Fixed Indemnity Insurance in Louisiana

Fixed indemnity pays a set cash amount per covered event or hospital day regardless of the bill, a supplement to health insurance rather than a replacement for it. Louisiana requires a clear notice that the plan is not major medical and doesn't satisfy the ACA's coverage standard.

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Matthew T. Giberti Matthew T. Giberti Published July 2026 3 min read
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At a glance

Fixed indemnity is available in Louisiana as a supplemental, limited benefit product, but Louisiana sets specific requirements on it.
The plan must pay a fixed dollar amount per day or period regardless of your expenses, and must carry a clear notice that it is not comprehensive/major medical coverage and does not satisfy the ACA's minimum essential coverage requirement (LDI Bulletin 2013-05 Revised).
It pays a fixed cash amount per covered event or day, regardless of your actual costs, it doesn't work like major medical.
It's not ACA minimum essential coverage and not a substitute for a comprehensive plan. Louisiana uses HealthCare.gov and expanded Medicaid in 2016.
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What Louisiana requires

Louisiana permits fixed indemnity as a supplemental, limited benefit product, but it layers specific requirements on these plans. Under Louisiana Department of Insurance Bulletin 2013-05 (Revised), a hospital or fixed indemnity plan must pay a fixed dollar amount per day or per period regardless of the expenses you actually incur. The same bulletin requires the plan to carry a clear notice that it is not comprehensive or major medical coverage and does not satisfy the Affordable Care Act's minimum essential coverage requirement, so buyers are told plainly what the coverage is not.

Because fixed indemnity is an excepted benefit, it sits outside ACA rules. (At the federal level, a 2024 fixed indemnity consumer notice requirement was vacated by a court in December 2024, so it is not federally required; an earlier 2014 individual market notice still applies.) Louisiana's own not-major medical notice under Bulletin 2013-05 Revised is the disclosure that applies here.

The core thing to understand is how it pays: fixed indemnity pays a predetermined cash amount when a covered event happens, no matter what your treatment actually costs. That's very different from major medical, which pays a share of your actual bills.

How fixed indemnity works in Louisiana

Fixed indemnity and related excepted benefits come in a few forms (described as coverage types, not specific products):

Hospital indemnity, pays a fixed amount per hospital stay or per day admitted; in Louisiana the amount is fixed and paid regardless of your expenses.
Accident coverage, pays fixed amounts for specified injuries or accident related care.
Specified disease or critical illness coverage, pays a fixed benefit if you're diagnosed with a covered condition.

Each pays a fixed cash benefit you can use toward bills, deductibles, or everyday costs during a covered event. Louisiana policies must carry the state's notice that the coverage is not major medical and does not satisfy the ACA's minimum essential coverage requirement, so read that notice and the policy closely. These products are designed to supplement real coverage, not replace it. As an independent, carrier neutral brokerage, we don't push any single insurer, and we'll be clear that fixed indemnity works best alongside a comprehensive plan, not instead of one.

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How to get coverage here

Fixed indemnity isn't sold through the health insurance marketplace, and it isn't tied to Open Enrollment, you can generally apply for it year round, directly from an insurer or through a broker, subject to the product's terms and Louisiana's requirements.

For the comprehensive coverage that fixed indemnity is meant to supplement, Louisiana uses the federally facilitated marketplace at HealthCare.gov, where ACA plans have an annual Open Enrollment (typically each fall through early winter) and Special Enrollment Periods for qualifying life events like losing job based coverage, moving, or having a baby. Louisiana expanded Medicaid in 2016, so it's worth checking your eligibility there as well.

What it costs

We don't quote premiums here, prices depend on your situation, but the cost of fixed indemnity in Louisiana is driven by:

The benefit amounts you choose, higher fixed payouts (for example, a larger per day hospital benefit) cost more.
The type of product, hospital indemnity, accident, or specified disease coverage.
Your age, older applicants generally pay more.
Who's covered, an individual or a family.
Any riders or add-ons you select.

Because fixed indemnity pays fixed amounts rather than a share of your bills, the real question is how much cash it pays for the events you're most concerned about, and remember it's supplemental, so weigh it alongside the cost of the comprehensive coverage it's meant to support.

Matthew T. Giberti Matthew T. Giberti Licensed Insurance Producer · National Producer Number: 20698856 Licensed Insurance Producer · National Producer Number: 20698856 About Matthew →

Fixed indemnity insurance is a supplemental, limited benefit (excepted benefit) product. It pays fixed cash amounts for covered events regardless of your actual medical costs, is not major medical coverage, and is not minimum essential coverage under the Affordable Care Act. It does not cover the full range of essential health benefits and is not a substitute for a comprehensive health plan.

GetHealthPlans.com® is operated by MTG Insurance Agency, an independent, carrier neutral brokerage. We do not issue insurance and are not a government agency or the health insurance marketplace. Regulatory details on this page reflect Louisiana law and Louisiana Department of Insurance guidance as of the last reviewed date and can change; confirm current terms and the specific product's approved form before you enroll.