Step 10 Small Business Health Insurance A policy of Great Agent

Step 10 Small Business Health Insurance A policy of Great Agent. So what do you think happens almost 100% of the time when I ask people to "BASIC" questions about their health insurance policy? They do not know the answer! Here is a list of 10 questions I often ask prospective clients of health insurance. Let's see how many YOU can answer without seeing your policy.

1. Insurance Companies What are you insured with and what the name of your health insurance plan? (For example, Blue Cross Blue Shield-"Basic Blue")

2. What is your calendar year deductible and you will have to pay a separate deductible for each family member if everyone in your family became sick at the same time? (For example, majority of health plans have an annual deductible per person, for example, $ 250, $ 500, $ 1,000, or $ 2,500, however, some plans will only require you to pay a 2 person maximum deductible each per year. Even if everyone in the family You will need extensive medical care.)

3. What is your coinsurance percentage and what dollar amount (stop loss) is based on? (For example A good plan with 80/20 coverage means you pay 20% of some dollar amount the dollar amount is also known as stop loss and may vary based on the type of policy you purchase .. Stop losses can be as little as $ 5,000 or $ 10,000 or as much as $ 20,000 or there are some policies on the market that does NOT have to stop the dollar amount of the loss.)

4. What is the maximum out of pocket expenses per year? (Eg All deductibles plus all coinsurance percentages plus all applicable access fees or other fees)

5. What Lifetime maximum benefit the insurance company will pay if you become seriously ill and you do not plan to have "a disease" maximum or cap? (Eg Some plans may have a lifetime maximum of $ 5 million, but may have a maximum benefit cap of $ 100,000 per disease. This means that you have to develop many separate and unrelated life-threatening illnesses costing $ 100,000 or less to qualify for $ 5 million of lifetime coverage.)

6. Whether you plan a schedule plan, in this case only pay a certain amount for a specific list of procedures? (For example, Mega Life & Health & Midwest National Life, supported by the National Association of Self-Employed, NASE is known to support the planned schedule) 7. Does your plan have doctor co-pays and you're limited to a certain amount of co-pay doctor visits per year? (Eg Many plans have a limit of how many times you go to a doctor per year for co-pay and, quite often limiting visits is 2-4.)

8. Does your plan offer prescription drug coverage and if not, whether you pay co-pays for your prescription or you must meet a separate drug deductible before you receive benefits and / or if you only have only prescription discount card? (Eg Some plans offer prescription benefits right away, other plans require that you pay a separate drug deductible before you can receive prescription drug co-pay for the day., Many plans do not offer co-pay options and only provide you with a discount prescription card that gives you a discount 10-20% on all prescription drugs).

9. Does your plan have a reduced benefit for organ transplants and if so, what the maximum your plan will pay if you need an organ transplant? (Eg Some plans only pay a $ 100,000 maximum benefit for organ transplants for the procedures that actually cost $ 350 -. $ 500K and is a maximum of $ 100,000 also includes the replacement of expensive anti-rejection drugs that must be taken after transplantation If this happens, You will often have to pay for all the anti-rejection drugs out of pocket).

10. Do you have to pay "access charges" or a separate deductible for each hospital admission or for each emergency room visit? (Eg Some plans, such as "CoreMed" Assurant Health plan that has a $ 750 cost of a separate hospital admission that you pay for your first 3 days in the hospital this fee is in addition to plan deductible .. Also, many plans have benefit "caps" or "access fees" for out-patient services, such as, physical therapy, speech therapy, chemotherapy, radiation therapy, etc. Benefit "caps" could be as little as $ 500 for each patient treatment, leaving you a bill for the remaining balance. Access fee is an additional cost you pay per treatment For example, for each outpatient chemotherapy treatment, you may be asked to pay "access charges" $ 250 per treatment .. So for 40 chemotherapy treatments, you will have to pay 40 x $ 250 = $ 10,000. Once again, this fee will be charged in addition to plan deductible).