Health Insurance
Are you prepared for your future? Planning for the upcoming years should include obtaining health insurance to best
fit your needs. Guarantee Trust Life Insurance Company (GTL) offers a variety of health insurance products, including
Hospital Indemnity, Medicare Supplement, Cancer, Short Term Nursing Home, and
Group Health insurance policies.
Advantage Plus
Advantage Plus means protection. Today, more than ever quality health care has become an absolute necessity.
Without coverage, an illness could result in a financial disaster. It's a fact that even the best health care
insurance plans have out-of-pocket expenses. GTL's new plan was designed to supplement your current health
insurance plan. It is designed to fill some of the co-pays, deductibles or coverage gaps you would be responsible
for should you need care.
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Benefits available for:
Daily hospital Confinement
Ambulance trips
Durable medical equipment
Skilled Nursing Care
Lump Sum Hospital Confinement
Accidental Death and Dismemberment
Issue ages: 64.5 - 85 years old
Freedom to choose a daily benefit amount between $100 and $600 per day/hospital visit
Choose a 10-day or 21-day benefit period
Coverage to help with expenses such as:
Inpatient/outpatient hospital services
Doctor fees and visits
Emergency room services and supplies
Home Health Care
Medical equipment
Laboratory tests
Ambulance services
NOTE: Not all of our products are available in all states where we are licensed.
Policies' exclusions apply. Availability, Features, Benefits and Options may vary by state.
Please call the Agency Department at 1-800-323-6907 for plans' specifics.
Hospital Indemnity
Not many people plan on being in the hospital, but even a short visit to the hospital could deplete your savings
once all of the out-of-pocket expenses are added up. It is important to examine all the alternatives before you are
even admitted into a hospital in order to find an affordable solution.
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Things You Should Know About Hospitalization:
People 65 years and older are major consumers of inpatient care. *
An average inpatient hospital stay costs about $1,102.61 a day. **
A hospital stay can generate such out-of-pocket costs as temporary loss of
wages, child-care expenses, home care, special equipment and special
medication. **
There are many hospital-related expenses that may not be covered by traditional medical insurance. To help avoid
financial worry, GTL offers Premier Care Hospital Indemnity Insurance with coverage to help with expenses such as:
Insurance deductibles
Private hospital rooms
Prescription drugs
Nursing care after you leave the hospital
TV and telephone charges incurred during your hospital stay
The benefits of this policy are paid in addition to Medicare or any other insurance policy you may already have.
For more information on this insurance product, please click here to
complete an Inquiry Form.
NOTE: Not all of our products are available in all states where we are licensed. The plans have exclusions,
limitations and terms under which the plan may be continued in force. Availability, Features, Benefits and Options may
vary by state. Please call the Agency Department at 1-800-323-6907 for plans' specifics, costs and complete details.
* National Center for Health Statistics, Health, United States, 1999.
** Hospital Statistics 2001 Edition, Health Forum: American Hospital Association Company.
Benefits Plus is an insurance plan that offers hospital care, home care and medical service benefits, which are
medically necessary due to injury or illness.
Hospital Care & Medical Services
Daily Hospital Confinement Indemnity Benefit
Doctor's Office Visit Benefit
Hospital Outpatient Benefit
Emergency Room Benefit
Home Care & Services
Home Health Care Benefit
Homemaker/Companion Benefit
Benefits Plus Features:
Premiums that cannot be changed because of declining health. ***
30-Day Money-Back Guarantee
For more information on this insurance product, please click here to
complete an Inquiry Form.
NOTE: Not all of our products are available in all states where we are licensed. The plans have exclusions,
limitations and terms under which the plan may be continued in force. Availability, Features, Benefits and Options may
vary by state. Please call the Agency Department at 1-800-323-6907 for plans' specifics, costs and complete details.
* National Center for Health Statistics, Health, United States, 1999.
** Hospital Statistics 2001 Edition, Health Forum: American Hospital Association Company.
*** Premiums may change if GTL changes the premiums on a class basis for all Benefits Plus policies in that state.
Medicare Supplement
What is Medicare?
Medicare is a government Health Insurance Program for:
People 65 years of age and older.
Some people with disabilities under age 65.
People with End-Stage Renal Disease
(permanent kidney failure requiring dialysis or a transplant). **
What is Medicare Supplement Insurance?
Medicare Supplements are private insurance policies that supplement Medicare benefits by covering co-payments and
deductibles for some medical and hospital expenses. These policies do not provide coverage for personal or custodial
care.
With rising medical expenses, Medicare Supplement insurance is a smart alternative to help pay many of the costly
out-of-pocket medical expenses you may encounter.
GTL offers six different plans, plus a high deductible Plan F+ policy, to provide a variety of coverage to meet your
needs and fit your budget. Please call the Agency Department at 1-800-323-6907 to determine which plans are available in your state.
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Compare what Medicare pays with GTL's Medicare Supplement Plans.
Other things you should know:
What is a deductible?
What is a benefit period?
What is a Medicare Eligible Expense?
What is a skilled nursing facility?
What is coinsurance?
2007 Medicare Supplement Plans offered by GTL:
"X" = Covered benefits
---Plan F+ High Deductible: $1,860 per calendar year in 2007
The 2007 Basic Benefit Package provides:
Part A: Inpatient Care Benefits --- after deductible: $992 (per benefit period in 2007)
Under all Medicare Supplement plans, we will pay the following benefits for expenses incurred due to illness or injury:
All co-payment expenses incurred after the Medicare Part A Deductible
during a hospital stay covered by Medicare. This includes the Medicare
lifetime reserve co-payment amount.
Upon exhaustion of Medicare benefits, including lifetime reserve days, we will pay 100%
of the Medicare Eligible Expense incurred due to inpatient hospital care. This benefit starts on
the day following the last day of coverage by
Medicare, and is subject to a lifetime maximum benefit of an additional 365
days. These expenses must be of the type Medicare would have covered if
Medicare benefits were not exhausted.
The expense incurred for the first 3 pints of blood furnished on an inpatient
basis (or the equivalent in packed
red blood cells) which have not been
replaced.
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Part B: Medical Care Benefits ---after deductible: $131 (per calendar year in 2007)
We will pay the following benefits for the expenses incurred due to an injury or illness:
The Medicare Part B co-payment amount of the Medicare Eligible Expenses incurred,
which exceed the Medicare Part B Annual Deductible.
The Actual Charge incurred for the first 3 pints of blood furnished on an
outpatient basis (or the equivalent in packed red blood cells) which
have not
been replaced.
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GLOSSARY ***
At-Home Recovery: A benefit that covers additional home care if you are already getting Medicare-covered home
health services. It pays up to $40 a visit and $1,600 a year.
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Benefit Period: The way that Medicare measures your use of hospital and skilled nursing facility services. A
benefit period begins the day you go to a hospital or skilled nursing facility. The benefit period ends when you have
not received hospital or skilled nursing care for 60 days in a row. A new benefit period begins if you go to the
hospital the day after a benefit period ends. You must pay the inpatient hospital deductible for each benefit period.
There is no limit to the number of benefit periods you can have.
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Coinsurance: The percent of the Medicare Eligible Expense that you have to pay after you pay the deductible
for Part A and/or Part B.
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Deductible: The amount you must pay for health care, before Medicare begins to pay, either for each benefit
period for Part A, or each year for Part B. The deductible for Plan F+ applies to both Part A and Part B. These amounts
change every year.
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Medicare Eligible Expense: The fee Medicare sets as reasonable for a covered medical service. It is the amount
that you and Medicare pay to a doctor or supplier for a service or supply. It may be less than the actual amount charged
by a doctor and supplier.
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Part B Excess: Under federal law, doctors who do not accept Medicare's payment as payment in full ("assignment"),
may charge up to 15% more than the approved amount. This benefit may be beneficial if your doctor does not accept
assignment or if you stay in a hospital with the inability to control whether the doctor accepts assignments.
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Skilled Nursing Coinsurance: You may want to consider this benefit if you need to go to a Skilled Nursing
Facility after a hospital stay and stay in the skilled nursing facility longer than 20 days.
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The following chart provides a brief description of some of the benefits for these plans. The plans are not available
in all states and may vary by state.
GTL Medicare Supplement Plans
| |
What Medicare Leaves you to Pay |
What GTL Supplement Plans pays |
Plan A |
Plan B |
Plan C |
Plan D |
Plan
F |
Plan F+ (*) |
Plan
G |
| Part A Hospital Care |
$992 for a hospital stay (1-60 days) |
$992 |
|
X |
X |
X |
X |
X |
X |
| |
$248 per day for day 61-90 in the hospital |
$248 per day |
X |
X |
X |
X |
X |
X |
X |
| |
$496 per day for day 91-150 in the hospital |
$496 per day for day 91-150 in the hospital |
X |
X |
X |
X |
X |
X |
X |
| |
100% of bills after 150th day in the hospital |
100% of Medicare-eligible expense for an additional 365 days |
X |
X |
X |
X |
X |
X |
X |
| |
First three pints of blood |
100% |
X |
X |
X |
X |
X |
X |
X |
| Skilled Nursing Facility |
$124 per day for day 21-100 of stay |
$124 |
|
|
X |
X |
X |
X |
X |
| Part B Calendar-year deductible |
$131 |
$131 Part B deductible |
|
|
X |
|
X |
X |
|
| Physician services and supplies |
Generally, 20% of Medicare-eligible expense (after $131 yearly deductible) |
20% of Medicare-eligible expense (after $131 yearly deductible) |
X |
X |
X |
X |
X |
X |
X |
| |
Excess charges |
|
|
|
|
|
X (100%) |
X (100%) |
X (80%) |
| |
Charges for the first 3 pints of blood plus 20% of approved pints medically necessary |
Charges for the first 3 pints of blood plus 20% of approved pints medically necessary |
X |
X |
X |
X |
X |
X |
X |
| Emergency care in a foreign country |
100% of bills for emergency care in a foreign country |
80% of Medicare-eligible expense (after $250 yearly deductible) with a max of $50,000 |
|
|
X |
X | X |
X |
X |
| At-home recovery-not covered by Medicare |
|
|
|
|
|
X |
|
|
X |
*After F+ annual policy deductible
For more information on this insurance product, please click here to
complete an Inquiry Form.
NOTE: Not all of our products are available in all states where we are licensed. The above plans have exclusions
and terms under which the plans may be continued in force. Availability, Features, Benefits and Options may vary by
state. Please call the Agency Department at 1-800-323-6907 for plans' specifics, costs and complete details, to
determine the right plan for you. GTL does not offer Medicare Supplement plans in AK, CA, CT, HI, MA, RI, and WA.
Guarantee Trust Life Insurance Company and its representatives are independent and not connected to or endorsed by Medicare, the Social
Security Administration, or any other state or federal government agency.
** Source:
www.medicare.gov , Medicare Basics, 2001.
***Source: Choosing a Medigap Policy, Health Care Financing Administration, 2001.
Cancer
While many positive steps have been made in cancer research, cancer treatments can be very expensive. Do you have the
funds to pay for the hospital expenses, treatments, and prescriptions should you be diagnosed with cancer?
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Who is at Risk of Developing Cancer?
Although nearly 80% of all cancers are diagnosed in patients 55 years and
older, everyone is at risk. Since the occurrence of cancer increases with age,
most people are affected as middle-aged adults. *
According to the National Cancer Institute, more than 8 million Americans
have had cancer in their lifetime.
1,284,900 new cases are expected to be diagnosed in 2002 alone. Since
1990, nearly 16 million new cancer cases have been diagnosed. *
What are the Costs of Cancer?
Cancer treatment can place a great financial burden on patients and their families. Hospitalization and medication costs
need to be considered, as well as non-medical expenses such as loss of income and transportation to treatment centers.
In 2001, the National Institutes of Health estimated the overall U.S. annual
costs for cancer at $156.7 billion.*
CANCER FACTS, According to the American Cancer Society:
Cancer is the second leading cause of death in the U.S.
In the U.S., men have an estimated 1 in 2 lifetime risk of developing cancer;
for women, it's about 1 in 3.
In the U.S., 1 of every 4 deaths is from cancer.
555,500 cancer deaths are expected in 2002, more than 1,500 people a day.
OTHER HEALTH FACTS:
Approximately 1 million Americans suffer a heart attack each year. (Source Medline Plus)
Stroke is the third leading cause of death in the U.S.
Every 53 seconds, someone in America has a stroke. **
Each heart attack costs a minimum of $150,000. (Source Early Warning Healthcare Institute)
What Cancer Insurance Plans does GTL offer?
Supplemental Solutions Schedule of Benefit Plan and Lump Sum Plan
Cancer, Heart Attack and Stroke Indemnity Plan
First Occurrence Cancer
Cancer Care Plus
Supplemental Solutions Cancer Plan:
Lump Sum Benefit from $15,000 to $50,000
Schedule of Benefits Plans A, B, C, & D including:
$100 to $410 a day Hospital Confinement
$2,500 to $9,000 Surgical Procedures
$100 to $300 a day Radiation and Chemo Benefit
Return of Premium Rider
Heart Attack & Stroke Rider
GTL's Cancer, Heart Attack and Stroke Indemnity Plan features:
Benefits paid for hospital confinement, intensive care, private nurses, and
blood transfusions paid directly to the insured
Family coverage includes spouse, and unmarried dependent children under
19, or 23 if a full time student
10-day right to return policy for a full refund
Worldwide, 24-hour protection
GTL's First Occurrence Cancer Plan features:
Lump Sum benefit paid directly to the insured
Benefits from $5,000 to $25,000
30-Day Money-back Guarantee
Hospitalization is not required
GTL's Cancer Care Plus Plan features:
Coverage for Inpatient and Outpatient expenses
Transportation and lodging benefits paid directly to the insured
Optional Benefits covering Intensive Care Unit and Initial Occurrence of
Cancer
For more information on this insurance product, please click here to
complete an Inquiry Form.
NOTE: Not all of our products are available in all states where we are licensed. The above plans/riders have
exclusions, limitations and terms under which the plans may be continued in force. Availability, Features, Benefits and
Options may vary by state. Please call the Agency Department at 1-800-323-6907 for plans' specifics, costs and complete
details.
*Source: American Heart Association, Cancer Facts and Figures 2002.
**Source: American Stroke Association, 2002.
*** Source: National Center for Health Statistics, Health, United States, 1999.
Preferred Catastrophic Plan:
Health insurance to assist with larger medical expenses.
Maximum Lifetime Benefit of $1,000,000 per covered person
Calendar Year Deductibles from $25,000 to $50,000, in increments of $5,000*
Issue ages: 18-63 years old
Individual and Family coverage available
Guarantee Renewable (may vary by state)
Common Disaster Provision
Survivor’s Coverage
Beach Street PPO
100% coverage for in-network benefits
80% coverage plus an additional $5,000 deductible for out-of-network benefits
Coverage to help with expenses such as:
Inpatient/outpatient hospital services
Doctor fees and visits
Emergency room services and supplies
Anesthetist, Assistant Surgeon, Pathologist and Radiologist
Radiation, Chemotherapy and Dialysis
Private Duty Nursing Services
Convalescent/Nursing Home Care
Home Health Care
Medical equipment
Laboratory tests
Ambulance services
Short Term Nursing Home
What would happen if you had surgery or became ill and were unable to feed and dress yourself during your recovery?
Would you be able to afford the expenses for your short-term care?
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Facts You Should Know:
43% of the people who need to stay in a nursing home or assisted living
facility are there for less than a year. *
Nursing home care averages roughly $3,800 per month. *
About one-third of all nursing home costs are paid by the patients and their
families. **
RecoverCare is an insurance plan that can help you pay for the care you would need if you were temporarily
functionally disabled, and is designed to cover nursing home stays of 360*** days or less.
Benefits for RecoverCare
We will pay the incurred charges, up to the Daily Maximum Benefit Amount for:
Nursing Home Care
Adult Day Care
Assisted Living Facility
Hospice Care
Alternate Plan of Care
Additional Riders
GTL's RecoverCare plan offers added protection with two optional insurance riders, available for an additional premium.
Home Health Care Rider
Simple Increasing Inflation Protection Rider (Annually increases the amount of
the Maximum Daily Benefit you choose by 5%)
RecoverCare features:
10% Spousal Discount †
Waiver of Premium
30-Day Money-back Guarantee
Restoration of Benefits
Third Party Notification
RecoverCare is available in:
Georgia, Illinois, Kentucky, Mississippi, Missouri, Nebraska, Nevada, New Mexico, North Carolina, Oklahoma, Pennsylvania,
South Carolina, Tennessee, and Wyoming.
For more information on this insurance product, please click here to
complete an Inquiry Form.
NOTE: Not all of our products are available in all states where we are licensed. Policies' exclusions apply.
Availability, Features, Benefits and Options may vary by state. Please call the Agency Department at 1-800-323-6907 for
plans' specifics.
*Source: American Health Care Association, Facts & Trends: Nursing Facility Sourcebook, 2001.
**Source: Health Insurance Association of America, Guide to Long Term Healthcare Insurance, 2002.
*** May vary by state.
† Not Applicable in Michigan
Accident Disability Insurance
Are you in need of Accident Disability insurance? The loss of income from a disability could result in financial
hardship. Accident Disability insurance may help protect you and your family from the costly effects of accidental
disability.
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Consider what the National Safety Council reported in its Accident Facts, 2000 edition:
Every two seconds someone in the U.S. suffers an accidental injury.
Every ten seconds someone in the world dies because of an unintentional
injury.
About 37% of all emergency room visits are injury-related.
The total cost of unintentional injuries in 1999 in the U.S. was $469 billion.
The expenses and loss of income resulting from a disability could put a financial strain on you and your family.
Accident disability insurance can provide protection and peace of mind in case an accident should occur.
GTL's Preferred Protection Accident Disability Insurance includes:
Total Disability Benefit
Hospital Indemnity Benefit
Emergency Medical Treatment Benefit
Accidental Death and Dismemberment Benefit
Optional Rider: Ambulance Service Benefit
For more information on this insurance product, please click here to
complete an Inquiry Form.
NOTE: Not all of our products are available in all states where we are licensed. The above plans/riders have
exclusions, limitations and terms under which the plans may be continued in force. Availability, Features, Benefits and
Options may vary by state. Please call the Agency Department at 1-800-323-6907 for plans' specifics, costs and complete
details.