North American Mutual

Supplemental Insurance General Information

Supplemental benefits are additional insurance coverages or perks that go beyond standard health insurance. They help cover services, expenses, or gaps not fully covered by a primary health plan. These benefits can be offered by employers as part of a group benefits package or purchased individually.

Key Characteristics of Supplemental Benefits

Voluntary

Often optional and paid for by the employee (though sometimes partially or fully employer-funded).

Flexible

Can be customized based on an individual’s or group’s needs.

Payouts

Many pay cash benefits directly to the policyholder, not to the doctor or hospital.

Suplemental Insurance Coverages

Explore what each type of coverage protects

Click to learn more about the individual coverage types

Liability

Dental
Insurance

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Uninsured Motorist

Vision
Insurance

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Medical Payments

Accident
Insurance

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PIP

Critical Illness Insurance

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Collision

Hospital Indemnity Insurance

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Comprehensive

Disability
Insurance

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Towing and Labor

Cancer
Insurance

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Dental Insurance

Dental insurance is a key component of a well-rounded health benefits package. It helps individuals and families manage the cost of preventive, basic, and major dental care. Preventive services, such as routine cleanings, exams, and X-rays, are often covered at 100%, encouraging regular dental visits and early detection of potential issues. This proactive approach not only helps maintain oral health but can also prevent more costly procedures down the line.

Most dental insurance plans are structured around a tiered coverage model. Basic services, like fillings and simple extractions, are typically covered at a lower percentage than preventive care, while major procedures such as crowns, bridges, and root canals may require higher out-of-pocket costs. Many plans include annual maximums, deductibles, and waiting periods, especially for major services. It’s important for individuals to review plan details to understand what is covered and what limitations may apply.

Dental coverage is available through employer-sponsored plans or can be purchased individually. Group plans often provide more comprehensive benefits at a lower cost due to group pricing. Some plans also include access to provider networks that offer discounted rates for covered services. These savings can significantly reduce the overall cost of dental care throughout the year.

In addition to traditional dental insurance, some supplemental dental plans or discount programs are available to help with costs not covered under primary insurance. These can be especially useful for individuals who need extensive dental work or those without access to employer-sponsored coverage. Regardless of the type, having dental coverage encourages regular care and provides peace of mind when unexpected dental issues arise. 

Vision Insurance

Vision insurance is a specialized type of coverage designed to help offset the cost of routine eye care and vision correction. While it is not typically included in standard health insurance plans, vision insurance can be added as a supplemental benefit through an employer or purchased individually. It promotes regular eye exams, which are important not just for maintaining good vision but also for detecting early signs of health issues like diabetes, high blood pressure, and glaucoma.

Most vision plans cover annual eye exams, a set allowance for prescription eyeglasses or contact lenses, and discounts on additional services or upgrades such as anti-glare coating or progressive lenses. Some plans also include coverage for corrective procedures like LASIK at discounted rates, though this is less common. Vision benefits help reduce out-of-pocket expenses for both routine and corrective services, making eye care more accessible and affordable.

Plans usually operate through a network of participating eye care providers. Visiting in-network optometrists or ophthalmologists ensures maximum benefits, such as fully covered exams or higher allowances for eyewear. Out-of-network visits are sometimes reimbursed at a reduced rate, depending on the plan. This network-based structure allows providers to offer discounted rates, making it easier for members to manage their eye care expenses throughout the year.

Vision insurance is especially valuable for individuals who wear corrective lenses or have a family history of eye conditions. Even for those with healthy vision, regular exams can help catch problems early. For employers, offering vision coverage adds value to their benefits package and supports overall employee wellness.

Accident Insurance

Accident insurance provides financial protection by paying cash benefits when a policyholder experiences a covered accidental injury. These plans are designed to help with out-of-pocket costs that may not be fully covered by traditional health insurance, such as deductibles, copayments, or non-medical expenses like transportation or child care. Coverage typically applies to a wide range of accidental events, including fractures, dislocations, burns, and emergency room visits.

The benefits are usually paid directly to the insured, regardless of what the medical provider charges or what the primary insurance pays. This flexibility allows individuals to use the funds as they see fit, whether for medical bills, household expenses, or time away from work. Accident plans often include a schedule of benefits, where specific dollar amounts are listed for different types of injuries or treatments, making it easy to understand what to expect from a claim.

Accident insurance is a popular option for families with children, active individuals, or those with physically demanding jobs. It serves as an extra layer of protection against the unexpected costs that can arise from slips, falls, sports injuries, or accidents at home or work. These policies are often available at affordable monthly rates and can be purchased on their own or as part of a supplemental benefits package.

Employers may offer accident insurance as a voluntary benefit, giving employees the option to enroll during open enrollment periods. Having this kind of coverage can ease the financial burden during stressful times and provide peace of mind knowing that support is available when unexpected injuries occur. START A QUOTE⮕

Critical Illness Insurance

Critical illness insurance is a type of supplemental coverage that provides a lump-sum cash benefit when the insured is diagnosed with a covered serious medical condition. These conditions typically include illnesses such as cancer, heart attack, stroke, kidney failure, or major organ transplant. The goal of this coverage is to ease the financial strain that often accompanies severe health diagnoses by giving individuals immediate access to funds they can use however they need.

Unlike traditional health insurance, which reimburses providers for specific services, critical illness insurance pays the insured person directly. This gives policyholders flexibility to apply the benefit toward medical bills, experimental treatments, travel for care, household expenses, or even time off work during recovery. Some policies also include coverage for secondary diagnoses or recurrence of the same illness, depending on the terms of the plan.

Critical illness insurance is particularly valuable for individuals with high-deductible health plans or those with a family history of major health conditions. Even with strong health insurance, the out-of-pocket costs and lost income during a prolonged illness can be significant. Having a lump-sum benefit can help reduce financial stress and allow individuals to focus on treatment and recovery rather than finances.

Employers may offer critical illness coverage as part of a broader employee benefits package, or it can be purchased individually. Many plans allow you to choose your coverage amount and may include optional riders for additional conditions or coverage for dependents. It serves as a practical financial safeguard in the face of life-altering health events. START A QUOTE⮕

Hospital Indemnity Insurance

Hospital indemnity insurance is a supplemental insurance policy that provides fixed cash payments when the insured is admitted to a hospital. It is designed to help cover the unexpected expenses that often arise during a hospital stay, such as deductibles, copays, transportation, lodging for family members, or lost income from missing work. This benefit can be especially helpful for individuals enrolled in high-deductible health plans or those looking to enhance their overall financial protection.

The coverage typically includes a daily benefit for each day spent in the hospital, with additional payments for services like intensive care, surgery, or maternity stays. Some plans also offer lump-sum benefits for hospital admission, regardless of the length of stay. The money is paid directly to the insured, giving them the flexibility to use it however they need, whether to pay medical bills or take care of household expenses.

Hospital indemnity insurance is often offered by employers as a voluntary benefit and can be purchased on an individual basis as well. Premiums are usually affordable, and many plans have guaranteed issue with no medical exams required for enrollment. This makes it accessible for a wide range of individuals, including those with pre-existing conditions, depending on the policy.

Having hospital indemnity coverage can provide peace of mind and financial security during a time that is already stressful and uncertain. By helping to offset the hidden and unexpected costs of hospitalization, it ensures that individuals and families are better prepared to handle the financial impact of serious or sudden medical events. START A QUOTE⮕

Disability Insurance

Disability insurance is a crucial form of income protection that provides financial support when an individual is unable to work due to a qualifying illness or injury. It is designed to replace a portion of lost wages, helping individuals maintain their standard of living while they recover. This type of coverage can be especially valuable for people who rely heavily on their income to meet everyday expenses such as rent, mortgage, utilities, or childcare.

There are two main types of disability insurance: short-term and long-term. Short-term disability typically covers temporary conditions and begins paying benefits after a short waiting period, often within one to two weeks of becoming disabled. It usually provides coverage for a few weeks up to several months. Long-term disability kicks in after a longer waiting period, often 90 days or more, and can provide benefits for several years or even until retirement age, depending on the plan.

Disability insurance can be obtained through an employer or purchased individually. Many employer-sponsored plans offer basic coverage as part of a group benefits package, with the option to purchase additional coverage. Individual policies may offer more flexibility in terms of coverage amounts, definitions of disability, and benefit periods. Regardless of the source, having a policy in place ensures that an illness or injury does not completely derail an individual’s financial stability.

Unlike workers’ compensation, which only covers work-related injuries, disability insurance applies to both job-related and non-job-related conditions. This broader protection makes it one of the most important but often overlooked types of insurance. By replacing a portion of lost income, it provides critical financial support when people need it most, allowing them to focus on healing rather than worrying about their finances. START A QUOTE⮕

Cancer Insurance

Cancer insurance is a type of supplemental policy specifically designed to help cover the costs associated with a cancer diagnosis and treatment. While traditional health insurance helps pay for doctor visits, hospital stays, and treatments, cancer insurance provides additional financial support in the form of lump-sum payments, reimbursements, or daily benefits. These funds can be used for a wide range of expenses, including copays, deductibles, travel for treatment, lodging, and non-medical costs like rent or groceries.

A cancer insurance policy typically kicks in when a covered individual receives a cancer diagnosis confirmed by a medical professional. Some plans offer one-time lump-sum benefits upon diagnosis, while others provide ongoing payments for specific treatments such as chemotherapy, radiation, surgery, or hospitalization. The flexibility of how the benefits can be used makes this type of coverage especially valuable, allowing patients to focus on their recovery without the added stress of financial uncertainty.

Cancer insurance is particularly beneficial for individuals with a family history of cancer or those who want an extra layer of protection in case of a serious diagnosis. Even with a solid health insurance plan, out-of-pocket costs for cancer treatment can quickly add up. This supplemental coverage helps bridge that gap, offering peace of mind and greater financial security during a difficult time.

Employers may offer cancer insurance as part of a voluntary benefits package, or it can be purchased individually. Some policies even include wellness benefits, providing payments for preventive screenings like mammograms or colonoscopies. Regardless of the structure, cancer insurance ensures that individuals are better prepared for both the financial and emotional impact of a serious illness. START A QUOTE⮕

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