TransConnect®II supplemental medical expense insurance

Underwritten by Transamerica Life Insurance Company, Cedar Rapids, Iowa.

Build a better Tomorrow.

Help offset rising health care premiums and increasing deductibles with benefits to help pay for certain out of pocket medical expenses.

Basic Coverage

TransConnect II pays a benefit for certain out of pocket expenses of deductibles, co-insurance and co-payments for charges from the insured group's comprehensive medical plan.

Outpatient Hospital Benefits

The outpatient hospital benefit amount is selected by the employer and ranges from $250 to $10,000. This benefit helps pay the out-of-pocket expense for the following Outpatient services or treatments:

  • Treatment in a hospital emergency room or urgent care center due to an accident.
  • Surgery performed in a hospital outpatient facility or a free-standing outpatient surgery center.
  • Up to $100 per surgical procedure for outpatient surgery performed in a physician's office.
  • Radiation therapy or chemotherapy authorized by a radiologist, chemotherapist or oncologist for the treatment of cancer that is not administered during an inpatient confinement.
  • Radiological diagnostic testing performed in a hospital outpatient facility or a magnetic resonance imaging (MRI) facility.
  • Diagnostic tests performed in a doctor's office which include Magnetic Resonance Imaging (MRI), Computerized Tomography (CT) scan, Positron Emission Tomography (PET) scan, Diagnostic ultrasound, Cardiac stress test and Electrocardiogram (EKG or ECG).

Accident Only Ambulance Benefit

This benefit helps pay for the out-of-pocket expenses incurred for ambulance transportation (ground or air) to a hospital or emergency center for injuries sustained in an accident. Transportation must be within 72 hours of the accident and provided by a licensed professional ambulance company. The amount is selected by the employer and ranges from $100 to $1,500 per calendar year per covered person to a maximum of three benefits per family and is payable for accidents only.

Important Policy Provisions

Benefit amounts are selected by the employer. Benefits are payable only if the insured is covered by a basic, major medical or comprehensive medical plan (HSA-qualified health plans are not eligible) when charges are incurred and the medical plan provides benefits for such charges.

Coverage Options

Employee, Spouse, and Eligible Dependent Children coverage available

Minimum Group Size

Minimum of 2 or 5 lives (depending on state requirements). For non-employer paid, buy up and voluntary cases there is a 50% participation for groups with 99 or fewer eligible lives. 25% (with a minimum participation of 50 employees eligible) for groups with 100 or more eligible lives.

Generic form numbers CPGAP300 and CCGAP300. Forms may vary, coverage available where approved.

Underwritten by Transamerica Life Insurance Company, Cedar Rapids, Iowa. Limitations and exclusions may apply. Please refer to the policy, certificate and riders for complete details. Forms may vary and coverage may not be available in all jurisdictions.