Voluntary Plans
Supplemental Medical Plans pay a fixed, one-time benefit amount which you can use for any purpose you like. It can help pay for expenses not covered by your healthcare plan (such as your deductible or copays), lost income, childcare, travel to and from treatment, home healthcare costs, or any of your regular household expenses.
What’s great about these plans are that they complement your existing healthcare coverage, filling in the gaps and offering financial support where it’s needed most. The best part? It’s entirely up to you. These plans are 100% voluntary, allowing you to choose the coverage that fits your lifestyle and priorities. It’s insurance that puts you in control, providing peace of mind when life takes unexpected turns.
Voluntary Accident Plan – MetLife
Accident coverage can help protect your family against many of the unexpected financial burdens that an accidental injury can bring about.
Some of the most common injuries include:
- Broken bones
- Burns
- Lacerations
- Accidental injuries that send you to the Emergency Room
Payments are made directly to you if you are injured due to an accident. In addition, the plan also provides a $50 wellness benefit per covered person, per calendar year for a covered wellness test.
The voluntary accident plan offers a cash benefit to help pay for out-of pocket expenses resulting from covered injuries or accidents. If you or a covered family member is involved in an accident, the plan will pay a lump sum benefit based on a predetermined schedule of benefits. You pay for it through biweekly payroll deductions. See Sample Reimbursements for examples of benefits you may receive for covered services.
Sample Scenario
On his way to work, John was in a car accident.
- He was transported by ground ambulance to the emergency room and admitted to the hospital.
- He had a dislocated hip and spent five days in the hospital.
- He had several physical therapy sessions before returning to work.
- John submitted his accident claim and received $5,850 from his accident insurance coverage.
- He used it towards his deductible, copay, and supplemental income for his missed workdays.
Sample Reimbursements
Initial hospital confinement – $1,000 for 24-hour stay
Daily hospital confinement – $200
Emergency room services – $150
Physician follow-up visit – $75
X-ray – $200
Urgent care – $150
Appliance – Up to $500
Dislocation – Up to $3,000
Complete, simple or closed fracture – Up to $9,000
What Accident Insurance Covers
- Emergency Room Visits
- Hospital Stays
- Fractures and Dislocations
- Medical Exams – including major diagnostic exams
- Physical Therapy
- Transportation and Lodging – if you are away from home when the accident happens
Bi-Weekly Plan Cost
Employee Only: $3.70
Employee and Spouse: $7.30
Employee and Child(ren): $8.72
Employee and Family: $10.33
Voluntary Critical Illness
Tom suffered a relatively small stroke.
- He was hospitalized for five days.
- He began rehab to get back to where he was physically before the stroke.
- Tom submitted his claim and received a lump-sum payment of $10,000.
Sample Reimbursements
Employee and Spouse: $5,000 – $30,000 in $5,000 increments
Children: $1,000 – $15,000
What Critical Illness Insurance Covers
- Heart Attack
- Multiple Sclerosis
- Stroke
- Alzheimer’s Disease
- Parkinson’s Disease
- Major Organ Failure
Plan Cost
| Critical Illness – Per $1,000 | EE Only | EE+SPS | EE+Child(ren) | EE+Family |
| <25 | $0.37 | $0.62 | $0.61 | $0.86 |
| 25 – 29 | $0.41 | $0.68 | $0.66 | $0.93 |
| 30 – 34 | $0.48 | $0.78 | $0.73 | $1.03 |
| 35 – 39 | $0.64 | $1.01 | $0.89 | $1.26 |
| 40 – 44 | $0.85 | $1.31 | $1.09 | $1.56 |
| 45 – 49 | $1.12 | $1.73 | $1.37 | $1.98 |
| 50 – 54 | $1.47 | $2.29 | $1.71 | $2.53 |
| 55 – 59 | $1.96 | $3.08 | $2.20 | $3.33 |
| 60 – 64 | $2.51 | $3.98 | $2.76 | $4.23 |
| 65 – 69 | $3.16 | $5.00 | $3.41 | $5.24 |
| 70 – 74 | $4.12 | $6.49 | $4.37 | $6.73 |
| 75+ | $5.72 | $8.88 | $5.97 | $9.13 |