Current as of 05/04/2020
Philadelphia American Life Insurance Company’s (PALIC) GAP plan helps bridge gaps in coverage that may exist in an individual’s current insurance plan by reducing or even eliminating the out-of- pocket expenses associated hospitals and doctor bills. Benefits are based on a fixed dollar amount that you select for the purpose of paying deductibles and co-insurance amounts as well as Emergency Room and Urgent Care Center visits, that beneficiaries or covered family members are required to pay under their Primary Medical Insurance.
Fixed Indemnity Benefits:
Inpatient Hospital Confinement: 1 Unit-6 – Units of $1,000
Outpatient Surgical Services: 1 Unit-6 Units of $500
Emergency Department Indemnity: 1 Unit-6 Units of $100
Urgent Care Center Indemnity: 1 Unit-6 – Units $100
The beneficiary can choose an annual calendar benefit starting as low as $1000 or a maximum benefit of $6,000. Since the GAP plan is based on a fixed benefit the individual will receive the benefit that they have selected regardless of the expenses that are incurred.
In addition to the in-hospital benefit paid, the individual will still have additional annual benefits to help offset their costs for Urgent Care, Emergency Room and Outpatient Surgery.