GAP
| GAP Premiums | |||
|---|---|---|---|
| Monthly Premium: | Ages 39 & Under | Ages 40 - 49 | Ages 50+ |
| Employee Only | $25.14 | $32.45 | $68.06 |
| Emp. + Spouse | $46.20 | $59.63 | $125.02 |
| Emp. + Child(ren) | $61.60 | $77.37 | $119.95 |
| Emp. + Family | $82.10 | $100.52 | $175.45 |
Medical GAP Insurance helps reduce your out-of-pocket costs for inpatient hospitalization and select outpatient services, such as surgery. This supplemental coverage works alongside your primary medical plan to reimburse eligible expenses that might otherwise come out of your own pocket.
*The GAP plan is not available if you are contributing to an HSA.
Quick Links
Member Portal: www.acitpa.com
Claim Submission:
Send Itemized Bill & EOB (Explanation of Benefits) to:
Administrative Concepts Inc.
PO BOX 4000
Collegeville, PA 19426
Customer service number:
888-346-9905
