How does a gap plan work?

Asked by: Forest Smith  |  Last update: December 13, 2025
Score: 5/5 (14 votes)

Gap insurance, also called supplemental health coverage, is additional group health insurance paired with an HDHP. The gap plan helps cover employees' out-of-pocket costs, including deductibles and copays. A gap insurance plan is part of a company's employee benefits package.

How much money do you get back from gap insurance?

You'll only receive a refund for the GAP insurance that you haven't used. For example, if you cancel your policy after three months of coverage, you'll only get a refund for the remaining nine months (if you paid for a year of coverage). The amount of your refund is based on how you pay your insurance bill.

How does a medical gap plan work?

A medical gap insurance plan is simple in that it follows an employer's major medical plan. It pays off the underlying major medical plan's Explanation of Benefits (EOB) directly to the subscriber or provider. A gap plan pays the benefits described in the Schedule of Benefits up to a maximum benefit amount.

How does gap insurance pay out?

Gap Insurance Claim: If there is a remaining balance on your loan that the primary payout does not cover, you file a claim with your gap insurer. Loan Settlement: The gap insurance pays the remaining amount owed on the loan directly to your lender.

What does gap insurance actually cover?

Gap insurance helps pay the difference between what's owed on a vehicle loan and the actual value of it, if it's stolen or a total loss. This difference is what's referred to as the "gap". In general, this "gap" occurs when you buy a new vehicle, the value (actual cash value) can start going down right away.

What is Gap Insurance?

21 related questions found

Does gap insurance give you money for a down payment?

Gap insurance will only cover what is left on your loan after an insurance company pays out. In other words, no, it won't cover the down payment you made initially because it wasn't part of the loan amount.

Why would Gap Insurance not pay full amount?

GAP does not pay out if the insurance company deems your vehicle a total loss and you do not carry comprehensive and collision coverage. GAP does not include costs beyond the difference between your loan balance and the car's value. This means it does not cover missed loan payments or extra rental car costs.

Why would a gap claim be denied?

If the gap insurance company discovers there was any fraud or misrepresentation (you lied) on your application for coverage, your claim could be denied. The vehicle isn't a total loss. Only total loss claims are covered by a gap policy. The claim exceeds the policy limits.

Will gap insurance pay off my loan if my car is totaled?

Gap insurance pays off your car loan after your main coverage pays you the actual value of your totaled or stolen vehicle. That's important because depreciation can result in a loan balance that's higher than the vehicle's value.

What happens when your car is totaled but still drivable?

Rebuilt/Reconstructed Title: Once a salvage vehicle has been repaired and inspected, the California Department of Motor Vehicles (DMV) will issue a "rebuilt" or "reconstructed" title for the vehicle. Once you obtain this, you can legally drive the vehicle.

How does gap insurance work for dummies?

When you file a qualifying claim, your comprehensive or collision coverage will pay the actual cash value (ACV) of your vehicle, minus your deductible. Your gap coverage may then pay the difference between your vehicle's ACV and the outstanding balance of your loan or lease.

Is gap insurance for health worth it?

Is medical gap insurance worth it? Gap health insurance is usually worthwhile for a high-deductible health plan (HDHP) if you believe that your medical costs will be high enough to reach your out-of-pocket max.

How long does gap insurance work?

GAP insurance lasts as long as you need it to, with most drivers keeping their policies active for a year or two. As there's no further need for a GAP plan once the balance of a loan is less than the value of your vehicle, you can terminate your policy any time after you owe less than the car is worth.

Does gap insurance pay your deductible?

Does GAP pay my auto insurance deductible? GAP generally covers your auto insurance deductible up to $1,000.00. However, GAP does not reimburse your deductible in the event of a $0.00 GAP benefit. Please contact Protective at 800-432-4566 between the hours of 8AM-6PM Central Time for further questions.

Is it too late to get gap insurance after an accident?

If you get into a minor fender bender and you're within the eligibility time frame, you can probably still get gap insurance. However, you can't get gap insurance after an accident that totals your vehicle. At that point, you are stuck paying off your auto loan balance out-of-pocket.

What happens if your car is totaled before you pay it off?

Let's say your totaled car's ACV is $10,000. If you still owe $12,000 on your car loan, your insurer will cut your lender a check for $10,000 and you'll still owe $2,000. As painful as it is, you're legally obligated to make your monthly loan payments to the lender until the loan is paid off.

How to get gap insurance to pay out?

You can start by contacting the GAP insurance company or the dealer to see how to initiate your claim. You'll need the proper documentation to help prove the difference between the amount you owe on your loan or lease and the vehicle's actual cash value.

What cancels out gap insurance?

You can cancel gap insurance and request a refund if you sell or trade in your car, want to change insurance companies or no longer owe more on your loan than your car is worth.

What does Gap not cover?

Gap insurance covers your vehicle but will not cover other vehicles, property damage, or bodily injury.

How is a gap insurance refund calculated?

How to calculate a gap insurance refund. You can do a simple calculation to determine how much money you're owed. Take the total cost of your gap insurance and divide it by the months you had coverage. Then, multiply the monthly premium by the months you have left on your policy.

What voids gap insurance?

Most GAP policies will require that you are fully comprehensively insured for the full policy term. If you are only third party covered then your motor insurer would not pay out for a fault claim, or a theft. If your main motor insurer does not payout then you cannot claim on the GAP cover.

Why would my gap claim be denied?

Your Gap claim can also be denied for certain reasons. Most companies will limit your Gap insurance coverage to a specified percentage. Insurance companies will deem your car a total loss if the cost to repair or replace is more than the car is worth.

How to calculate gap insurance?

For purposes of the GAP calculation, this will generally be the lesser of the scheduled loan balance or the actual loan balance, minus refunds, if any, due to be received for the early termination of products such as credit insurance and service contracts.

Is gap insurance on a vehicle worth it?

Gap coverage can help if your car gets totaled or stolen

Several factors will determine if gap insurance is worth it for you, including cost, coverage options and providers. But, it's relatively low-cost coverage that can provide added financial security and prevent you from paying money out of pocket.