Knowing what you’ll have to pay upfront as well as what you’ll have to pay out of pocket is a large part of deciding which affordable health plan is right for you. Here we break down the basic differences in value between our Fixed-Benefit and Major Medical insurance plans.
Fixed-Benefit Insurance - immediate benefits and no deductible
Assurant Health AccessSM is a different kind of plan. With this fixed-benefit plan, you won’t have to pay a deductible, and network discounts and benefit payments for covered services start right away.1 Unlike many health plans it pays a set cash amount, regardless of actual costs, for medical services like doctor’s visits, urgent care, inpatient hospitalization and more.2
It’s important to know that you may be responsible for the difference between the provider charge and the set amount the plan pays. To help offset potential costs, you’ll get access to experts who can help you save more with services like.
- Find a quality, affordable doctor: To maximize savings, this plan includes access to Patient Care. These independent advocates can give you cost and quality information on doctors and facilities so you can choose one for your budget and specific needs.
- Get help with additional expenses: In addition to network discounts, you can get further assistance after the medical service takes place by calling our Health Payment Advocates. They can help you negotiate payment plans on amounts that you may owe after you have received services.
Is a fixed-benefit plan the right choice for you? Get an Assurant Health Access Quote
Major Medical Insurance – broad coverage and many deductible options
With Assurant Health’s Major Medical plans, there are multiple ways to customize your plan to suit your needs. You can choose from various lower or higher deductible plans. No matter the plan, you’ll get the broad medical and financial protection that comes with having a major medical plan.3
Here are two scenarios to help you figure out what deductible would work best for you.
- Scenario 1 – Lower Deductible/Higher Premium:
You may not go to the doctor that often, but you worry about what could happen to you in the next year. You feel more comfortable with a lower deductible plan that has a higher monthly premium so you can worry less if something does happen to you.
- Scenario 2 – Higher Deductible/Lower Premium:
For you, having a lower monthly premium makes sense because you rarely go to the doctor. You’re willing to accept the responsibility of paying a higher deductible and have the funds to pay if you need medical treatment.
With major medical plans, another factor to consider is how much out of pocket you’ll have to pay after you meet your deductible. This is referred to as coinsurance.Some plans will pay 100% of expenses after you meet the deductible. However, on some plans you may elect a coinsurance split that’s less than 100% where you decide what percentage the insurance pays and what percentage you pay, up to a certain limit. Having your insurance plan pay less than 100% is one way to help keep premiums and deductibles reasonable.
Does this sound like the broad coverage you’re looking for? Get a Major Medical Quote
1,3Pre-existing condition limitations apply to this plan.
2Hospital must be an acute care facility.