Health Link should be considered one of the most ingenious products in our industry! To keep the monthly health insurance premiums affordable for a major medical plan more than half of the population has opted for a high deductible plan of up to $10,000. Meeting that deductible when the need arises can be trying on most families. Philadelphia American now offers a solution.
This product was designed to help individuals under 65 eliminate the financial risk associated with those out of pocket cost. One of the only expense incurred true gap products.
Here’s how it works!
The carrier pays Hospital Inpatient Benefits equal to 100% and Outpatient Benefits equal to 50% of any co-payments, deductibles or co-insurance. Eliminate deductibles by using our Philadelphia American Gap plan.
This Gap plan works in conjunction with your existing Health Insurance. A client can keep their existing Major Medical ACA plan and use our Health Insurance to cover of of their deductibles and coinsurance (Note: Benefit amounts vary by state where available).
| EXAMPLE OF HOW INPATIENT BENEFITS ARE PAID |
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| Hospital Stay + Surgery = | $15,500 | |
| without Health Link | with health link | |
| Deductible | $2,500 | $2,500 |
| Co insurance (20%) out of pocket | $2,600 | $2,600 |
| Health Link Benefit | $0 | $5,000 |
| Total Out-of-Pocket | $5,100 | $100 |
| HOW THE OUTPATIENT BENEFITS IS PAID AT 50% OF ELIGIBLE EXPENSES |
||
| Doctor Office Visit = | $150 | |
| without Health Link | with health link | |
| Applied to Deductible | $150 | $150 |
| Health link benefit @ 50% of outpatient | $0 | $75 |
| Total out of pocket | $150 | $75 |
NOTE: This product can be guarantee issue on a list bill.
This plan is available for companies as well as individuals.
