 annually in medical expenses.
1 Centers for Medicare and Medicaid Services: Research, Statistics, Data & Systems. Selected dates - 2012. IMPORTANT NOTICE: Insurance policies providing certain health insurance coverage issued or renewed on or after September 23, 2010, are required to comply with all applicable requirements of the Patient Protection and Affordable Care Act (PPACA). However, there are a number of insurance coverages that are specifically exempt from the requirements of PPACA (See § 2791 of the Public Health Services Act).
WHAT IS a Limited benefit indemnity plan?
A fixed-indemnity medical plan designed to provide a basic to mid-level medical benefit for employees and association members who are not covered by a major medical plan. Can be offered on a voluntary or employer contributory basis. Coverage levels are higher than mini-med plans but still less than our Limited-Day Plan. Various levels of plans provide total potential fixed-indemnity, accident medical payments and reimbursements of $15,000 to $100,000 per year at a premium that is 40% to 60% less than the cost of a major medical plan. Plus, PPO discounts, telephonic and video doctor visits, and Rx copays.
When I asked my agent for affordable healthcare, he showed me a high deductible major medical plan. I would have to pay thousands out of pocket before I was reimbursed for anything other than a few office visits. If I had thousands to spend, I wouldn’t need insurance so badly. I need a plan that helps cover my expenses on day one!
LIMITED BENEFIT INDEMNITY
Custom plans designed for employer groups, associations, and affinity groups looking to provide affordable healthcare alternatives. Limited benefit indemnity coverage helps with first-dollar expenses with no deductibles, which provides coverage that individuals can actually use. Can be offered on a voluntary basis or with employer contribution.
In addition to the core Limited Benefit Indemnity plans, Fundamental Care includes access to Enhanced Benefits which adds significant plan value. Enhanced Benefit options include: PPO network, Telemedicine, EAP, Health and Financial Wellness benefits, Virtual Direct Primary Care, DMPO savings plan, and more!
What Benefits are Included?
Inpatient- Hospitalization, ICU, Surgery, Anesthesia
Outpatient- Office Visits, Emergency Room, Major / Minor Surgery, Anesthesia, Diagnostic Lab, X-Ray, Major Testing
Accident- Accident Medical, AD&D
ACA qualified MEC Plans available
Prescription- Discount and Drug Copay Card
Enhanced Plan Service - PPO Network, Telemedicine, EAP, Wellness, DPC, DMPO, Student Loan Assistance
In addition to the core Limited Benefit Indemnity Medical Plans and Enhanced Benefit Plans, Fundamental Care offers buy-up options that can be bundled with the medical plans and in some instances, offered on a stand-alone basis. The buy-up options help to complement the medical plan offering providing coverage that individuals need and will use. Benefit options include: Prescription Copay Card, Critical Illness, Accident Medical Expense, AD&D, Term Life, Dental, Vision, and Short-term Disability,
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