Plan Summary
GAP Assist
The GAP Assist coverage is insured through Symetra. Gap Assist is a bundled offering of accident, critical illness, and inpatient hospital benefits that help bridge the gap with an added layer of financial coverage for unexpected costs before your deductible is met. These benefits pay a lump-sum cash benefit directly to you to assist with medical bills, transportation, child care, etc.
|
Base Plan |
Classic Plan |
Premier Plan |
| Inpatient Hospital |
|
|
|
Inpatient Hospital Stay
Up to 10 days per calendar year |
$300 per day |
$400 per day |
$500 per day |
ICU
Up to 10 days per calendar year |
$600 per day |
$800 per day |
$1,000 per day |
Substance Abuse Facility
Up to 10 days per calendar year |
$300 per day |
$400 per day |
$500 per day |
Mental Health Facility
Up to 10 days per calendar year |
$150 per day |
$200 per day |
$250 per day |
Nursing Facility
Up to 60 days following hospital stay |
$150 per day |
$200 per day |
$250 per day |
| Group Accident |
|
|
|
Benefit per Occurrence
3 per person per calendar year |
Up to $2,000 |
Up to $5,000 |
Up to $10,000 |
| Critical Illness |
|
|
|
Conditions covered at 100%
1 per person per calendar year |
Invasive Cancer / Heart Attack / Stroke / Coma due to Accident / Occupational HIV / Loss of Sight / Loss of Speech / Loss of Hearing / Major Organ Failure / End Stage Renal Failure / Paralysis due to Accident / Severe Burns |
| Conditions covered at 25% |
Minor Cancer / Coronary Artery Disease |
| Benefit Amount |
|
|
|
| Employee |
$5,000 |
$10,000 |
$15,000 |
| Spouse |
$2,500 |
$5,000 |
$7,500 |
| Child |
$1,250 |
$2,500 |
$3,750 |
| Payroll Contributions |
|
|
|
| Employee Only |
$25.92 |
$40.91 |
$54.36 |
| Employee + Spouse |
$50.54 |
$77.80 |
$101.76 |
| Employee + Child(ren) |
$37.93 |
$57.94 |
$75.42 |
| Employee + Family |
$66.19 |
$99.95 |
$129.12 |
GAP ASSIST