ComplaMed is a true medical gap solution that helps reduce out-of-pocket medical expenses for employees.
ComplaMed insurance plan includes:
Medical reimbursement for eligible expenses with $5,000 or $10,000 in aggregate family coverage.*
Claims Sweep, technology that can automatically submit members’ medical claims minimizing claims filing effort.
TopDoc Connect, a specialist matching service that helps each member find the perfect physician specialist for his or her condition.** The goal is to avoid misdiagnosis or incorrect treatments and wasting valuable time running to various doctor appointments.
* Coverage provided by Sirius America Insurance Company.
**Not including behavioral health or addiction.
Out-of-pocket costs are rising significantly, with deductibles having gone up by 67% since 2010. Companies want a way to backfill some of the coverage gap for select employee groups when raising deductibles on the primary plan.
Why Choose ComplaMed?
Preserve coverage for select employee groups when you have to move to a higher primary plan deductible.
Gain the flexibility you need to work within your budget by adding coinsurance or a deductible to the ComplaMed insurance plan structure.
Differentiate your total benefit and compensation offer for select employee groups to gain an advantage over competitors.