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Supplemental health insurance

Illness or injury can happen to anyone. Get added financial support when it does.

Supplemental health insurance

You can’t predict when you or someone in your family will have a medical issue. But you can get extra financial protection for when it happens — so you don’t have to choose between taking care of your health or taking care of everyday expenses. These plans can provide a fixed benefit payment made directly to you – not the health care provider – when you experience a covered illness, injury, or treatment. That can reduce stress in a way that supports also supports mental and emotional wellness at a critical time.

  • For employees

    Read on to see how supplemental health insurance works, or ask your benefits department about options at work.

  • For employers

    Learn about group supplemental health insurance plans

What is supplemental health insurance?

Supplemental health insurance refers to a group of health-related benefits which don’t actually pay the hospital or cover your medical expenses – that’s what traditional health insurance is for. But when people get injured or are diagnosed with a serious illness, they often face all sorts of unexpected expenses, especially with a high-deductible plan. In fact, about half of all workers believe their health insurance plan doesn’t provide enough coverage for a major medical event.1 Supplemental insurance plans can help protect your finances by paying lump sum benefits directly to you.

  • Who should get it?

    Anybody who wants extra financial protection. Even with good healthcare coverage, you could incur thousands in out-of-pocket costs if you had to visit an emergency room or pay for a series of cancer radiation treatments.

  • What does it cover?

    Different types of plans (see below) help cover costs related to different circumstances or events, including illnesses, injuries and hospitalization. And in a given type of plan, benefit amounts tend to vary based on the severity of the diagnosis, treatments provided, and other factors.

  • Is it worth it?

    About two-thirds of all personal bankruptcies are related to medical debt.1 But when supplemental health insurance plans are offered at work, many employees feel it’s often worth the cost, especially because they benefit from affordable group rates.

Hospital indemnity insurance

Hospital indemnity insurance can help cover the costs associated with hospitalization, especially if your health plan has high deductibles and copays, if you need child care, or if you need to travel far from home to receive medical care.

Learn more

Critical illness insurance

Critical illness insurance provides a benefit payment if diagnosed with a critical illness such as cancer or suffer a medical event like a heart attack or stroke.

Learn more

Accident insurance

Accident insurance can help cover extra out-of-pocket expenses not covered by health insurance that you might face if you’re injured in an accident. In addition, many plans have an option to receive an added benefit for a child organized sports-related injury.2

Learn more

Cancer insurance

Cancer insurance can help cover radiation/chemotherapy, immunotherapy, surgery, hospitalization costs, and hospitalization costs — all related to a cancer diagnosis and treatment.

Learn more

Half of working adults say they only have $2,000 saved for a medical emergency.*

How supplemental health benefits work

The benefit amount for each covered event (such as a specific diagnosis or medical service) is clearly spelled out in your plan. When something happens, the claims process is typically straightforward: you can usually file online, and upload proof of diagnosis or services received. Soon after, the benefit payment is made directly to you.

It works with — but doesn’t replace — regular medical insurance: Your health insurance plan is the primary payer for healthcare services and is designed to cover a significant portion of medical expenses. Supplemental health insurance provides additional financial protection: you can use the money you get to help cover out-of-pocket care costs and other non-injury or illness related expenses, as well as any other expenses

What about the cost?

Supplemental insurance costs vary depending on the type of plan, conditions covered, and benefit amounts offered. While you may be able to purchase some types of supplemental insurance plans as an individual, plans offered by your employer may have better rates than an individual plan — starting for about the cost of a latte a day.3 Benefits through work are also convenient to get and pay for via payroll deductions

Why workers choose Guardian supplemental health insurance

Even with major medical coverage, you can face a lot of unexpected costs when you experience a serious illness or injury. For example, health insurance will pay a hospital bill, but it doesn’t give you extra money to take a car service to treatment because you can’t drive for a week. But your supplemental health insurance does. The benefit payment goes directly to you, and you can use in any way you need.

Guardian supplemental health insurance benefits from work can also cover your spouse and children. Depending on the benefit plans offered by your employer, you may be able to choose and combine coverages for hospitalization, accidents, cancer, and other serious illnesses. There may also be valuable benefits for wellness, travel, and more.

Frequently asked questions about supplemental health insurance

Material discussed is meant for general informational purposes only and is not to be construed as tax, legal, medical, or financial advice. Guardian, its subsidiaries, agents and employees do not provide tax, legal, medical or finance advice. Consult your tax, legal, medical or finance professional regarding your individual situation.

Links to external sites are provided for your convenience in locating related information and services. GuardianWell, its parent, affiliates, agents, and employees expressly disclaim any responsibility for and do not maintain, control, recommend, or endorse third-party sites, individuals mentioned in the article, organizations, products, or services and make no representation as to the completeness, suitability, or quality thereof.

Guardian’s Group Insurance products are underwritten and issued by The Guardian Life Insurance Company of America, New York, NY. Products are not available in all states.

1 Hospital and Surgery Costs, Debt.org, 2023

2 The child must be insured by the plan on the date the accident occurred and must be 18 years of age or younger; proof of registration required at time of claim.

3 https://www.guardianlife.com/accident-insurance

4 Medicare has not approved, endorsed, or authorized this material. Contact Medicare for complete details regarding eligibility for benefits.

* The Value of Supplemental Health Insurance, Guardian, 2025

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If you're getting a plan through your employer, you may need to wait for your company's open enrollment period (which typically occurs in October and November) to sign up for or change supplemental health insurance coverage. However, if you're a new hire or have had a major life change (such as marriage or the birth of a child), you'll likely be able to sign up or modify your coverage outside of open enrollment.

On the other hand, if coverage isn’t offered through work and you want to purchase an individual plan, there typically isn’t a set enrollment period, so you should be able to sign up at any time. However, the insurance company may ask you to provide information about your health, and there may be a waiting period before certain benefits are paid.

Supplemental health insurance can be an important source of financial protection for many people. However, like other insurance products, not all people need it, depending on their individual circumstances, health needs, and financial situation.

Who should consider? If you have high-deductible medical insurance, supplemental coverage can help cover out-of-pocket expenses not fully covered by your primary health coverage, such as copayments, coinsurance, and deductibles. With benefits paid directly to you, the money you get doesn’t have to be used for medical bills — you can use it to help pay other expenses during recovery. And because different types of plans target coverage for particular conditions or situations (i.e., cancer, critical illness, accidents, or hospital stays) you can choose coverage that matches your specific needs, age, and family situation.

What are some potential drawbacks? While affordable, getting supplemental health insurance means paying extra premiums, and you might prefer to use that money in other ways. And even though supplemental plans tend to be easy to use, some people may feel that having more benefits is confusing. Finally, if you have significant savings — and are unworried by potential out-of-pocket costs and other expenses related to an injury or illness — you may wish to prioritize other types of financial protection.

The terms “supplemental” and “secondary” health insurance are often used interchangeably, but there are a few important differences.

Secondary health insurance — such as a Medicare “wraparound” plan — is typically designed to work in conjunction with your primary health insurance plan (such as Medicare Parts A and B).4 A secondary plan acts as a second payer after your primary insurance has processed a claim, covering specific services or costs not fully covered by the primary plan. Also, the order of primary and secondary coverage (i.e., who pays what) is determined by a specific “coordination of benefits” rules.

Supplemental insurance doesn’t pay the hospital or cover your medical expenses – that’s what traditional health insurance is for. But when people get injured or are diagnosed with a serious illness, they often face all sorts of expenses for care that are unexpected. Care costs that one or more types of supplemental insurance can help offset. Supplemental insurance plans can help protect your financial well-being from these unexpected expenses by paying benefits directly to you.