What is Medical GAP Insurance?

Medical GAP Insurance is a supplemental policy that steps in to cover the difference between what your primary health insurance pays and what you owe for medical treatment. It’s an ideal solution for individuals with high-deductible health plans, coinsurance, or those who are concerned about out-of-pocket expenses associated with medical care. GAP insurance helps to cover costs that your health insurance doesn’t, including:

• In-patient hospital expenses

• In-patient or outpatient surgeries

• Physician's hospital charges

• Doctor's office visit copays

How Does Medical GAP Insurance Work?

Here’s an example of how a Medical GAP Insurance plan can protect you from unexpected expenses:

• Hospital Stay + Surgery: $20,000

• Deductible (Patient’s Responsibility): $5,000

• Co-insurance (Patient’s Responsibility): $3,000

• GAP Plan Payment: $8,000

• Patient’s Out-of-Pocket Cost: $0

In this scenario, the Medical GAP Insurance plan covers the $8,000 that your primary health insurance doesn’t, leaving you with no out-of-pocket expenses. This added layer of protection ensures that you’re not caught off guard by medical bills that exceed your coverage.

Why Consider Medical GAP Insurance?

Medical GAP Insurance is a highly recommended addition to your existing health insurance plan. It provides financial protection against unforeseen medical expenses that traditional major medical insurance may not cover. Whether you’re dealing with high deductibles, copays, or other out-of-pocket costs, a GAP plan offers peace of mind by covering the gaps in your coverage, so you can focus on your health without worrying about unexpected financial burdens.