Prestige Group GAP Insurance provides supplemental coverage to help offset out-of-pocket medical expenses that aren't fully covered by your major medical plan—especially useful for high deductible health plans (HDHPs). It offers customizable inpatient, outpatient, prescription drug, ambulance, and doctor visit benefits, tailored to your employer's health plan. Coverage is simple, flexible, and designed to reduce your financial burden during medical events.
Prestige Series Group GAP Insurance Providing supplemental medical benefits for you and your family.
Underwritten by ManhattanLife Insurance and Annuity Company NY - Manhattan Life Insurance Company Prestige is a suite of products brought to you by ManhattanLife.
VBGAP-BR 0501
Not available in all states.
Prestige Group GAP Insurance Providing supplemental medical benefits for you and your family.
Supplemental Medical Coverage for your family in a Group GAP plan.
Did you know that the average single and family deductibles for high deductible health plans have trended upward over the last seven years? In fact, the average family deductible has risen by over 35% since 2013!* Individuals and families need more coverage to supplement their medical plans. ManhattanLife can help. Average Deductible for High Deductible Health Plans
Single Deductible Family Deductible
*The Kaiser Foundation and Health Research & Educational Trust. Employer Benefits 2017 Annual Survey.
MANHATTANLIFE GROUP GAP COVERAGE TO HELP SUPPLEMENT OUT OF POCKET MEDICAL COSTS.
We designed our GAP program to be fully customizable to work seamlessly with an employer medical plan. Coverage selection is simple. Employers work with one of our sales experts – we customize benefits that complement and help fill the gaps in the employer’s major medical plan. Our GAP plan is easy to understand and provides the much-needed coverage to help fill the holes left behind, particularly by HDHP’s.
Our plan provides the following included benefits.
INPATIENT BENEFITS Covers inpatient hospital stays, inpatient surgeries, physician’s inpatient charges, if these expenses are covered under a Covered Person’s Medical plan.
Benefits are determined by the employer based on the employer’s major medical plan. Available coverage amounts for the employer to select from are: $500, $1,000, $1,250, $1,500, $2,000, $2,500, $3,000, $3,500, $4,000, $4,500, $5,000, $5,500, $6,000, $6,500, $7,000, $7,500 We will pay benefits for Covered Charges if a Covered Person: • incurs the Covered Charges while the Covered Person is an Inpatient due to an Injury or Sickness; and • the expenses are covered by the Covered Person’s Medical Plan Available coverage amounts are: $250, $300, $350, $400, $450, $500, $600, $700, $750, $800, $900, $1,000, $1,100, $1,200, $1,250, $1,300, $1,400, $1,500, $1,600, $1,700, $1,750, $1,800, $1,900, $2,000, $2,100, $2,200, $2,250, $2,300, $2,400, $2,500, $3,000, $3,500, $4,000, $4,500, $5,000, $5,500, $6,000, $6,500, $7,000, $7,500 We will pay benefits for Covered Charges if a Covered Person receives treatment on an Outpatient basis due to an Injury or Sickness.
OUTPATIENT BENEFITS Outpatient treatment of injury and sickness. Treatment must be performed in: • An Emergency Room • An Urgent Care Facility • A Free-Standing Facility • An Ambulatory Surgical Center and/or Outpatient Hospital Facility
OUTPATIENT PRESCRIPTIONS DRUGS
Generic Outpatient Prescription Drug Benefit: $10 - $50 in $10 Increments Brand Name Outpatient Prescription Drug Benefit: $10 - $50 in $10 Increments Plan Year Maximum: $100 - $500 in $100 Increments
AMBULANCE BENEFITS
Ground Ambulance Benefit: $150 - $1,000 per day Air Ambulance Benefit:
$300 - $2,000 per day Plan Year Maximum: 4 transports
DOCTOR’S OFFICE VISIT
Doctor’s Office Visit Benefit: $25 per visit Plan Year Maximum: 4 visits
Underwritten by: ManhattanLife Insurance and Annuity Company NY - Manhattan Life Insurance Company Administrative Office: 10777 Northwest Freeway, Houston, TX 77092 Toll Free Telephone: 800-669-9030
LOWER THE COST TO THE EMPLOYER - Choose a plan with a higher deductible
Premium for Major Medical Coverage • $1,000 • 150 Employees
$1,131,566
Premium for HDHP
$695,144
Work with your sales associate to craft a GAP plan to offset the deductible PURCHASE A MANHATTANLIFE GAP PLAN
ManhattanLife GAP • $5,000 Inpatient, $2,500 Outpatient • 150 Employees
$176,856
HELP SAVE MONEY FOR EMPLOYERS AND THEIR EMPLOYEES
Major Medical = HDHP + GAP = Annual Savings =
$1,131,566 - $872,000 $259,566
There are real benefits by purchasing a GAP plan on top of a major medical plan
Benefits and riders may vary by state and may not be available in all states. This is not a complete disclosure of plan qualifications and limitations. Please access our website to obtain a completed list for the Out-of-Pocket Protection Plan 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-8019 Do your employees and bottom line a favor. Call your ManhattanLife representative now and receive all of the facts about our Voluntary Benefits Group GAP product! Act now and take advantage of a Gap Plan. 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. This example is for illustrative purposes only and not based on specific plans. Source: eHealth; Average Cost of Employer-Sponsored Health Insurance (ehealthinsurance.com)
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