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?