MedPair

About MedPair

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Complements comprehensive major medical.

Supplemental health insurance is customized to work in conjunction with a primary health insurance provider. It’s not a replacement for your primary coverage, but rather a supplement to your primary carrier's health plan.

Reduces employee out-of-pocket costs.

MedPair helps decrease an organization's overall health insurance premiums and helps employees experience a dramatic reduction in their out-of-pocket expenses.

Provides HealthCare Reform advantages.

MedPair reduces the burden of PPACA by allowing employers to reduce single and family rates, all while strengthening their health plans.

Plan designs are customizable.

There is great flexibility when picking a primary insurance plan design. MedPair is fully customizable to fit the unique needs of each employer and their employees.

Employee Benefits

Inpatient Hospital Benefit

Coverage for confinement and services rendered as an inpatient in a hospital—room charges, surgery, in-hospital physician charges, and emergency room treatment (if admitted to hospital).

Benefit Options

$500 up to $10,000 maximum per insured person per benefit year.

Family Benefit Limit

Equals three times the individual Inpatient Hospital Benefit.

Outpatient Benefit

Coverage for services rendered in a hospital emergency room, hospital outpatient facility, outpatient surgical facility, diagnostic facility, physician’s office, lab facility, and urgent care facility.

Benefit Options

$0 to $4,000 depending on selected Inpatient Hospital Benefit.

Family Benefit Limit

Equals three times the individual Outpatient Benefit.

Products are not available in all states. All coverage is subject to availability, underwriting approval, and specific state mandates. The benefits outlined are for illustrative purposes only and should not be considered as a guarantee or proposal for coverage. Limitations and exclusions apply. Additional plan options are available, subject to underwriting approval.

Cost Example


Plan Name	Plan #1 - Single Option
Deductible	$0
Coinsurance Expense	100%
OOP Max	$3,000
Primary Co-Pay	$15 / $30
Rx	$10 / $30 / $50


Inpatient Benefit	$3,000
Outpatient Benefit	$1,500

Total Max Benefit:	$4,500


Employee Only	$56.57
Employee + Spouse	$101.88
Employee + Child	$111.65
Family	$155.65

Total Supplemental Cost*	$5,885.34
Total Medical Plan Cost	$78,733.44

Total Monthly Cost	$84,618.78

Monthly Savings	$585.17
Annual Savings	$7,022.04

How It Works

Brokers and employers

MedPair is implemented with the help of a Tandem Medical Solutions consultant. Contact us today for more information or to request a proposal.

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Members

MedPair pays the member's portion to an eligible medical claim up to annual maximum benefits. It helps pay for deductibles and out-of-pocket expenses for inpatient and outpatient treatment.

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Providers

Benefits are paid directly to healthcare providers upon submission of the patient's itemized bill or HCFA and the primary carrier's EOB.

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Administered by: Gilsbar

Underwritten by: Nationwide

Managed by: Tandem Medical Solutions