Supplemental Health Insurance: What Is It & Do You Need it? | MetLife (2024)

Supplemental health insurance can help provide additional protection when it comes to your health. Let’s examine what supplemental health coverage is, how it works, and how to enroll in it.

What is supplemental health insurance?

Supplemental health insurance is a type of insurance that helps pay for treatments and services that standard health insurance plans may not cover.

How does supplemental health insurance work?

Some supplemental health insurance plans cover specific services, such as cancer treatments. Others may help reduce the financial burden of a major illness or accident by providing a lump-sum of money that you can use for medical treatments or household expenses. Unlike health insurance, which often pays your healthcare provider, it pays you directly.

It’s important to note that depending on the type of plan you choose, your supplemental health insurance coverage functions differently than your primary health insurance plan. For instance, some plans pay a set amount of money for certain treatments. Others cover a percentage of your costs, which may reduce the amount you owe on a medical bill.

What does supplemental health insurance cover?

Supplemental health insurance plans provide payments that can help cover a wide variety of treatments and services, making it essential to find the right plan before enrolling. Let’s take a closer look at some of the most common types of supplemental health insurance.

Types of supplemental health insurance

Below, we break down several different types of supplemental medical insurance:

Coverage Type

Applicable

Payment Type

Uses

Accident insurance

In the case of an accident

Depends on the plan

To help with any expenses the recipient sees fit

Hospital indemnity insurance

In the case of a hospital stay

Direct lump sum payment on admission, then a per-day amount

To help with any expenses the recipient sees fit

Critical illness insurance

In the case of a diagnosed critical illness

Typically a lump sum payment

To help with any expenses the recipient sees fit

Cancer insurance

In the case of a cancer diagnosis

Multiple direct payments

To help with any expenses the recipient sees fit


Accident insurance

Accident insurance provides coverage for injuries caused by an accident.

Many accident insurance plans will provide you with a lump-sum payout, and the amount isn’t dependent on how much you may have received from any other insurance policies. Better yet, you can use the money to pay for costs directly related to medical treatment, like a hospital bill, or indirect expenses, like hotel stays, childcare, or transportation.

Accident insurance plans provide benefits to help cover a range of expenses, including:

  • Emergency room visits
  • Hospitalization
  • Medical treatments
  • Rental cars or fuel
  • Lodging
  • Childcare
  • Food
  • Insurance deductibles and copays

Hospital indemnity insurance

Hospital indemnity insurance — also known as hospital insurance — helps cover the costs of hospitalization.

Depending on your plan, hospital indemnity insurance may pay out a lump sum upon admission, and then a per-day amount to cover or reduce the cost of a hospital visit. This applies to general hospital stays, as well as intensive care units and inpatient rehab stays.

People with chronic health conditions often purchase hospital insurance to offset out-of-pocket costs. On the other hand, otherwise healthy people may enroll in a hospital indemnity plan if they have a family history of heart disease, cancer, or another serious illness.

Critical illness insurance

Critical illness insurance is a type of supplemental plan that offers benefits and coverage after you or a dependent is diagnosed with a serious illness. Also known as specified disease insurance, these plans kick in following a qualifying diagnosis, or a diagnosis of an illness covered by the plan.

After a qualifying diagnosis, your critical illness plan provides a lump-sum payout. You can use the money however you see fit, such as for medical care, experimental treatments, household expenses, and childcare.

However, it’s important to remember that a critical illness insurance plan will only cover diseases included in your policy. If your condition isn’t listed, you probably won’t receive a payout.

Cancer insurance

Cancer insurance helps protect you from the financial burden of cancer treatments. Many cancer insurance plans provide flexible, direct payouts you can use for a variety of costs, including:

  • Doctor’s appointments
  • Hospital visits
  • Cancer treatments
  • Household bills
  • Primary insurance deductibles, coinsurance, or copays

Even if you have a good primary insurance plan, it may not offer complete coverage for cancer treatments and recovery. Cancer insurance helps reduce out-of-pocket expenses you might face while recovering. It may also provide recurrence benefits if the cancer returns.

Where can you get supplemental health insurance plans?

Typically, you can purchase a supplemental health insurance plan through your employer. Talk with your benefits administrator or human resources representative to determine which benefits are available. If they are, you can sign up for, add, or change your insurance benefits duringopen enrollment. Workplace open enrollment usually runs through October and November. But it may start as early as Augustdepending on your employer. Any new coverage you add during this time will kick in on January 1.

If your employer doesn’t offer a certain benefit, you may be able to purchase supplemental coverage directly from insurance companies.

Is supplemental health insurance worth it?

Supplemental health insurance can be incredibly beneficial. Not only does it provide additional insurance coverage, but it also offers a level of confidence and financial security.

Deciding to take out a supplemental health insurance plan is a personal choice that depends on several factors, including:

  • Your current and expected financial circ*mstances
  • Your overall health risks
  • Your age
  • The cost of additional insurance premiums
  • How much coverage you want to have
  • What type of coverage you want

Feel confident in your coverage with a supplemental health insurance plan

Life is full of surprises. Fortunately, a supplemental health insurance plan can help you and your loved ones prepare for the unexpected. Get in touch with your employer today to determine which supplemental plans are available to you.

Supplemental Health Insurance: What Is It & Do You Need it? | MetLife (2024)

FAQs

Supplemental Health Insurance: What Is It & Do You Need it? | MetLife? ›

You can use supplemental health insurance to help cover costs related to accidents, illnesses and injuries. These costs can include medical expenses, but also childcare, transportation, and even groceries.

Is it necessary to have supplemental insurance? ›

Whether or not you need supplemental health insurance depends on a lot of different factors, such as what your current health insurance covers and how high your deductible is. Although many supplemental policies are not overly expensive, duplicate coverage may be unnecessary for many people.

What is usually covered by a supplemental health plan? ›

Supplemental insurance includes a variety of different types of coverage, including accident insurance, dental insurance, vision insurance, cancer insurance, fixed indemnity insurance, and critical illness insurance.

Why are supplemental benefits important? ›

Supplemental benefits help protect Americans' financial health by paying for things not covered by major medical insurance like copays and deductibles associated with accidents or illness.

What does supplemental life insurance cover? ›

Supplemental life insurance policies may include things like burial, final expense, accidental death and dismemberment, as well as life insurance. Supplemental life insurance can be a good way to take advantage of some additional protection for your family.

What age should you get supplemental insurance? ›

If you are 65 or older, you may be able to purchase a Medicare Supplement insurance plan during the Medicare Supplement Open Enrollment Period. This period lasts for six months and begins on the first day of the month in which you are both 65 or older and enrolled in Medicare Part B.

Do I need Medicare Part B if I have a supplement? ›

Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private company that helps pay your share of costs in Original Medicare. Generally, you need Part A and Part B to buy a Medigap policy.

What is the average cost of a supplemental plan? ›

The average Medicare Supplement plan costs in every state
StateMonthly CostRank from least expensive (1) to most expensive (51)
California$162.9345
Colorado$127.7629
Connecticut$227.0649
Delaware$150.9942
29 more rows
Oct 4, 2023

What is the best supplemental insurance for Medicare? ›

Here's an overview of our top picks:
  • Best for Medigap plan options: AARP/UnitedHealthcare Medicare Supplement Insurance.
  • Best for member satisfaction: State Farm Medicare Supplement Insurance.
  • Best for premium discounts: Mutual of Omaha Medicare Supplement Insurance.
May 21, 2024

Is the Medicare Supplement worth it? ›

You continue to receive bills

Medicare supplemental insurance can help fill that gap. For example, if you still find yourself having to pay for deductibles, copays and more — even after you apply your other insurance types — then a supplemental plan could be worth it for you and your loved ones.

Why do people buy supplemental insurance? ›

Supplemental policies can offer coverage for a range of critical illnesses. In addition, there may be separate policies for certain kinds of illness, such as cancer insurance or heart attack and stroke insurance.

What is mandatory supplemental benefit? ›

Mandatory supplemental benefits are financed with Medicare Advantage rebate dollars, which are provided to plans based on a portion of the difference between the plan's bid and the county FFS spending benchmark.

Why is a supplement better than an advantage plan? ›

Medigap plans offer additional coverage for people enrolled in Original Medicare, but they exclude prescription drugs. Meanwhile, Medicare Advantage plans offer the same coverage as Original Medicare plus additional benefits, such as prescription drugs, vision, dental, hearing and other wellness services.

How does supplemental health insurance work? ›

Supplemental health plans pay for expenses that health insurance doesn't cover, such as dental, vision, disability and long-term care insurance. A supplemental policy like critical illness insurance can pay you a lump sum payout if you're diagnosed with certain medical conditions.

Is it worth getting supplemental life insurance? ›

If you're not confident that your health could qualify you for a policy purchased on the private life insurance market, extending your group policy coverage with supplemental life insurance could be a good choice. Accidents. An accidental death and dismemberment add-on could cover you if you have an accident at work.

What happens to my supplemental life insurance when I retire? ›

At age 65 Supplemental Life Insurance is reduced by 50 percent, then to a flat amount at age 70.

What percent of Medicare patients have supplemental insurance? ›

Medicare supplement insurance, also known as Medigap, covered 2 in 10 (21%) Medicare beneficiaries overall, or 41% of those in traditional Medicare (12.5 million beneficiaries) in 2021.

Is it worth having a Medicare Supplement? ›

You continue to receive bills

Medicare supplemental insurance can help fill that gap. For example, if you still find yourself having to pay for deductibles, copays and more — even after you apply your other insurance types — then a supplemental plan could be worth it for you and your loved ones.

Is supplemental accident insurance worth it? ›

Accident insurance works alongside your primary medical plan to help minimize those out-of-pocket expenses. This is one of the many reasons supplemental accident insurance is worth it. It's important to note that Aflac offers both payroll-deducted and personal accident insurance.

What is a basic benefit of Medicare supplemental insurance? ›

Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private insurance company to help pay your share of out-of-pocket costs in Original Medicare. What types of insurance aren't Medigap?

Top Articles
What is the $750 Welcome Bonus Credit Card?
KKR Invests in Shriram General Insurance
Craigslist Livingston Montana
Dunhams Treestands
Shoe Game Lit Svg
فیلم رهگیر دوبله فارسی بدون سانسور نماشا
Pinellas County Jail Mugshots 2023
Call Follower Osrs
Walgreens Alma School And Dynamite
Simple Steamed Purple Sweet Potatoes
Gma Deals And Steals Today 2022
Guilford County | NCpedia
7543460065
Me Cojo A Mama Borracha
Dallas Mavericks 110-120 Golden State Warriors: Thompson leads Warriors to Finals, summary score, stats, highlights | Game 5 Western Conference Finals
The best brunch spots in Berlin
Bay Area Craigslist Cars For Sale By Owner
Cognitive Science Cornell
Copper Pint Chaska
Publix Near 12401 International Drive
2015 Kia Soul Serpentine Belt Diagram
Effingham Daily News Police Report
Waters Funeral Home Vandalia Obituaries
Lacey Costco Gas Price
TJ Maxx‘s Top 12 Competitors: An Expert Analysis - Marketing Scoop
Reserve A Room Ucla
Ewg Eucerin
Ipcam Telegram Group
LG UN90 65" 4K Smart UHD TV - 65UN9000AUJ | LG CA
Blush Bootcamp Olathe
Que Si Que Si Que No Que No Lyrics
Fandango Pocatello
Strange World Showtimes Near Regal Edwards West Covina
RUB MASSAGE AUSTIN
Arcane Odyssey Stat Reset Potion
Imperialism Flocabulary Quiz Answers
8005607994
3496 W Little League Dr San Bernardino Ca 92407
T&Cs | Hollywood Bowl
Lovein Funeral Obits
Xxn Abbreviation List 2023
Www.craigslist.com Waco
Bunkr Public Albums
Charli D'amelio Bj
Lady Nagant Funko Pop
Caesars Rewards Loyalty Program Review [Previously Total Rewards]
Actress Zazie Crossword Clue
Big Brother 23: Wiki, Vote, Cast, Release Date, Contestants, Winner, Elimination
Cars & Trucks near Old Forge, PA - craigslist
ESPN's New Standalone Streaming Service Will Be Available Through Disney+ In 2025
Congressional hopeful Aisha Mills sees district as an economical model
Famous Dave's BBQ Catering, BBQ Catering Packages, Handcrafted Catering, Famous Dave's | Famous Dave's BBQ Restaurant
Latest Posts
Article information

Author: Carlyn Walter

Last Updated:

Views: 6283

Rating: 5 / 5 (50 voted)

Reviews: 81% of readers found this page helpful

Author information

Name: Carlyn Walter

Birthday: 1996-01-03

Address: Suite 452 40815 Denyse Extensions, Sengermouth, OR 42374

Phone: +8501809515404

Job: Manufacturing Technician

Hobby: Table tennis, Archery, Vacation, Metal detecting, Yo-yoing, Crocheting, Creative writing

Introduction: My name is Carlyn Walter, I am a lively, glamorous, healthy, clean, powerful, calm, combative person who loves writing and wants to share my knowledge and understanding with you.