Cyber Solutions® and MEDEFENSE™ Plus
A comprehensive suite of coverage designed specifically for the healthcare industry
Reporting a cyber claim is similar to reporting any incident or claim. Sign in to MyAccount and click “Report Medical or Cyber Incident/Claim” to report the incident. If you’re reporting after business hours, download the flyer below to get connected to Tokio Marine HCC – Cyber & Professional Lines Group.
In the healthcare industry, it’s not a matter of if a breach or violation will occur—it’s a matter of when. Protect your business and reputation with Cyber Solutions® and MEDEFENSE™ Plus.**
Coverage protects policyholders in the event of:
- Privacy and security breaches
- Cyber extortion
- Multimedia liability
- Cybercrime
- Defense costs
- Fines and penalties related to billing audits and investigations
Cyber Solutions® is a comprehensive suite of data security and privacy insurance solutions that covers you and your reputation in the event of cyber threats—including everything from privacy and security breaches to cyber crime, extortion, PCI DSS assessments, multimedia liability, and much more. Eligible policyholders may include independently owned and operated physician and dental practices with revenues less than $250 million and MPL deductibles less than $250,000.
Eligible policyholders are provided coverage in the amount of $100,000 each claim*. With no deductible, coverage includes both third-party liability claims as well as first-party (direct) costs incurred in the event of a privacy breach.
Keep up-to-speed on cyber threats & how to thwart them
Eligible policyholders receive unlimited access to resources including an online Cyber Security Fitness Check to help identify cyber gaps.
Learn how to proactively manage cyber security, be informed on the latest threats, plus get updates on new laws and regulations around data privacy and security. It’s all available to eligible policyholders on our Tokio Marine HCC CyberNET® website.
Consider CyberNET your online data security risk management service where you can find:
- Online compliance
- Sample policies to implement
- Online cyber expert support
- Step-by-step procedures to lower risk
- Training modules
- Guidance for handling data breaches
CLAIM SCENARIO
A medical group experienced a ransomware attack. The group retained a breach coach and an IT forensics firm to investigate the incident. During the investigation, the forensics team discovered a prior breach of the group’s computer system that began more than two years earlier and appeared to be ongoing. The hacker had created multiple fraudulent administrative user accounts to access records.
The group’s cyber insurance covered the breach notification costs, IT forensic expenses and credit monitoring costs. Additionally, the group’s defense costs to respond to the OCR and state attorney general investigations were covered under the Privacy Regulatory Defense and Penalties coverage agreement.
Managing the ever-changing and complex world of healthcare—and related governmental rules and regulations—can be daunting, overwhelming and downright worrisome.
MEDEFENSE™ Plus provides an effective reimbursement insurance solution for billing error proceedings by governmental and commercial payers as well as HIPAA (Health Insurance Portability and Accountability Act), EMTALA (Emergency Medical Treatment and Labor Act) and Stark regulatory proceedings. We provide clients with a MEDEFENSE™ Plus coverage limit of $50,000 at no additional cost.
Download our MEDEFENSE™ Plus flyer to learn more about how this coverage can help protect you:
CLAIM SCENARIO
An orthopedic medical group received a demand letter from the U.S. Centers for Medicare & Medicaid Services (CMS) claiming overpayments due to billing errors. CMS suspended Medicare payments to the group pending review of approximately 100 patient records.
Under its MEDEFENSE™ Plus insurance, the group had free choice of counsel, so it retained its own attorney to draft an appeal and eventually negotiate a restitution settlement with CMS. Although the restitution amount was not covered, the group was reimbursed under MEDEFENSE™ Plus for defense costs in alignment with their policy limit.
**Cyber security insurance is not available to all customers. Eligible policyholders may include independently owned and operated physician and dental practices with revenues less than $250 million and medical professional liability deductibles less than $250,000.
Basic MEDEFENSE™ Plus coverage is available for physicians, hospitals, senior living and healthcare organizations. Aggregate limit will vary based on the number of physicians on the policy. MEDEFENSE™ Plus coverage is provided to independently-owned and operated physician and dental practices as part of our Cyber Solutions® offering. The aggregate limit is combined with Cyber Solutions® and based on the number of physicians on the policy. Physicians who do not qualify for Cyber Solutions® may be eligible for MEDEFENSE™ Plus.
Tokio Marine HCC is the marketing name used to describe the affiliated companies under the common ownership of HCC Insurance Holdings, Inc., a Delaware-incorporated insurance holding company. Headquartered in Houston, Texas, Tokio Marine HCC is a leading specialty insurance group with offices in the United States, the United Kingdom and Continental Europe. MEDEFENSE™ Plus and Cyber Solutions® are products of Tokio Marine HCC – Cyber & Professional Lines Group.
This communication provides a general product summary and should not be construed as a guarantee of coverage. Any claim scenarios described in this communication are hypothetical and used solely for the purpose of illustrating how the insurance is intended to apply to certain situations. Whether, or to what extent, the insurance applies to a particular claim or loss depends on the circumstances of the claim or loss and the terms and conditions of the policy, as issued.