Medefense Plus®


You're covered in the event of Medicare and Medicaid billing audits and investigations, as well as other regulatory violations

Managing the ever-changing and complex world of health care—and related governmental rules and regulations—can be daunting, overwhelming and downright worrisome. Medefense® Plus has you covered in the event of Medicare and Medicaid billing audits and investigations, or unintentional violations related to government regulatory proceedings, including HIPAA, EMTALA, or Stark. It includes coverage for defense costs, shadow audit expenses (for billing error proceedings only), and regulatory fines and penalties. Coverage begins at a $50,000 limit, with an option to purchase up to $1,000,000 in coverage.


Medefense® Plus Flyer  Medefense® Plus Flyer    


Coverage Includes:


Billing errors proceedings

Defense costs, fines and penalties (to the extent insurable by law), and shadow audit expenses brought by:

  • Federal or state governmental agencies
  • Whistleblowers
  • Contractors working on behalf of the government such as ZPIC and RAC
  • Commercial payers

Other regulatory proceedings

Defense costs and fines and penalties (to the extent insurable by law) incurred in the following:

  • HIPAA (Health Insurance Portability and Accountability Act)
  • EMTALA (Emergency Medical Treatment and Labor Act)
  • Stark


Alternative Risk Financing Options

In addition to traditional insurance programs, we offer alternative risk financing options including:

  • Self-insured retentions
  • Fronting arrangements
  • Loss portfolio transfers
  • Large or small deductibles
  • Stand-alone reporting endorsements
Learn More