NEAR-PERFECT MEDICAL PLANS
GAP Insurance
Learn more about how GAP insurance can help bridge the financial gaps in your healthcare coverage, offering added protection against high out-of-pocket costs... all for up to 50% less than you are paying today.
CREATE A NEAR-PERFECT MEDICAL PLAN
What Is GAP Insurance?
We understand that even the best medical insurance plans can leave gaps in coverage, such as high deductibles, copays, or out-of-pocket expenses. Gap insurance is designed to fill these coverage gaps, providing additional financial protection for expenses that your primary health plan might not fully cover. By covering these costs, gap insurance can help reduce the financial burden on employees and create an almost perfect medical insurance plan, offering more comprehensive protection and peace of mind for policyholders. This added layer of coverage ensures that clients receive the care they need without worrying about unexpected medical expenses.
Gap insurance eliminates out-of-pocket expenses up to the deductible amount, effectively creating a $0 deductible for policyholders.
Gap insurance ensures that all copay expenses are covered, resulting in $0 copays for policyholders.
Gap insurance completely eliminates coinsurance costs, providing policyholders with full coverage without any out-of-pocket expenses.
A DIFFERENT PERSPECTIVE ON RISK
Why GAP Insurance Exists
Insurance companies evaluate risk for their higher-tiered plans based on data showing that people who choose them are more likely to use medical services... which ultimately leads to disproportionately higher premiums.
GAP carriers, however, assess risk differently and instead average the numbers across a broader pool that also includes the healthier population. The math doesn’t lie – pairing a lower base plan with GAP insurance delivers a more cost-effective and comprehensive medical insurance solution for your employees.
HOW INSURANCE COMPANIES MAKE MONEY
Traditional Wisdom vs. Innovation
Prevailing thought suggests that people should purchase higher metal-tiered plans—such as gold or platinum—to secure better coverage and minimize out-of-pocket costs. These plans typically offer lower deductibles and more comprehensive benefits, providing greater peace of mind in case of serious medical events. As a result, individuals often feel more secure and satisfied with their insurance, knowing they are protected by a robust plan. Unfortunately, this traditional wisdom is outdated and people end paying much more than they should for the increased coverage.
BEAT THE INSURANCE COMPANIES WITH GAP
Winning With GAP Insurance
The side-by-side comparison is clear. Choosing a base medical plan alone can leave you vulnerable to significant out-of-pocket expenses. Opting for a higher-tier plan, that offers more coverage, often results in significantly overpaying for premiums. However, by combining a base plan with GAP insurance, you can finally outsmart and outmaneuver the system... resulting in a near-perfect plan with a $0 deductible, $0 copays, and no coinsurance.
Think about it. Every doctor visit, every surgery, every specialist appointment... all fully covered. You don't pay anything beyond your premiums (which are already lower than ACA plans) and your prescription copays.
Every... single... company should look at this for their employees.
TAKE CARE OF YOUR EMPLOYEES
GET A QUOTE TODAY
NOT ALL STATES ARE GAP FRIENDLY
Where GAP Insurance Works Best
While GAP insurance can be an incredible solution for filling the coverage gaps in high-deductible health plans, it's important to note that it isn't available in every state. Each state has its own regulations and guidelines that may limit or prohibit certain types of supplemental coverage, including GAP insurance. As a result, while it provides excellent financial protection in many cases, it’s crucial to verify availability and compliance based on your location. At AG Insurance Solutions, we ensure our clients are fully informed about their options and work with them to find alternative solutions if GAP insurance is not available in their state.
Here are the states that are less GAP-friendly:
CA • CT • ID • MA • MD • NH • NJ • NY • VT • WA
BALANCING COMPREHENSIVE COVERAGE WITH AFFORDABILITY
GAP Insurance Myths... Debunked
As the nation's leading General Agency that specializes in level-funded and GAP insurance, we've witnessed the evolution of misconceptions surrounding GAP coverage over the years.
Let’s address some of these MYTHS and explore the real benefits GAP insurance can offer.
LEVEL-FUNDED + GAP
The Good Overwhelms
Let’s face it, nothing is perfect. Implementing a successful Level-funded + GAP policy for your medical benefits package does come with a few drawbacks… but the good far outweighs the bad.
The level-funded + GAP combo not only delivers better coverage for less $$, but you can get a significant refund at the end of the year from your claims fund.
Ok… these plans aren’t perfect. But they are as close you can get with $0 deductibles, $0 copays, and no coinsurance (just pay for your prescription copays).
Nothing makes company morale skyrocket more than employees feeling valued and protected. Give them the gift of incredible insurance and watch what happens.
Every employee wants to work for a company that cares. What better way to highlight how much you care than with a health plan that delivers more comprehensive coverage for less $$?
LEVEL-FUNDED + GAP
The Bad
The enhanced coverage and significant cost savings make it a worthwhile investment as the positive impact on your employees’ well-being and financial security justifies the decision.
Although certain carriers may not need simple medical questionnaires, you should anticipate that most level-funded insurance companies will require them.
Yes, you need to remember to give 2 insurance cards to your provider. One is your normal insurance card, and one is so the provider knows you don’t owe a copay.
Although there are a few exceptions, HSAs typically cannot be paired with these policies. But let’s be honest, why would you need one if you are covered by an almost perfect plan?
Not all states allow a company to initiate a GAP policy, but all employees residing inside those borders still get the same GAP coverage with their company’s national network (meaning your employees living in these states are fully insured).
