case-benefit

Serving the Florida marketplace including

  • Naples
  • Tampa
  • Orlando
  • Clearwater
  • Sarasota

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Transamerica Gap Polices

Aflac

Out-of-Pocket Medical Expense (GAP) Insurance

GAP insurance pays for out-of-pocket expenses of deductibles, coinsurance and copayments for charges from your employer’s comprehensive medical plan.

Inpatient Hospital Benefits

Your policy pays benefits for inpatient hospital stays, inpatient procedures, inpatient physician charges, and even routine nursery care for dependent children. Your employer determines your calendar year maximum benefit (multiplied by three for an insured family).

Outpatient Hospital Benefits

Your policy also pays benefits (separate from the inpatient hospital benefits) for:

  • radiological diagnostic testing performed in a hospital outpatient facility or a magnetic resonance imaging (MRI) facility
  • radiation therapy or chemotherapy authorized by a radiologist, chemotherapist, or an oncologist for outpatient cancer treatment
  • outpatient surgery performed in a hospital facility, free-standing surgery center, or physician’s office
  • MRIs, CT scans, PET scans, diagnostic ultrasounds, electrocardiogram (EKG) tests performed in a physician’s office (x-rays and lab fees are not included)
  • cardiac cauterizations and stress tests
  • accident injury or emergency condition treatment in a hospital ER or urgent care center ER charges for illness if admitted to the hospital

Accident-Only Ambulance Benefit

This benefit is payable when ambulance transportation (ground or air) is required to a hospital or emergency center for injuries sustained in an accident. Ambulance transportation must be within 72 hours of the accident and must be provided by a licensed professional ambulance company.

Transamerica $1,000 GAP Plan Brochure

For more information, please contact Rose Branda-McLaughlin, rose@casebenefits.com