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Question DetailsAsked on 8/31/2013

Is optimum one health liminted benefit plan any good?

Does this insurance plan cover major medical?

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3 Answers


Good Morning,

It's a hospital indemnity plan, not major medical insurance. It pays specified amounts of money for specific instances. As a broker, we typically only sell policies like this to people who are uninsurable for normal health insurance.

Consult a well reviewed health insurance broker that is knowledgeable on Optimum One AND other products.


Answered 4 years ago by


In case you don't know what an indemnity plan is, it pays you a certain amount for certain conditions, rather thann covering actual costs (with limits and deductibles). For instance, an accidental death and disability policy is an indemnity plan - it might pay a certain dollar amount for death, another for loss of an arm, etc - all according to a schedule of benefits, regardless of your actual cost of injury treatment.

Medical indemnity plans come in two that I have seen:
1) the most common is so many $ payment per day of hospitalization, with a limit on the number of covered days
2) much less common these days, is a reimbusement plan where they reimburse your cost per day of hospitalization or recuperative care (depending on plan), but only up to a certain $/day limit. Like #1 but you have to prove costs of at least the limit to get the limit/day. #1 is much simpler to prove and adminisster so most indemnity plans are that type now - uyou just have to prove hospitalization, recuperative facility care, nursing home confinement, etc as applicable to the type of plan you have.

Answered 4 years ago by LCD


is optimum one health benefit plan any good

Answered 4 years ago by sisandbarefoot

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