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Fixed-Indemnity Frequently Asked Questions

Fixed-indemnity insurance provides set cash payments to help cover specific medical expenses. Explore common questions to see how it can help manage healthcare costs for you and your family.

More FAQ’s

Is fixed-indemnity insurance the same as major medical insurance?

No, fixed-indemnity insurance is different from major medical insurance. It provides set cash benefits for specific services, regardless of the actual cost of care. While it doesn’t limit your financial risk like major medical insurance, it can be a good option for individuals looking to avoid ACA plans and save on premiums.

What is fixed-indemnity insurance?

Fixed-indemnity insurance provides set cash payments to help you manage healthcare costs. For example, with the Allstate Access Fundamentals Plan:

 

– The average cost of a 1-day hospital stay in the U.S. is about $2,600.
– The Fundamentals Plan pays $4,000 per day for injury confinement, sending the payment directly to you.

 

This means you not only cover the hospital cost but also have an additional $1,400 to use for other expenses, like uncovered medical bills or personal needs.

How much does fixed-indemnity insurance cost?

The cost of fixed-indemnity insurance depends on factors like your age, location, coverage level, and the number of people being insured. For an accurate rate, enter your zip code at the top of the page to shop plans in under 2 minutes.

Do fixed-indemnity plans cover pre-existing conditions?

No, fixed-indemnity plans won’t cover treatment for pre-existing conditions during the first 12 months. However, after the first year, coverage for pre-existing conditions is typically included.

What happens if my medical costs exceed the fixed benefit amount?

You’ll be responsible for any costs beyond the set benefit amount. Fixed-indemnity plans are designed to provide financial support but aren’t meant to cover the total cost of care.

What do Fixed-Indemnity plans cover?

Fixed-indemnity plans offer cash benefits for a wide range of medical services. Explore what these plans cover and how they can help you manage unexpected healthcare costs.

Laboratory services

  • Blood Tests
  • X-Ravs
  • MRI and CT Scans
  • Radiology

Outpatient & Drugs

  • Office visits
  • Preventive Care
  • Urgent Care
  • Prescription Medications

Transitional Care

  • Home Health Care
  • Hospice Care
  • Skilled nursing facilities

Emergency & Hospitalization

  • Emergency Room Visits
  • Ambulance (ground or air)
  • Hospital Admission
  • Confinement
  • ICU

Surgery & Observation Unit

  • Inpatient Surgeries
  • Outpatient Surgeries
  • Pre-and Post-Operative Care
  • Observation Stays
  • Anesthesia

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How Fixed-Indemnity Plans Work

Easily manage unexpected medical expenses with a straightforward process.

01

Receive Medical Care

Visit any healthcare provider, doctor, or hospital whenever you need treatment. Fixed-indemnity plans often provide the freedom to choose from a wide network of providers without restrictions, making it easier to access care that fits your needs.

02

File a Claim

After receiving medical care, submit a claim directly to your insurance provider. Be sure to include essential documentation, like medical bills and receipts, to ensure fast processing.

03

Receive Cash Benefits

Your insurance company will pay you a fixed cash amount for each covered service. Use this payment to offset your medical expenses or other financial needs.

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