Our approach
A $3,000 or $5,000 deductible sounds manageable until someone in your family actually ends up in the ER or needs surgery. Suddenly you owe thousands before your insurance pays a dollar. For a lot of families, that's the difference between absorbing a health event and putting it on a credit card.
Gap insurance is a companion to your health plan, not a replacement for it. When you incur covered medical expenses, the gap plan pays a cash benefit directly to you. Use it for your deductible, your copays, your coinsurance, or your mortgage payment while you're recovering. The premium is typically a fraction of what it would cost to upgrade to a lower-deductible health plan, and the out-of-pocket protection is similar.
coverage
Hospital gap coverage
Pays a lump-sum or per-day benefit when you're admitted to the hospital. Covers the deductible and coinsurance your health plan shifts to you during an inpatient stay. One hospital night can cost you your full deductible. This softens the blow.
Surgical gap coverage
Pays a benefit based on the type of surgery performed. Covers your out-of-pocket costs for procedures that generate the biggest bills. Knee surgery, appendectomy, C-section. The kinds of things that hit your deductible all at once.
First-dollar coverage
Pays benefits from the first dollar of covered medical expense, before your deductible is met. Effectively reduces your deductible exposure without changing your health plan.
ER and urgent care benefits
Cash benefit when you visit the emergency room or urgent care. Covers the facility fees and provider costs that pile up fast in emergency settings.
Diagnostic and imaging benefits
Pays when you need MRIs, CT scans, blood work, and other diagnostic procedures. These can run $500 to $3,000+ and often hit before your deductible is met.
Works alongside any plan
Gap insurance pairs with employer plans, marketplace plans, or any major medical coverage. No network restrictions. No referrals. It pays based on the event, not the provider.
We look at your health plan's exposure
Your deductible, out-of-pocket max, and coinsurance structure. We calculate the dollar gap a supplemental plan needs to fill.
We match the right gap plan
We select coverage whose benefit amounts and triggers align with your specific health plan so the protection is real, not theoretical.
We coordinate with your full program
Gap insurance, HSA, voluntary benefits. We make sure everything works together without overlap.
A $5,000 deductible doesn't have to feel like $5,000.
For a fraction of the premium difference between a high-deductible and a low-deductible plan, gap insurance gives you similar out-of-pocket protection. The math works. We'll show you.
What Business Owners Ask Us Most
It's a supplemental policy that pays cash benefits when you incur medical expenses, helping cover the deductible and out-of-pocket costs your health plan doesn't pay. It bridges the gap between what your insurance covers and what comes out of your pocket.
Critical illness pays for specific diagnoses (cancer, heart attack). Accident insurance pays for injuries specifically. Gap insurance is broader: it pays based on covered medical services regardless of whether the cause is illness or injury. They can complement each other.
An HSA helps you save for costs, but you need the cash available when expenses hit. Gap insurance provides an immediate benefit payment when a covered event occurs, regardless of your HSA balance. Many people use both.
Typically $50 to $150/month for individuals. Compare that to upgrading from a $5,000 deductible plan to a $1,000 deductible plan, which often costs $200 to $400+ more per month. Gap insurance frequently costs less and achieves a similar result.
Yes. Many employers offer gap insurance as a voluntary benefit alongside high-deductible plans. It helps employees manage out-of-pocket costs while the employer benefits from lower HDHP premiums. We also place individual gap plans.
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Let's see how much protection a Supplemental plan adds to yours.
Tell us about your current health plan and we'll show you what a gap plan would cover and what it would cost.
We'll be in touch within 24 hours. That's not aspirational. It's a guarantee.
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