Stop-Loss Insurance
With stop-loss coverage, employers with self-funded healthcare plans can proactively manage their unexpected medical claim risks while minimizing financial liability. Humana is proud to offer both specific stop-loss and aggregate stop-loss, along with aggregating specific as an optional benefit.
We've got you covered
We've combined our Fortune 100 status and 40 years of healthcare experience with a broader offering of specialty benefits we can customize for you.
How can stop-loss insurance help me?
High utilization and claims costs can have a negative effect on your company’s health plan. Stop-loss insurance permits you to choose the amount of risk you’re comfortable with. The benefits include:
- Cost liability reduction
- Cash flow protection
- Buffer against rising healthcare costs
- Long-term cost control
- Access to discounted specialty care management programs
Product details
- Designed to protect against large medical claims from any one employee by providing coverage for liabilities above a specific dollar amount set by the employer
- The stop-loss policy will specify when the expenses must be incurred and paid to be eligible for reimbursement
- No additional laser required at renewal
- Disclosure on new cases only
- Specific advance – assures prompt reimbursement by payer (claim minimum is $1,000)
Flexibility to meet each employer’s unique needs
- $35,000 minimum deductible
- Variable lifetime maximums
- Deductible Rewards program uses reduced deductibles and fees to encourage use of Centers of Excellence and medical management services
- Broad range of contract types
- Customized reimbursement structures, such as tiered reimbursements
