The City of Plano offers a supplemental limited benefit medical expense insurance policy — or GAP plan — offered through American Fidelity for employees up to age 65.
You must be enrolled in the City’s medical plan to be eligible for this coverage.
Plan Details
| Hospital GAP Plan | $500 | $1,000 | $1,500 | |||
|---|---|---|---|---|---|---|
| Employee Only | $14.00 | $17.00 | $20.00 | |||
| Employee & Spouse / Domestic Partner | $26.00 | $31.00 | $37.00 | |||
| Employee & Children | $25.00 | $28.00 | $32.00 | |||
| Family | $37.00 | $42.00 | $49.00 | |||
| Employee Only | $20.00 | $24.00 | $30.00 | |||
| Employee & Spouse / Domestic Partner | $37.00 | $43.00 | $54.00 | |||
| Employee & Children | $31.00 | $35.00 | $42.00 | |||
| Family | $48.00 | $54.00 | $66.00 | |||
| Employee Only | $31.00 | $36.00 | $46.00 | |||
| Employee & Spouse / Domestic Partner | $56.00 | $65.00 | $83.00 | |||
| Employee & Children | $42.00 | $47.00 | $58.00 | |||
| Family | $67.00 | $76.00 | $95.00 | |||
Three Primary Benefits
- Inpatient — Payable for covered out-of-pocket expenses up to the maximum benefit selected per confinement.
- Outpatient — Payable for the difference between actual outpatient expenses incurred and the amount paid by the primary medical plan for out-of-pocket covered charges up to the maximum outpatient benefit of $200 for outpatient treatment.
- Physician Outpatient Treatment — Pays $25 per visit for up to five visits per family per calendar year for outpatient treatment due to sickness, injury, or accident.
Download the App
Claims can now be filed online or with the AFmobile app. Log in to americanfidelity.com/claims or download the AFmobile app from the Apple App Store or Google Play.