Metal Gap Insurance Plan

Plan Detail

Plan Administrator: Independence Holding Company IHC | AM Best Rating: A-"Excellent" | Underwriter: Madison National Life Insurance Company

  • After the deductible (Plan A: $250 deductible and Plans B and C: $500 deductible), benefits are payable for medical expenses incurred as the result of a covered accident, up to the selected maximum amount, minus the deductible, or the actual expense you incur, whichever is less.
  • Critical Illness coverage only applies to the primary insured and their spouse, if also a covered person.
  • This is a membership benefit and not an insurance benefit.
  • Critical illnesses diagnosed in the first 30 days of coverage will have the lesser of a $500 benefit or 10 percent of the amount that it would have paid for the condition if first diagnosed more than 30 days after the insured person’s effective date. Refer to the Certificate of Insurance for complete definitions and diagnostic requirements of each covered critical illness. The amount payable will be reduced by 50 percent if the insured person is age 65 or older on the date a benefit becomes payable. Accident and Critical Illness coverage terminates at age 70. Hospital Confinement coverage terminates at age 65.