National General Accident & Health Overview

National General Accident & Health offers short term medical coverage that helps people who are between major medical insurance to manage unexpected medical problems. Policies may cover doctor and emergency room visits as well as ambulance services, urgent care facilities and other services depending on the plan. National General Plans have also quickly become one of the most popular short term health insurance plans, that individuals are using as a year-round alternative to Obamacare.

HealthNetwork’s Review and Ratings of Short Term Plans Offered by National General:

40State OfferingsNumber of States

BMarketing ScoreA – F Grade

GoodPlan ValuePoor, Good, Excellent

7.3Trust ScoreOut of 10

State Offerings

National General Insurance offers short term products in 40 states across the country. There are five states that have state laws in place that prohibit any carrier from offering a short term plan to their residents and those states are: Massachusetts, New Jersey, New York, Rhode Island and Vermont.

Marketing Score

National General received a grade of B in HealthNetwork’s Review and Ratings’ Marketing Score Category, which means that consumers should not feel frustrated by their experience with a licensed agent or other subsidiary of National General due to their marketing or remarketing efforts.

National General also does not try to hide the additional fees it charges consumers who enroll in one of their plans. HealthCompare.com, a website owned by National General, discloses the $15.00 non-negotiable, recurring, monthly Association fee for the L.I.F.E Association membership the $35.00 one-time application fee on the plan listing page.

Plan Value

National General Accident & Health short term plans are considered a Good Value in HealthNetwork’s Review and Ratings’ Plan Value Category, which means that consumers should feel like they are receiving a good product and a good value for the premium price.

National General offers plans with out-of-pocket limits as low as $2,500, which means that after a consumer reaches the plan’s per term deductible, the most that they will have to pay out-of-pocket before the plan kicks in 100% is $2,500. For consumers who are concerned about the unknown costs associated with unexpected medical expenses, this type of protection is very important.

National General Insurance also offers plans with three tiers of term deductible amounts under $10,000 and they offer plans with a lifetime payout limit of $1 Million, which means that consumers don’t have to fear being stuck with huge medical bills because National General refused coverage after a catastrophic and extremely costly medical event occurred. So long as the bills are under $1 Million, your short term plan through National General Insurance will cover the expense after you pay your term deductible and reach your out-of-pocket max.

Trust Score

National General received a 7.3 out of 10 on HealthNetwork’s Review and Ratings’ Trust Score, which means that the consumers should feel fairly confident in a product offered by National General Insurance. The main factor affecting this Trust Score is the fact that National General Insurance is newer to the individual market and that it is not a very large carrier.

About National General Accident & Health

National General is publicly traded as the National General Holdings Corporation. The company was originally founded as GMAC Insurance in 1939. Annually, National General reports revenue of about $2.5 billion. The company sells a wide range of insurance products. Their short-term health policies are underwritten by Time Insurance Company, National Health Insurance Company, National Insurance Company and the Integon Indemnity Company. National General started offering non-major medical health coverage to existing property and casualty customers in 2012.

Although the company is licensed to sell coverage in all 50 states as well as the District of Columbia, 84 percent of their coverage originates in the following states:

  • California
  • Connecticut
  • Florida
  • Louisiana
  • Massachusetts
  • Michigan
  • New Jersey
  • New York
  • North Carolina
  • Texas
  • Virginia
  • Washington

Overview of Short Term Policies With National General

National General offers several short term health insurance policies. Customers can choose from many different deductible and coinsurance options that allow them to fit the plan into their budget. The application process is simple, typically taking less than 10 minutes, but you should know that there is a small fee for applying online. Plans last from 30 days to three months. Coverage may include:

  • Doctor’s visits
  • Ambulance service
  • Emergency room visits
  • Urgent care
1

National General offers two types of short term coverage, the first being Standard Issue plans, which require applicants to fill out a health questionnaire. In other words, these plans are medically underwritten, meaning you could be denied coverage based on pre-existing conditions. This is typical of short-term health insurance from any carrier. Standard Issue plans allow you to choose your term, deductible and coverage maximum. Cost-sharing (how much of the medical claim you pay yourself) also varies. Categories are broken down by deductible amount.

$1K - $25K

Deductible Options

$250K - $1M

Lifetime Benefits Cap

$1,000 Deductible

50%

Coinsurance

  • $1,500 or $2,500 OOPE Maximum
  • $250,000 or $1,000,000 Benefits Cap
  • Coinsurance Rate of 20% or 50%

With this plan option, you can choose a coinsurance rate of 20 or 50 percent; an out-of-pocket maximum of $1,500 or $2,500; and a coverage period maximum (for benefit payouts) of $250,000 or $1 million.

$2,500 Deductible

20%

Coinsurance

  • $0, $1,500, or $2,500 OOPE Maximum
  • $250,000 or $1,000,000 Benefits Cap
  • Coinsurance Rate of 0%, 20% or 50%

At this tier, you can choose a coinsurance rate of 50, 20 or zero percent; an out-of-pocket maximum of zero, $1,500 or $2,500; and a coverage period maximum (for benefit payouts) of $250,000 or $1 million.

$5,000 Deductible

0%

Coinsurance

  • $0, $2,000, or $3,750 OOPE Maximum
  • $250,000 or $1,000,000 Benefits Cap
  • Coinsurance Rate of 0%, 20% or 50%

If you choose this option, you can pick a coinsurance rate of 50, 20 or zero percent; an out-of-pocket maximum of zero, $2,000 or $3,750; and a coverage period maximum (for benefit payouts) of $250,000 or $1 million.

$10,000 & $25,000 Deductible

20%

Coinsurance

  • $2,000 OOPE Maximum
  • $1,000,000 Benefits Cap
  • Coinsurance Rate of 20%

Both of these plan options include a rate of 20 percent for your coinsurance; an out-of-pocket maximum of $2,000; and a coverage limit of $1 million per coverage period.

With Standard Issue plans, the deductible is per person and the out-of-pocket amounts are capped at three times the individual amounts for families with more than three members. For example, if there are four people in your family, once three of the people in your family have satisfied their individual and out-of-pocket amounts, the amounts for the fourth person will be considered satisfied as well. These plans do not cover costs related to pre-existing conditions.

2

Guaranteed Issue plans offered through National General are designed for people who could be denied coverage by other plans based on health history. You’ll still need to submit a health questionnaire to apply for this coverage, but you won’t be denied the policy like you would with other short term options. Also note: coverage for pre-existing conditions is still excluded from all National General short-term plans.

$3,500 - $5,000

Deductible Options

$100,000

Lifetime Benefits Cap

Basic

10%

Coinsurance

  • $5,000 Deductible
  • $10,000 OOPE Maximum
  • $100,000 Benefits Cap
  • Coinsurance Rate of 10%

The Basic option includes a deductible of $5,000 and an out-of-pocket maximum of $10,000. You’ll be responsible for 10 percent of your covered costs, and there’s a payout cap of $100,000 per coverage period.

Enhanced

20%

Coinsurance

  • $3,500 Deductible
  • $10,000 OOPE Maximum
  • $100,000 Benefits Cap
  • Coinsurance Rate of 20%

With the Enhanced option, your deductible is $3,500. You’ll have a coinsurance rate of 20 percent with an out-of-pocket maximum of $10,000. As with Basic, the Enhanced plan includes a $100,000 cap on benefit payouts per coverage term.

Guaranteed Issue plans include the same deductible rules as Standard Issue. Once the first three people in your family satisfy the deductible, the deductible for remaining family members will be considered satisfied. It’s worth reiterating that although this plan may allow you to get coverage with less chance for denial, it does not cover care related to pre-existing conditions.