September 23, 2022
  • September 23, 2022

What is a complementary health? – Forbes Advisor

By on August 10, 2022 0

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Health insurance covers the cost of preventative care, surgeries, doctor’s appointments, prescriptions, emergency care, and more. Although many health insurance plans offer strong coverage, health insurance will not cover all potential costs of an illness.

Complementary health insurance can fill some gaps.

As its name suggests, complementary health insurance is intended to “complement” existing health insurance plans. Complementary plans do not replace health insurance. They can help pay for health care costs not covered by a plan or provide additional coverage for specific needs like dental, vision, and long-term care.

How does complementary health insurance work?

Supplemental health insurance fills in the gaps of a traditional health insurance plan by providing coverage for certain expenses for which you are responsible. Supplemental plans generally do not cover medical treatments, such as surgeries or medications.

Instead, a supplemental plan can help pay for health insurance deductibles or co-payments, or pay for specific care, such as cancer or critical illness. Supplemental health insurance plans work differently from health insurance plans, but the details depend on the plan.

A supplemental policy such as dental insurance can help pay for your dental care. Or a policy like Critical Illness Insurance may pay you a lump sum payment as reimbursement for out-of-pocket expenses associated with your treatment. This money can be used for any purpose, including medical expenses, transportation, childcare, food, or housing.

What are the types of supplementary health insurance?

There are several types of supplemental health insurance that can provide coverage in different situations. You can subscribe to complementary plans to supplement your group health insurance or your private health insurance. Cost and benefits vary by plan and provider.

Here are some of the most common supplemental health insurance plans.

Accident insurance

If you have an accident covered by an accident insurance policy, it may cover expenses excluded by your regular health insurance policy. Your injury must meet the qualifications based on the details of the accident plan. Broken bones, burns, concussions and paralysis are just a few examples of conditions covered.

In addition, many accident insurance policies provide compensation in the event of accidental death. If you die and your death is caused by an accident covered by the policy, a beneficiary of your choice would receive a lump sum payment, similar to a death benefit from life insurance.

cancer insurance

If you are diagnosed with cancer, having a supplemental cancer insurance policy provides money that you can use for any need. Cancer insurance benefits can be used for:

  • Copays
  • Franchises
  • Transportation to and from chemotherapy appointments
  • Races
  • Rent or mortgage payments
  • Cancer treatments not covered by your health insurance

Critical illness insurance

If you are diagnosed with an eligible critical illness, a supplementary critical illness insurance plan can help pay for costs that your regular health insurance plan does not cover. For example, if you had a kidney transplant, you could use critical illness insurance benefits to pay for your mortgage, groceries or childcare costs while you recover.

Supplemental critical illness insurance typically covers many critical illnesses, including:

  • Stroke
  • Heart attack
  • Cancer
  • Organ transplant
  • Coma
  • Loss of hearing, vision or speech
  • Paralysis
  • Coma
  • Renal failure

Dental and vision insurance

Most standard health insurance plans do not include dental or vision benefits. If you want coverage for visits to the dentist or optometrist, consider supplemental dental insurance or a vision insurance plan.

Of all the supplemental insurance policies, dental insurance and vision insurance are the two most common. These policies cover preventative care (such as two dental cleanings per year), as well as other expenses, such as contact lenses or prescription glasses. Dental and vision insurance is generally relatively inexpensive and is sold by many health insurance companies.

Disability insurance

Disability insurance provides replacement income if you become disabled and cannot work. You can take out additional short-term disability insurance or long-term disability insurance. The difference between the two plans is the length of time the insurance company will provide benefits.

To use disability insurance benefits, you must prove your disability, which often requires verification by a doctor or medical professional. Depending on the disability insurance plan, you can choose to receive a weekly or monthly benefit. You will stop receiving income replacement when your benefits run out or when you can return to work.

Hospital insurance

Although traditional health insurance plans cover hospitalization, your plan may not cover the entire stay. If your benefits run out, a supplemental hospital insurance plan can provide additional coverage for the portion not covered by your primary policy.

The average cost of a three-day hospital stay is around $30,000, according to the federal government’s Healthcare.gov. It can take a big chunk out of your wallet. Hospitalization insurance, also called hospitalization insurance, can help pay for hospitalization costs.

Depending on the plan, hospital insurance may provide a fixed benefit for an entire hospital stay or it may provide some coverage for each day you are in hospital.

Long term care insurance

Supplemental long-term care insurance helps cover the cost of long-term care services, which may be needed if you are diagnosed with a chronic condition. Some of the expenses that a long term care insurance policy will pay include:

  • Home health aides
  • Retirement homes
  • Service flats
  • Adult daycares

To use long-term care insurance benefits, you usually need to meet certain criteria. For example, many plans will provide benefits when you cannot perform two of the six activities of daily living (ADLs), such as bathing, eating, or dressing.

How does supplementary health insurance fill gaps in health insurance?

The objective of a complementary health is to cover certain expenses excluded from a classic mutual.

Even with the best health insurance plan, you are likely responsible for some treatment costs. Depending on the situation, a sudden medical diagnosis can lead to financial hardship. Complementary health plans provide compensation to alleviate the financial burden of these situations.

For example, imagine you are in a car accident and have a concussion. A typical health insurance policy would cover at least part of the cost of treatment, such as an MRI and an overnight stay in the hospital. However, if the concussion was severe enough that you could not work for a month, disability insurance would provide income replacement for that time.

Supplemental health insurance plans are not intended to replace your primary health insurance policy. Your health plan will always provide stronger coverage for medical care, but having supplemental insurance can provide additional funds for expenses you would normally have to pay out of pocket.

How much does complementary health cost?

Most mutuals are less expensive than traditional mutuals. However, the cost of supplementary health insurance depends on a variety of factors, including:

  • Diet type
  • Location
  • Age
  • insurance company
  • Advantages

The premium also depends on how you purchase the plan. For example, if you get disability insurance through your employer, the premium will likely be subsidized. If you take out private disability insurance, you pay 100% of the premium out of pocket.

When shopping for supplemental health insurance, it’s a good idea to get health insurance quotes from several different companies and compare them.

FAQ on complementary health

Is complementary health insurance worth it?

Supplemental health insurance is worth it for some people, but it depends on your current health, your existing health insurance plan, your financial situation, and the types of coverage you think you’ll need in the future. .

For example, if your health insurance plan offers low benefits with high out-of-pocket costs, purchasing a supplemental plan may be invaluable. On the other hand, if you already have a great health insurance plan with good coverage and low out-of-pocket costs, you may find that a supplemental plan isn’t necessary.

Who should take out complementary health insurance?

Supplemental health insurance can be a good solution for people whose basic health insurance plan does not provide strong coverage or for people who want extra financial protection in the event of an unexpected medical diagnosis.

It can also be a good option for those who want increased health insurance benefits without having to purchase a higher level medical insurance plan with a higher premium.