What is an indemnity plan?

What is an indemnity plan?

• A. A plan with no network, very flexible but expensive
• B. A plan with strict network, low flexibility
• C. A government-run plan with fixed benefits
• D. A plan that requires all visits to be through a primary care physician

Answer: (A)

Indemnity plans are traditional fee-for-service health insurance options that give you broad freedom to see any doctor or hospital, with no network restrictions or gatekeeping. You typically pay a deductible first, then the plan reimburses a percentage of the allowed charges (coinsurance), and you or the provider covers the rest. Because there’s no network to negotiate discounts, there are fewer cost-controls, which usually means higher premiums and potentially higher out-of-pocket costs, even though you have very flexible choices. You’ll often handle claims yourself rather than relying on a managed-care network. This combination of extensive provider choice and higher cost is why the description fits an indemnity plan.

Indemnity plans are traditional fee-for-service health insurance options that give you broad freedom to see any doctor or hospital, with no network restrictions or gatekeeping. You typically pay a deductible first, then the plan reimburses a percentage of the allowed charges (coinsurance), and you or the provider covers the rest. Because there’s no network to negotiate discounts, there are fewer cost-controls, which usually means higher premiums and potentially higher out-of-pocket costs, even though you have very flexible choices. You’ll often handle claims yourself rather than relying on a managed-care network. This combination of extensive provider choice and higher cost is why the description fits an indemnity plan.