Fixed Indemnity Insurance Gainesville, FL | First-Dollar Cash Benefits
A Supplemental Plan to Offset Covered Medical Expenses
A Supplemental Plan to Offset Covered Medical Expenses
Fixed Indemnity Insurance is importantly NOT major medical insurance and may not include the minimum essential health benefits as outlined by the Affordable Care Act. A Fixed Indemnity Insurance policy pays a pre-determined, fixed cash benefit directly to you (or your provider) for specific medical services covered by the plan.
There are no deductibles, no coinsurance, and no copays. These policies are designed to offset your major health plans out-of-pocket expenses for covered medical services. They work in addition to your existing insurance to fill the expensive gaps.
Marketplace (ACA) Plans: While doctor visit copays might be manageable, a Fixed Indemnity plan provides the cash to offset those costs as well as higher-cost services like hospital stays or surgeries. With 2026 individual out-of-pocket maximums reaching $10,600, these plans offer a vital "cushion" to help pay your deductible if a serious health event occurs.
Bridging the financial gap in Florida and Georgia. Many Gainesville residents use a Fixed Indemnity plan as a "Deductible Protector" alongside a high-deductible health plan. It’s a smart way to ensure that routine medical needs don't disrupt your monthly budget. As your local independent agent, I’ll help you compare the benefit levels available to ensure your plan matches your lifestyle and your healthcare needs.
Is this the same as a Major Medical plan? No. Fixed Indemnity is a supplemental product. It is best in addition to major medical insurance (like ACA/Marketplace) policy by covering the out-of-pocket costs that are usually your responsibility. If you are seeking a major medical plan that covers the essential health benefits as outlined in the Affordable Care Act, you should enroll in Marketplace coverage.
Can I get covered if I have a pre-existing condition? While these plans do require medical underwriting, they typically use a simplified medical questionnaire. If your application is approved, there are pre-existing condition restrictions where the policy will cover your pre-existing conditions after a set time has passed. (e.g. 12 months)
How do the payouts work? Every service has a fixed "price tag" in your policy. If your plan pays $150 for an urgent care visit, you (or your designated provider) receive $150 regardless of what the clinic charges or what your other insurance covers.
Should I buy a Fixed Indemnity Plan if I have Medicare? Generally no. Most Fixed Indemnity plans have age restrictions, often 18 to 64 years of age to qualify. Instead, I recommend a Hospital Indemnity insurance policy if you are eligible for Medicare. If you're looking to offset costs with your Medicare Advantage plan, or High-Deductible Medicare Supplement Insurance policy, click here to learn more.
Disclosure: This is a solicitation for insurance. This is NOT Medicare Supplement Insurance. This is a Limited Benefit Policy and is NOT Major Medical Insurance or Minimum Essential Coverage (MEC) under the Affordable Care Act (ACA). This coverage is supplemental only. Not all applicants may qualify.