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Monday, 4-Jun-2012 06:37 Email | Share | Bookmark
Small Company Health Insurance The Best Policy Is A Great Agent

I have been a health insurance broker for over a decade plus each day I read more plus more "horror" tales which are uploaded on the Internet regarding health insurance firms not paying claims, refusing to cover particular diseases plus physicians not getting reimbursed for health services. Unfortunately, insurance carriers are driven by profits, not individuals (albeit they require individuals to make profits). If the insurance company will find a legal reason to not pay a claim, odds are they will find it, plus the customer are affected. However, what most people fail to realize is that there are extremely few "loopholes" inside an policy which supply the insurance company an unfair benefit over the buyer. Truth be told, insurance carriers go to great lengths to detail the limitations inside coverage by providing the policy holders 10-days (a 10-day complimentary look period) to examine their policy. Unfortunately, most individuals place their insurance cards inside their pocket plusplace their policy inside a drawer or submitting cabinet throughout their 10-day complimentary look plus it typically isn't till they get a "denial" letter from the insurance company which they take their policy away to actually read from it.The majority of people, who purchase their own health insurance, depend seriously on the insurance agent offering the policy to explain the plan's coverage plus advantages. This being the case, various people who buy their own health insurance plan will tell you truly little about their plan, besides, what they pay inside premiums and just how much they have to pay in order to meet their deductible.For various consumers, purchasing a health insurance policy themselves is an massive undertaking. Purchasing a health insurance policy is not like purchasing automobile, inside that, the buyer sees that the engine plus transmitting are traditional, plus that electricity windows are optional. A health insurance plan is more ambiguous, plus it is actuallyoften truly difficult for the buyer to know what kind of coverage is traditional plus what additional advantages are optional. In my opinion, this really is the primary reason which most policy holders don't realize which they do not have coverage for a particular health treatment till they get a large bill from the hospital stating which "advantages were declined."Sure, all of us complain about insurance carriers, but we do recognize which they serve a "important evil." And, besides the fact that buying health insurance can be a frustrating, daunting plus time consuming task, there are certain issues that you can easily do because a customer to confirm that you are buying the character of health insurance coverage you truly require at a fair cost.Dealing with small business owners as well as the self-employed market, I are at the awareness that it can be nearly impossible for individuals to distinguish involving the kind of health insurance coverage which they "want" as well as the advantages they "require." Recently, I have read various comments on different Blogs advocating health plans that provide 100% coverage (no deductible plus no-coinsurance) plus, although I agree which those types of plans have a perfect "control appeal," I will tell you from knowledge which these plans are not for everyone. Do 100% health plans provide the client higher comfort of notice? Probably. However is a 100% health insurance plan anything which most consumers want? Probably not! In my pro opinion, whenever you buy a health insurance plan, you need to achieve a balance between 4 important variables; desires, demands, issues plus cost. Similarly to you would do should you were buying methods a hot automobile, you must weigh all these aspects before you spend a money. If you are healthy, take no treatments plus rarely go to the doctor, do you really require a 100% plan with a $5 co-payment for prescription medications when it costs you $300 $ more a month?Is it worth $200 more a month to truly have a $250 deductible along with a $20 brand name/$10 common Rx co-pay versus an 80/20 plan with a $2,500 deductible which offers a $20 brand name/$10generic co-pay once you pay a yearly $100 Rx deductible? Wouldn't the 80/20 plan nevertheless supply you adequate coverage? Don't you think it will be safer to place which additional $240 ($2,400 per year) inside a bank account, only if you may need to pay a $2,500 deductible or purchase a $12 Amoxicillin prescription? Isn't it wiser to keep a hard-earned funds instead of pay high premiums to the insurance company?Yes, there are many techniques you can easily keep alot of the funds which you would commonly give to the insurance company inside the form of high monthly premiums. For example, the federal government encourages consumers to purchase H.S.A. (Health Savings Account) qualified H.D.H.P.'s (High Deductible Health Plans) so they have more control over how their health related $ are invested. Consumers who buy an HSA Qualified H.D.H.P. will place extra cash apart every year inside an interest bearing account so they can employ which funds to pay for out-of-pocket health expenses. Even procedures which are not commonly covered by insurance carriers, like Lasik eye surgery, orthodontics, plus alternate medicines become 100% taxes deductible. If there are no claims which year the funds which was deposited into the taxes deferred H.S.A is rolled over to another year generating an even high rate of interest. If there are no noticeable claims for several years (because is often the case) the insured ends up creating a sizeable account which enjoys same taxes advantages because a conventional I.R.A. Most H.S.A. administrators now provide thousands of no load mutual funds to transfer a H.S.A. funds into to possibly earn an even high rate of interest.In my experience, I believe people who buy their health plan based on desires instead of demands feel the most defrauded or "ripped-off" by their insurance company and/or insurance agent. Truth be told, I hear almost identical comments from nearly every business proprietor which I speak to. Comments, like as, "I have to run my organization, I don't have time to be sick! "I think I have gone to the doctor 2 instances inside the last 5 years" plus "My insurance company keeps raising my rates but don't even employ my insurance!" As a business proprietor myself, I will recognize their disappointment. So, will there be a easy formula which everyone will follow to make health insurance purchasing simpler? Yes! Become an INFORMED customer.Every time I contact a prospective customer or call one of my customer referrals, I ask a few particular concerns which straight pertain to the policy which particular individual currently has inside their submitting cabinet or dresser drawer. You know the policy which they bought to shield them from needing to file bankruptcy due to health debt. That policy they bought to cover which $500,000 life-saving organ transplant or those 40 chemotherapy treatments which they may have to undergo when they are identified as having cancer.So what do you think appears almost 100% of the time whenever I ask these individuals "BASIC" concerns about their health insurance policy? They never recognize the answers! The following is a list of 10 concerns which I frequently ask a prospective health insurance customer. Let's observe various YOU will answer without looking at a policy.1. What Insurance Company are you insured with plus what exactly is title of your health insurance plan? (e.g. Blue Cross Blue Shield-"Basic Blue")2. What is a calendar year deductible plus would you have to pay a individual deductible for every family member when everyone inside a family became ill at the same time? (e.g. The majority of health plans have a per person yearly deductible, for illustration, $250, $600, $1,000, or $2,500. However, certain plans will merely need pay a 2 person maximum deductible every year, even if everyone inside a family required extensive health care.)3. What is a coinsurance percentage plus what dollar amount (stop loss) it is actually based on? (e.g. A superior plan with 80/20 coverage signifies you spend 20% of certain dollar amount. This dollar amount is sometimes known because a stop loss plus will vary based on the kind of policy you buy. Stop losses is very little because $5,000 or $10,000 or a because $20,000 or there are certain plans in the market which have NO stop loss dollar amount.)4. What is your maximum away of pocket cost per year? (e.g. All deductibles plus all coinsurance percentages plus all relevant access fees or additional fees)5. What is the Lifetime maximum benefit the insurance company pays should you become really ill plus does a plan have any "per illness" maximums or hats? (e.g. Some plans may have a $5 billion lifetime maximum, but could have a maximum benefit cap of $100,000 per illness. This means you would have to develop various individual plus unrelated life-threatening diseases costing $100,000 or less to be eligible for a $5 billion of lifetime coverage.)6. Is a plan a schedule plan, inside that it merely pays a certain amount for a particular list of procedures? (e.g., Mega Life & Health & Midwest National Life, recommended by the National Association of the Self-Employed, N.A.S.E. is known for endorsing schedule plans) 7. Does a plan have doctor co-pays plus are you limited to a certain amount of doctor co-pay visits per year? (e.g. Numerous plans have a restrict of the number of instances visit the doctor per year for a co-pay plus, very often the restrict is 2-4 visits.)8. Does your plan provide prescription drug coverage plus when it does, do you spend a co-pay for a prescriptions or do you must meet a individual drug deductible before you get any advantages and/or do you only have a discount prescription card merely? (e.g. Some plans supply you prescription advantages proper away, additional plans need which you spend a individual drug deductible before you can easily receive prescription medicine for a co-pay. Today, many plans provide no co-pay choices plus merely supply you with a discount prescription card that provides you a 10-20% discount on all prescription medications).9. Does a plan have any reduction inside advantages for organ transplants plus when so, what exactly is the maximum a plan pays should you need an organ transplant? (e.g. Some plans merely pay a $100,000 maximum benefit for organ transplants for a procedure that costs $350-$500K plus this $100,000 maximum could moreover include reimbursement for expensive anti-rejection treatments that has to be studied after having a transplant. If this really is the case, you will often have to pay for all anti-rejection treatments away of pocket).10. Do you must pay a individual deductible or "access fee" for every hospital admission or for every crisis area visit? (e.g. Some plans, like the Assurant Health's "CoreMed" plan have a individual $750 hospital admission fee which you spend for the 1st 3 days you may be inside the hospital. This fee is in addition to a plan deductible. Additionally, various plans have benefit "caps" or "access fees" for out-patient services, like as, physical therapy, delivery therapy, chemotherapy, light therapy, etc. Benefit "caps" might be very little because $600 for every out-patient treatment, leaving you a bill for the remaining balance. Access fees are more fees which you spend per treatment. For example, for every outpatient chemotherapy treatment, you are needed to pay a $250 "access fee" per treatment. So for 40 chemotherapy treatments, you would have to pay 40 x $250 = $10,000. Again, these fees will be billed inside addition to a plan deductible).Now which you've read from the list of concerns which I ask a prospective health insurance customer, ask the number of concerns you were able to answer. If you couldn't answer all ten concerns don't be disheartened. That doesn't mean which you are no smart customer. It may just imply which you dealt with a "bad" insurance agent. So how would you tell should you dealt with a "bad" insurance agent? Because a "great" insurance agent would have taken the time to assist you truly recognize a insurance advantages. A "great" agent spends time asking YOU concerns so s/he will recognize a insurance demands. A "great" agent suggests health plans based on all variables; desires, demands, issues plus cost. A "great" agent provides sufficient information to weigh all your choices to make a knowledgeable buying decision. And lastly, a "great" agent looks away for YOUR ideal interest plus NOT the best interest of the insurance company.So how do you recognize should you have a "great" agent? Easy, should you were able to answer all 10 concerns without looking at a health insurance policy, you've a "great" agent. If you were able to answer the majority of concerns, you have a "good" agent. However, should you were merely able toanswer a few concerns, you have a "bad" agent. Insurance agents are no different than any other pro. There are certain insurance agents which really care about the customers they benefit, plus there are additional agents which avoid addressing concerns plus duck customer calls whenever a message is left about unpaid claims or skyrocketing health insurance rates.Remember, your health insurance buy is just because important because buying a home or a automobile, otherwise more important. So don't be afraid to inquire about a insurance agent a great deal of concerns to make certain which you recognize what a health plan does plus does not cover. If you don't feel comfortable with all the kind of coverage which a agent suggests or if you believe the price is too high, ask a agent when s/he will choose a comparable plan to make a side by side comparison before you buy. And, most importantly, read the "fine print" inside a health plan brochure plus whenever you get a policy, take time to read from a policy during a 10-day complimentary look period.If you can't recognize anything, or aren't quite sure just what asterisk (*) beside the benefit description truly signifies inside terms of a coverage, call a agent or contact the insurance company to inquire about for further clarification.Furthermore, take time to perform your due diligence. For example, if you research MEGA Life plus Health or the Midwest National Life insurance company, recommended by the National Association for the Self Employed (NASE), there are which there have been 14 class action lawsuits brought against these firms because 1995. So ask, "Is this a business which I would trust to pay my health insurance claims?Additionally, find away when a agent is a "captive" agent or an insurance "broker." "Captive" agents will just offer ONE insurance company's products." Independent" agents or insurance "brokers" will offer you a choice of different insurance plans from many different insurance carriers. A "captive" agent may suggest a health plan which doesn't precisely meet your necessities because which is the particular plan s/he will promote. An "independent" agent or insurance "broker" will typically supply you a choice of different insurance products from various standard carriers plus might modify a plan to meet a particular insurance demands plus budget.Over the years, I have developed strong, trusting relations with my customers due to my insurance expertise as well as the amount of personal service which I supply. It is among the primary factors which I never suggest getting health insurance on the Internet. In my opinion, there are way too various aspects which Internet insurance customers never often think about. I am a firm believer which a health insurance buy requires the level of expertise and private attention which merely an agent will supply. And, since it does not cost a penny more to buy your health insurance from an agent or broker, my information will be to employ Ebay plus Amazon for a less important purchases plus to employ a knowledgeable, ethical plus trustworthy independent agent or broker for just one of the most important purchases you will ever make....a health insurance policy.Lastly, should you have any concerns about an insurance company, contact a state's Department of Insurance BEFORE you purchase a policy. Your state's Department of Insurance will tell you when the insurance company is registered inside a say plus will moreover tell you when there have been any issues against which business which have been filed by policy holders. If you suspect which a agent is struggling to market you a fraudulent policy, (e.g. you must become a member of a union to be eligible for a coverage) or isn't being truthful along with you, a state's Department of Insurance will moreover check to see when a agent is licensed plus whether or not there has ever been any disciplinary action earlier taken against which agent.In closing, I hope I have provided youenough information to become an INFORMED insurance customer. However, I remain convinced which the following words of knowledge nevertheless go along way: "If it sounds too superior to be true, it probably is!" plus "If you merely purchase on cost, you get what you spend for!"©2007 Small Business Insurance Services, Inc. http://www.smallbusinessinsuranceservices.com[url=http://asuransikita.com/asuransi/asuransi-jiwa2/asuransi-prudential-allianz-axa]Tabel Perbandingan Asuransi[/url]\n tabel perbandingan asuransi


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