GapAssist

Three benefits, one decision

GapAssist combines per-occurrence accident, critical illness and hospital products in one convenient, simple-to-use package.

Clients can choose from three turnkey plans—Base, Classic and Premier—which offer the same benefits at increasing amounts. All GapAssist plans are designed to complement other coverages, like major medical plans, and are HSA-compatible.

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GapAssist’s benefits

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Accident insurance

Pays 100% of eligible expenses related to an accidental injury.1 Benefits are paid regardless of any other coverage, and eligible expenses are covered even if incurred on different days or with different providers.2

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Hospital indemnity insurance

Pays a fixed benefit amount each day of a hospital stay lasting at least 24 hours, to a max of 5 days per calendar year.

Other covered facilities include:

  • ICU: 5 days per calendar year
  • Substance abuse facility: 5 days per calendar year
  • Mental health facility: 5 days per calendar year
  • Nursing facility: 60 consecutive days per stay maximum

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Critical illness insurance

Pays a lump-sum benefit after an employee is diagnosed with a covered condition while the coverage is in effect.

Covered conditions are grouped into three categories and include cancer, heart attack and stroke, major organ failure and severe burns.

Symetra accident, critical illness and hospital indemnity coverages are also available as standalone benefits. Click to learn more about them.

1 Unless covered by workers’ compensation or similar law.

2 The first expense must be incurred within 60 days of the accident, with all remaining expenses incurred within 52 weeks of the accident.

3 Nursing facility stays are covered only if following a covered hospital stay of at least 3 consecutive days.

Simple to use, easy to manage

  • One payroll deduction for all three benefits.
  • No deductibles, copays, coinsurance or network requirements.
  • HSA-compatible benefits.

Tools to support your client discussions

Want to learn more? Contact your Symetra representative today.

Select Benefits policies are insured by Symetra Life Insurance Company, 777 108th Avenue NE, Suite 1200, Bellevue, WA 98004, and are not available in all U.S. states or any U.S. territory.

Select Benefits insurance policies are designed to provide benefits at a preselected, fixed dollar amount. They are not a replacement for a major medical policy or other comprehensive coverage and do not satisfy the minimum essential coverage requirements of the Affordable Care Act. Coverage may be subject to exclusions, limitations, reductions and termination of benefit provisions. For costs and complete details of the coverage, contact your Symetra representative.