Overview

Supplemental medical plans provide cash payments to help you cover a significant medical expense. You pay the full cost of coverage through after-tax payroll deductions. Be sure to consider your anticipated medical needs for the coming year — for example, a major surgery — when deciding if supplemental coverage is right for you.

LPL Financial offers two different types of supplemental medical plans through MetLife — accident insurance and critical illness insurance. You may choose to enroll in one or both.

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On their own, these plans don’t provide comprehensive medical coverage for your day-to-day health care needs. Rather, they’re intended to supplement the coverage provided by your primary medical plan.

Accident Insurance

Accident insurance through MetLife helps protect you from unexpected financial stress if you or a covered family member has an accident. It supplements your primary medical plan by providing cash benefits in cases of covered accidental injuries. You can use this money to help pay for medical expenses not paid by your medical plan (such as your deductible or coinsurance) or for anything else (such as everyday living expenses).

Benefits are paid:

  • Directly to you, unless assigned to someone else
  • In addition to any other coverage, like your primary medical plan or an Accidental Death & Dismemberment (AD&D) plan

You receive a cash benefit up to a specific amount for:

  • Emergency room/ Urgent Care visits (up to $100)
  • Follow up and physical therapy visits (up to $25)
  • Hospital confinement (up to $200 per day)
  • Bone Fractures (up to $4,000)
  • Burns (up to $1,000)
  • Appliances (crutches, leg braces, etc.) (up to $750)
  • You also receive an annual benefit of $50 per calendar year for taking one of the eligible screening/prevention measures

The actual benefit amounts depend on the type of injuries you have and the medical services you need.

Critical Illness Insurance

When a serious illness strikes, critical illness insurance through MetLife can provide financial support to help you through a difficult time. It protects against the financial impact of certain illnesses, such as a heart attack, cancer, or stroke.

You receive a lump-sum benefit to cover out-of-pocket expenses for your treatment, to pay your coinsurance, or to take care of your everyday living expenses such as housekeeping services, special transportation services, and child care.

When a serious illness happens to you or a loved one, this coverage provides you with a lump-sum payment of $10,000 in Initial Benefits upon diagnosis. The Total Benefit Amount available to you is 3 times the Initial Benefit Amount, which is $30,000 in the event that you suffer more than one Coverage Condition. Payment(s) you receive will be made in addition to any other insurance you may have and may be spent as you see fit.

Some of the covered medical conditions include:

  • Cancer
  • Heart Attack
  • Stroke
  • Alzheimer’s Disease
  • Kidney Failure
  • Organ Transplant
  • 22 Other Conditions

Critical illness insurance includes an annual $50 health screening benefit once coverage has been in effect for thirty days. The benefit is payable per person per calendar year for taking one of the eligible screening/prevention measures.

Benefits are paid:

  • Directly to you, unless assigned to someone else