According to a
“Benefits play a significant role in an employer’s ability to build and retain a quality workforce. Finding ways to offer competitive health care benefits while managing expenses can be challenging,” said
GapAssist offers three plan designs—Base, Classic and Premier. Each plan design offers the same core coverage but the benefit amounts vary. Groups may choose to offer just one plan or any combination of the three based on their needs.
- Accident coverage pays for eligible expenses related to an accident such as emergency room visits, physician fees, tests and X-rays, up to a set maximum benefit amount per accident.
- Critical illness coverage provides a lump-sum benefit upon the first diagnosis of a covered critical illness after the policy is in effect.
- Fixed-payment inpatient hospital coverage provides per-day benefits for covered stays in a hospital, intensive care unit, substance abuse facility, mental health or nursing facility.
Symetra has been providing cost-effective benefit solutions to employers for more than 50 years. A longtime leader in medical stop-loss insurance, Symetra also offers group life and disability, absence management, critical illness and accident insurance as well as fixed payment medical insurance that can be used to help close coverage gaps or paired with administration for self-funded minimum essential coverage (MEC) plans.
GapAssist plan insurance policies are not a replacement for a major medical policy or other comprehensive coverage and do not satisfy the minimum essential coverage requirements of the Affordable Care Act. Critical illness and fixed-payment inpatient hospital coverages are designed to provide benefits at a preselected, fixed-dollar amount. Coverage may be subject to exclusions, limitations, reductions, and termination of benefit provisions. GapAssist plan policies are insured by