Live Chat THE BRIDGE PLAN ~ An Individual Major Medical Plan for Immigrants & US Residents Awaiting Medicare Eligibility
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An Individual Major Medical Plan for People Awaiting Medicare Eligibility in the U.S.A
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eGlobalHealth > Visitor Insurance > The Bridge Major Medical Insurance Plan
"Bridging The Gap To Medicare Eligibility in the United States"


An Individual Major Medical Plan for:

  • People Awaiting Medicare Eligibility (65+ years old)
  • Those needing alternative health insurance from ages 60 - 64 years of age
  • New United States Residents
  • A person on Medicare who does not have either Part A or Part B
  • NOT Available utilizing the following State addresses:
DE, IA, KY, MS, MT, NJ, NY, NC, PA, RI, TN, WY  -- Contact us for options

The Bridge Plan is a short term major medical expense insurance plan intended for use by persons awaiting acceptance as a participant in the U.S. Medicare System, aged 60+. Foreign Nationals are eligible to participate in U.S. Medicare five years after becoming a U.S. Resident.

Certain U.S. citizens not covered by both parts of Medicare A and B may also apply for coverage under this plan. The Bridge Plan pays medically necessary expenses incurred. The expenses eligible for payment under this plan are subject to the deductible, coinsurance and limitations as outlined in the certificate.  Contact us for a sample certificate wording.

Why the Need ?
Who Needs it ?
Download Brochure .
What are the Benefits ?
How does the Plan work ?
How do I learn more including Prices ?
Where will I find the Application ?
Are there any alternative plan options to the Bridge Plan ?
THE BRIDGE PLAN An Individual Major Medical Plan for People Awaiting Medicare Eligibility
ATTENTION !
Senior Market Agents / Brokers

Join our Team in providing your clients this unique Senior Market product.

Contact our team to learn how @
1-417-882-1413
THE PROBLEM

Senior age (60+ in age) people desire coverage under the Unites States Social Security Medicare program. There are some people who, either by residency status or other reasons, may not be currently eligible for Medicare. All permanent residents and citizens of the United States are eligible for Medicare at some point in time. There are three conditions for which The Bridge Plan is used as a temporary substitute.


WHO BUYS AND NEEDS THE BRIDGE PLAN?

  • New United States Residents

Medicare will accept people who have been a permanent resident of the United States for at least five years.

This does not require citizenship or any payment into Social Security prior to eligibility. The only requirement is that they must pay a premium to have both part A and part B.

Solution The Bridge Plan is available to persons who have become permanent residents of the United States and who are awaiting Medicare eligibility.


  • United States Residents/Citizens Who Missed Medicare Enrollment

Some people may be eligible for Medicare due to age and qualifications, but have failed to enroll. Enrollment is not automatic. Social Security does not remind people to enroll. If they miss their enrollment period they must wait to enroll at a later date. This may be as much as 18 months later!

Solution The Bridge Plan will cover them with benefits similar to Medicare on a temporary basis until the next enrollment opportunity.

  • A Person On Medicare Who Does Not Have Either Part A or Part B

Some people, for various reasons, have only Part A or Part B. They may be able to get the additional part through Medicare, but at a later date.

Solution The Bridge Plan may be sold with both Part A and Part B, just Part A, or just Part B.



DON’T FORGET!

Like Medicare, The Bridge Plan covers individuals while in the United States only! If they plan to travel, they need the added security of an international travel medical plan for the time they will be outside the U.S.A.


"All permanent residents and citizens of the United States are eligible for Medicare at some point in time!"
The Bridge Plan pays like this…

Deductible

A choice of $1,000, $1,500 or $2,500, $5,000 or $10,000 all-cause, per person deductible. One deductible for the policy period.  May vary based on age of insured.

Coinsurance

The plan pays 80% of the eligible expenses that exceed the deductible amount, up to the next $10,000.

Thereafter

After the deductible and coinsurance amounts are satisfied, 100% of eligible expenses are paid on the basis of usual, customary and reasonable charges, up to the plan maximum of:

  • $250,000 ages 60-74
  • $100,000 maximum ages 75-79
  • $50,000 maximum ages 80-89
  • $25,000 maximum ages 90-95

Additional Information

1. The deductible and coinsurance are on a per policy period basis.
2. The lifetime maximum benefit, limitations and pre-existing conditions begin from the inception date of the first policy.
3. The plan may include coverage for Part A, Part B or both.

Covered Expenses

Part A: These benefits include Hospitalization, Hospice Facilities, Skilled Nursing Facilities, and Home Health Care Services, based on medical necessity.

Part B: These benefits include the costs of Physicians and Surgeons on either an in-patient or out-patient basis, supplies, therapy and ambulance services, based on medical necessity.

Plan highlights

Any Doctor and Any Hospital.
• Coverage is renewable at the descretion of the underwriters. 
• Benefits paid based on usual, customary and reasonable charges and not on diagnostic related groups. (DRG is what Medicare uses. A much lower fee schedule.)
• Choice of Deductibles

Pre-existing conditions

A pre-existing condition means any condition which originated and which would have caused an ordinarily prudent person to seek medical diagnosis or treatment or was treated or diagnosed prior to the coverage effective date. A pre-existing condition shall not be covered until a period of 24 months, treatment free, has elapsed after inception of the first certificate.

The Bridge Plan, like Medicare, pays a large part of health care expenses, but it does not pay all of them. There are limits as to amounts payable.

This is a brief description of the insurance provided by this plan.
The Certificate of Insurance is the complete description of coverage.  Please Contact us for a copy of the certificate if you have further questions.


THE BRIDGE PLAN DESCRIPTION OF BENEFITS

Part A: Hospitalization

Hospitalization Benefits

Covered expenses include semi-private room and board charges, general nursing, miscellaneous hospital services and supplies, drugs, x-rays, laboratory tests and operating rooms.

Hospice Facilities Benefits

Such costs are covered, including medically necessary out-patient treatment. A physician must certify the need of such care.

Skilled Nursing Facility Benefits

Such costs are covered following a necessary hospital confinement of three days or longer and begins within thirty days following the hospital confinement.

Home Health Care Services Benefits

Skilled care at home is covered if such care is deemed to be medically necessary.


Part B: Physicians and Surgeons

Physicians and Surgeons Benefits

The costs of physicians and surgeons are covered on either an in-patient or out-patient basis. Supplies, therapy and ambulance services are covered if prescribed as medically necessary.

Conditions:

1. Benefits are paid directly to you to reimburse you for eligible medical expenses which have been paid by you, unless we agree to pay the provider directly. Unless and until we agree, this is a reimbursement plan.
2. The certificate is issued on the basis of information given in the Application. A copy of the Application becomes a part of the policy of Insurance.
3. Material misstatement or concealment of health information made by or on behalf of you may render the insurance null and void.
4. Notice of claim is to be given at the earliest possible date. 
5. Benefits shall be paid for all eligible expenses which are necessarily incurred due to an illness manifesting itself or an accidental bodily injury occurring during the period of insurance.
6. These benefits are available only if there is no other source of funding available through any government insurance or private programs.


Limitations and Exclusions

Expenses which have limitations include:

  • Alzheimer's disease is limited to a lifetime maximum benefit of $25,000.

  • Cardiac &/or Cancer related conditions are limited to a maximum benefit of $25,000 the first 180 days after inception of the first policy. After 180 days,benefits will be paid as any other condition.

  • Cataract surgery and procedures are limited to a maximum benefit of $2,000.

Expenses which are not covered include:

Any expense which you are not legally obligated to pay; services which are not medically necessary or are not furnished by and under supervision of a Physician; any type of expense for which payment was made by Medicare or any other private or public program; expenses incurred in excess of usual, customary, and reasonable charges in your home area; outpatient drugs; self-inflicted injuries while sane; treatment of alcoholism, drug addiction, allergies, and nervous or mental disorders; rest cures, quarantine or isolation; cosmetic and plastic surgery unless necessitated by an accidental injury; dental exam, dental x-rays and general dental care except as the result of an accidental injury; eye glasses; hearing aids; general or routine
exams; coverage outside the boundaries of the United States; injuries due to war or any act of war, whether declared or undeclared; or while committing a criminal or felonious act; or expenses for or resulting from subjective pain. Injuries sustained from participation in hazardous sport (mountaineering, hang gliding, scuba diving, etc.); This policy will automatically cease upon eligibility of the insured into the United States Medicare System. It is your responsibility to enroll in Medicare when you are first eligible.


Who Needs the Bridge Plan ?


Senior age people desire coverage under the Social Security Medicare program. There are some people who, either by residency status or other reasons, may not be currently eligible for Medicare. All permanent residents and citizens of the United States are eligible for Medicare at some point in time. There are three conditions for which The Bridge Plan plan is used as a temporary substitute.

Medicare Restriction #1:

Medicare will accept people who have been a permanent resident of the United States for at least five years. This does not require citizenship or any payment into Social Security prior to eligibility. The only requirement is that they must pay a premium to have both Part A and Part B.

Petersen’s Solution #1:

The Bridge Plan is available to persons who have become permanent residents of the United States and who are within the five year waiting period for Medicare eligibility.

Medicare Restriction #2:

Some people may be eligible for Medicare due to age and qualifications, but have failed to enroll. Enrollment is not automatic. Social Security does not remind people to enroll. If they miss their enrollment period they must wait to enroll at a later date. This may be as much as 18 months later!

Petersen’s Solution #2:

The Bridge Plan will cover them with benefits similar to Medicare on a temporary basis until the next enrollment opportunity.

Medicare Restriction #3:

Some people, for various reasons, have only Part A or Part B. They may be able to get the additional part through Medicare, but at a later date.

Petersen’s Solution #3:

The Bridge Plan may be sold with both Part A and Part B, just Part A, or just Part B.

To learn more about Frequently Asked Questions... review the Bridge Plan Brochure page 5 for a listing of common questions and answers


Underwriting Guidelines


Medical Underwriting:

• Please allow approximately 3-4 weeks for Underwriters to process the applications.
• Underwriters will either order medical records from your primary care physician or they will schedule a medical exam including a blood test, a urine test, and a resting EKG at the expense of Underwriters.

Application Submission:

• Please submit the two page application along with the medical release form. (pages 7 through 9)
• Underwriters will accept a faxed copy, a scanned email copy, or the original application for underwriting.
• Please DO NOT send premium with the application.


This is a brief description of the insurance provided by this plan.
The Certificate of Insurance is the complete description of coverage.  Please Contact us if you have further questions.


Note that the information above can change at anytime.  Information above is registered & copyrighted material from Petersen International Underwriters, Inc. and under exclusive use on this page for marketing by eGlobalHealth Insurers Agency, LLC
eGlobalHealth is rated A+ by Better Business Bureau & is online reliable and accredited
Download Bridge Plan Brochure, Rates and Application
NOTICE: Affordable Care Act & The Bridge Plan


From Petersen Int'l Underwriters, dated 10/17/2013

After 22 years of providing dependable medical coverage, we regret to announce that the Affordable Care Act has put an end to The Bridge Plan.  Effective immediately, no new Bridge Plan applications will be accepted.
A notice will be mailed to every in-force policyholder informing them that no new coverage will be offered at the expiry of their current certificate.  Current policy holders will be able to keep their plan UNTIL it expires.

Petersen International Underwriters is disappointed to lose this valuable insurance product as it helps senior aged individuals transition into the Medicare system and provides a solution for those who are not yet eligible for Medicare. 

** For alternative option to the Bridge Plan, we recommend the Inbound Immigrant program.  Or contact us personally to discuss your current needs and we can try and evaluate how best to assist.