Health Insurance for Small Business – The best plan is a great agent Pt 4
- Will your plan include prescription drug coverage and, if that be the case, will you make payment for a co-payment for your income or are you going to meet a separate drug deduction before getting any benefits and/or have only one prescription card for discount? (For instance, some plans offer income benefits immediately, other plans require you to pay a separate medication deduction before receiving the medication by co-payment.) Today, many plans do not offer co-payment options and only provide one Prescription discount card that gives you a 10-20% discount on all prescribed medications).
- Is there any organ transplants reduction in benefits in your plan? If that be the case, what is the maximum that will be paid by your plan if you need an organ transplant? (For example, some plans only pay a maximum benefit of US $100,000 for organ transplants for a procedure that really costs between US $350 and US $500, and this maximum of US $100,000 may also include the reimbursement of anti-aging drugs. expensive rejection that should be taken after the transplant, often you will have to pay all anti-rejection medications out of pocket).
- Do you have to pay a separate franchise or “access fee” for each inpatient hospital stay or for each emergency room visit? (For example, some plans, such as “CoreMed” plan of Assurant Health have a separate hospital admission fee of $750 that you will pay for the first three days in a hospital, this rate is in addition to your deductible plan. “or” access fees “for outpatient services, such as physiotherapy, speech therapy, chemotherapy, radiotherapy, etc. The” limit “benefits could cost only US $ 500.00 for each outpatient treatment, leaving it for the remainder of the balance. The access fees are the additional fees you pay for the treatment. For example, for each outpatient chemotherapy treatment, it may be necessary to pay an access fee of $250.00 per treatment. Therefore, for 40 chemotherapy sessions, you would have to make payment of around $10,000. Once again, these bills will be charged beyond your deductible plan).
Now that you have read through the questions I ask a potential health insurance client, how many of these questions will you be able to answer. If you cannot answer the ten questions, do not be discouraged. This does not mean that you are not a smart consumer. It may mean only that you have handled a “bad” insurance broker. How can you tell if you have handled an “incompetent” insurance broker? Because an “optimal” insurance agent would have had time to assist you to really comprehend your insurance benefits. A “great” agent spends time asking questions about Medical Insurance 2020 via https://www.medicalinsurance2020.org
so he can understand his insurance needs. An “optimal” agent recommends health plans based on the four variables; wishes, needs, risk and price. An “excellent” agent provides enough information to evaluate all your options so you can make an informed purchasing decision. And finally, an “optimal” agent seeks your best interest and NOT the best interest of the insurance company.
So, how do you know if you have an “optimal” agent? Easy, if you were able to answer the 10 questions without looking at the health insurance plan, you have an “optimal” agent. If you are able to answer most of the questions, you can have a “good” agent.