Underwritten by: ManhattanLife Insurance and Annuity Company Administrative Office: 10777 Northwest Freeway, Houston, TX 77092 Toll Free Telephone: 800-669-9030
Benefit: $7,500 IPH/OPH Member has a major medical plan with a $7,500 annual deductible and 20% coinsurance along with a Gap Plan. Sarah, had severe abdominal pain and was taken to the Emergency Room for treatment. Sarah was diagnosed with appendicitis, had an emergency appendectomy, and spent one night in the hospital. The major medical carrier processed the medical claim and sent Sarah an Explanation of Benefits (EOB) showing that, after network discounts, $3,882 was applied to her annual deductible. Sarah submitted the UB04 along with the EOB, to ManhattanLife and received a check/direct deposit in the amount of $3,882. Sarah has a remaining GAP benefit of $3,618.
Total Charges from the Hospital
$6,324
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Contracted Discount
$2,422
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ManhattanLife GAP Plan Benefit
$3,882
$0
Sarah’s Out of Pocket Cost
This example is for illustrative purposes only and not based on specific plans.
According to research published by the Kaiser Family Foundation in 2019, the average cost of employer-sponsored health insurance for annual premiums was $7,188 for single coverage and $20,576 for family coverage. The report also found that the average annual deductible amount for single coverage was $1,655 for covered workers. Source: eHealth; Average Cost of Employer-Sponsored Health Insurance (ehealthinsurance.com)
Act now and take advantage of a Group Single Bucket Gap Plan.
Do your employees and bottom line a favor. Call your ManhattanLife representative now and receive all of the facts about our Voluntary Benefits Group Single Bucket GAP product!
This is not a complete disclosure of plan qualifications and limitations. Please access our website to obtain a completed list for the Supplemental Medical Expense (GAP) product at disclosure.manhattanlife.com . Please review this information before applying for coverage. The amounts of benefits provided depend on the plan selected. Premiums will vary according to the selection made. THIS POLICY PROVIDES LIMITED BENEFITS. Policy: M-8038
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