Health Access Plans The Right Plans for Difficult Times.

Slides:



Advertisements
Similar presentations
Assurant Supplemental Coverage Matt Krueger. 2 Assurant Supplemental Coverage 2 Supplemental individual plans Generally not subject to health care reform.
Advertisements

© 2009 Regence. Private and Confidential. 1 Activate SM – Healthy Living Rewarded Rewards employees for healthy choices Employees pay their doctors online.
2008 Annual Enrollment Training Presentation April 2008.
C & C Benefits Group, LLC In Business Since 1977 Specializing In Guaranteed Acceptance Health Plans Licensed Health Agent In 30 States Required by law.
University of California Active 2013 Open Enrollment.
© 2009 Regence. Private and Confidential. 1 Activate SM – Healthy Living Rewarded Rewards employees for healthy choices Employees pay their doctors online.
Optima Medicare (PPO) Plans CY Medicare Medicare is a Federal health insurance program for those age 65 or older or individuals at any age who have.
Employee Presentation
H.B. Fuller Company 2010 Open Enrollment: Helping you Buy Well, Use Well, Be Well October, 2009.
Etori U.S.A., Inc. Presented by:. 2 Sumitomo Life Insurance Agency America, Inc. Effective May 1, 2011: Insurance carrier remained the same: Medical –
How to Save on Your Health Insurance. How Did We Get Here?
USA BENEFITS GROUP GUARANTEED ISSUE HEALTH PLANS USABG EAGLE DIVISION PROVIDING HEALTH INSURANCE SOLUTIONS FOR 36 YEARS.
The Center for a Changing Workforce 1 Everyday Low Benefits: Health Insurance in the Age of Wal-Mart The Center for a Changing Workforce Seattle, WA.
Open Enrollment for 2013 Benefits AACPSAACPSAACPSAACPS Introduction to the BlueChoice HMO Plan CareFirst BlueCross BlueShield is an independent licensee.
Allied Cost Saver Webinar Allied Cost Saver Webinar Presented by Randy Wehner, Sales Manager Allied National, Inc. Welcome to the.
HumanaOne health plans for individuals and families
Assurant Health News July Implementation We will be starting shortly. Please mute your phones. If you do not have a mute button, press * 6 = mute * 7 =
AGENT USE ONLY HumanaOne health plans for individuals and families.
UNDERSTANDING HEALTH INSURANCE AND YOUR OPTIONS
UNIVERSITY OF WASHINGTON STUDENT HEALTH INSURANCE PLAN - SHIP
What I need to know about health insurance.. Introduction to Health Insurance Basics Terms Scenario Mandated covered services Plans Identify Explain Pros.
1 Office of Consumer Information and Insurance Oversight (OCIIO) OCIIO Office of Oversight Office of Insurance Programs Office of Consumer Support Office.
Insurance coverage underwritten by UniCare Life & Health Insurance Company. Registered Mark and SM Service Mark of WellPoint, Inc WellPoint, Inc.
BCBS Health Insurance Update AKA: Whats different and what effect may it have on you?
Welcome to the State of Kansas Group Health Insurance Basics Presentation Human Resource Services Spring 2009.
BCBS Health Insurance Update AKA: Whats different and what effect it might it have on you?
To Bravo Insurance Group Introduction Bravo Insurance Group 100 S. Rolling Meadow Dr. Wylie, TX /1/2011.
PMG Research, Inc. PMG Research, Inc Annual Open Enrollment.
© 2010 Wittenberg University Springfield, Ohio New Health Care Plan For Retirees Under 65 Effective Oct. 1, 2010.
Delta Dental of New Mexico Oral Health is Our Passion Quality Benefits, Quality Dentists … administering the dental program for State of New Mexico General.
BROWARD HEALTH BENEFITS The Broward Health Notice of Privacy Practice describes how medical information about you may be used and disclosed and.
1 ISD 15 St Francis 2012 Retiree/COBRA Open Enrollment Meeting April 2012.
Healthy Choices Benefit Plans & National Guardian Life Insurance Company Work Site Programs National Guardian Life Company, A- rating with AM Best, Began.
Education, Sales and Enrollment Presentation 2008 PowerPoint Presentation M0018_TO_PPT_0907 CMS (Pending CMS Approval) H5421 Today’s Options.
BAART (Addiction Research & Treatment, Inc.) Benefits Presentation BAART (Addiction Research & Treatment, Inc.) Benefits Presentation Northern CA Ed.10/15/2008.
Introducing: Introducing: Low cost deductible supplement insurance plan that can reimburse your health insurance deductible up to $10,000 each year! Deductible.
ATU SPECIAL OPEN ENROLLMENT Metropolitan Council Benefits.
Harrisonburg City Public Schools Open Enrollment 2014 Harrisonburg City Public Schools Open Enrollment 2014.
Open Enrollment Benefits August 1 _ 31, 2014 Wylie ISD.
North Carolina Consortium Renewal Rates April 16, 2012.
Health Care Guides Introducing New Mexico Health Connections 11/6/2013New Mexico Health Connections.
The Cure for Healthcare
Individual & Family Medical, Dental & Life Policies/Plans for New Sales Benefits Effective July 1, 2012 The benefits of any particular plan or policy are.
Center School District Qualified High Deductible Health Plan (QHDHP) with HSA New Teacher Orientation 2011.
Target Market Competitive Advantages Covered Benefits Plan Particulars Benefit Period Premium comparison Optional Coverage's Application Administrative.
© 2009 Corporate Executive Board, All Rights Reserved. Health Plan Dictionary How to Understand Your Plan and Make Cost- Effective Choices.
PLAN COMPARISON. MEDICAL PLAN COMPARISON Medical Plan Comparison PPOSouthern NevadaNorthern Nevada Benefit CategoryCD PPO HDHPHealth Plan of NevadaHometown.
Health Insurance Law and You Mr. Blais. Managed Care Plans These involve arrangements between the insurance companies and a certain network of health-care.
Access Health Closing the Gap Between Public and Private Insurance Coverage.
UNIVERSITY SYSTEM OF GEORGIA INDEMNITY PLAN $2,000,000 Lifetime Maximum DEDUCTIBLE $300 PER PERSON $900 MAXIMUM PER FAMILY ANNUAL OUT-OF-POCKET LIMIT $2,000.
40962-G-1011 COPAY SELECT SM VALUE WITH SUPPLEMENTAL ACCIDENT RIDER Copay Select SM Value provides pricing flexibility. Value Packaging allows for significant.
Student Health Plan Preview Hubbard – Bert, Inc University Partners Working for You!
University of St. Thomas 2015 Health Savings Account and High Deductible Health Plan Education Take Charge Your Health, Your Money And Your Future 1.
Health Insurance Designed for the Graduate Students employed by the THE TEXAS A&M UNIVERSITY SYSTEM Underwritten By: Companion Life Insurance.
Welcome!. Who is IAC? Established 1978 Member of the IHC Group since 2006 Specializing in the development, marketing and administration of fully insured.
20 - 1Copyright 2008, The National Underwriter Company Types of Individual Health Insurance Coverage  What is it?  Provides reimbursement for certain.
MAKE YOUR CURRENT HEALTH INSURANCE WORK BETTER FOR YOU Bridging The GAP.
Open Enrollment Benefits August 1 _ 31, 2014 Wylie ISD.
Health Care Update and Changes Gayln L Bowers. Agenda Health Care Plan Data Plan Changes Questions and Answers.
Good oral hygiene and regular dental care is important throughout your life. This Presentation is for training purposes only – See policy for complete.
Short-term Medical Insurance AN AFFORDABLE APPROACH TO HEALTHCARE FOR UNEXPECTED ILLNESS OR INJURY For Agent Training Use Only and Not For General Distribution.
Overview of Medical Benefits - Medical Choice Plan Effective 04/01/2015.
Agribusiness Library LESSON: HEALTH INSURANCE. Objectives 1. Determine the function of health insurance, and define common health insurance terms. 2.
1 Secure Care Exclusively for AIMC Partners and Producers A Hospital Confinement and Other Fixed Indemnity Plan Offered by Family Life AGENT TRAINING ONLY.
For Retiree Benefits Effective on January 1, 2016 ANNUAL OPEN ENROLLMENT.
HEALTH BENEFITS 101 Lucia Mar Unified School District Presented by Michelle Rogers Human Resources Technician May 11th, 2016.
Plans underwritten by:
Choice Plus Dental Good oral hygiene and regular dental care is important throughout your life. This Presentation is for training purposes only – See policy.
2019 Health Plan ASU is a self-insured health plan. Employees and ASU pay premiums into the plan, and those premiums are used to pay claims, administrative.
MedMutual Advantage PPO Plan Overview
Presentation transcript:

Health Access Plans The Right Plans for Difficult Times

Assurant Affordable Health Access Health Access limited-benefit plans Solution for rising cost of health care Solutions for the uninsured Health Access limited-benefit plans Solution for rising cost of health care Solutions for the uninsured

Health Access Plans Based on consumer research, covers what is important to employees –Doctor office visits and prescription drugs –Preventive care and immunizations Network discounts Affordable Portable No benefit waiting periods Optional benefits such as Dental-Vision Discount Plan, Dental Insurance and Cancer Benefit Based on consumer research, covers what is important to employees –Doctor office visits and prescription drugs –Preventive care and immunizations Network discounts Affordable Portable No benefit waiting periods Optional benefits such as Dental-Vision Discount Plan, Dental Insurance and Cancer Benefit

Assurant Affordable Health Access Launched mid 2008, currently available in 17 states Use for gapping high deductibles Over 90% placement rate Retention high, consumers find value Launched mid 2008, currently available in 17 states Use for gapping high deductibles Over 90% placement rate Retention high, consumers find value

Plan C Plan B Plan A Health Access Plans – Early Results Sales to date:

Health Access Plans – Early Results

Sales Velocity Trend Overall Access sales represent 5% of total IM Access in FLA. 15% of total IM sales

Health Access Plans Available in –AL, AR, AZ, FL, IA, IL, IN, MI, MO, MS, OH, OK, PA, SC, TN, TX, WI, WV, WY Evaluating Risk –MIB Whats Coming: EASE automated submission – targeted May 16, 2009 Available in –AL, AR, AZ, FL, IA, IL, IN, MI, MO, MS, OH, OK, PA, SC, TN, TX, WI, WV, WY Evaluating Risk –MIB Whats Coming: EASE automated submission – targeted May 16, 2009

Limited-Benefit Product Overview Three limited-benefit plans: Health Access Plan A –No medical questions Health Access Plans B or C –Limited medical questions Limited-benefit plans provide: An affordable option compared to major medical plans Coverage for certain services up to a set dollar amount Calendar year maximums Three limited-benefit plans: Health Access Plan A –No medical questions Health Access Plans B or C –Limited medical questions Limited-benefit plans provide: An affordable option compared to major medical plans Coverage for certain services up to a set dollar amount Calendar year maximums

Health Access Plan A Overview No medical questions Eligibility rules apply Applicants through age 63 are eligible Not employer-sponsored Health Advocates Alliance Membership (some states) Benefits for every day needs Easy to apply for: No underwriting No pre-existing condition limitations No ratings No special exception riders No condition-specific deductibles No modified benefit endorsements No medical questions Eligibility rules apply Applicants through age 63 are eligible Not employer-sponsored Health Advocates Alliance Membership (some states) Benefits for every day needs Easy to apply for: No underwriting No pre-existing condition limitations No ratings No special exception riders No condition-specific deductibles No modified benefit endorsements

Health Access Plan A Doctor Office Visits Client pays copay and the plan pays 100% of the remaining cost of an eligible office visit including wellness, examination, consultation, evaluation, development of a treatment plan, immunizations and allergy shots. $25 (Primary Care and Retail Health Clinic) $35 (Specialist) Limit 4 office visits Plan pays $150 max per office visit No deductible or coinsurance Prescription Drug Client pays copay and plan pays 100% up to a maximum of $750 per calendar year $10/$50 (Generic/Brand) Plan pays up to $750 max per calendar year No deductible or coinsurance Outpatient Diagnostic Imaging and Laboratory Services Plan pays up to $250 benefit for x-ray and lab only No deductible or coinsurance Surgical Services Must be performed during an office visit Plan pays $250 max per calendar year No deductible or coinsurance

Health Access Plans B or C Product Overview Limited medical questions Applicants through age 63 are eligible Inpatient, outpatient and prescription drug benefits Easy to apply for: Accept/Reject application No ratings No special exception riders No condition-specific deductibles No modified benefit endorsements Limited medical questions Applicants through age 63 are eligible Inpatient, outpatient and prescription drug benefits Easy to apply for: Accept/Reject application No ratings No special exception riders No condition-specific deductibles No modified benefit endorsements

Health Access Plans B or C Plan BPlan C Doctor Office Visits Client pays copay and the plan pays 100% of the remaining cost of an eligible office visit including wellness, examination, consultation, evaluation, development of a treatment plan, immunizations and allergy shots. $25 (Primary Care, Specialist, and Retail Health Clinic) Limit 4 office visits Plan pays $150 max per office visit No deductible or coinsurance Prescription Drugs Client pays copay and plan pays 100% up to a maximum of $250 or $750 per calendar year $10/$50/$75 (Generic/Preferred Brand/Non-Preferred Brand) Plan pays up to $250 in benefits per calendar year No deductible or coinsurance $10/$50/$75 (Generic/Preferred Brand/Non-Preferred Brand) Plan pays up to $750 in benefits per calendar year No deductible or coinsurance Outpatient Medical Services Includes outpatient hospital, surgical center or urgent care facility and diagnostic imaging and laboratory services, chemotherapy, and radiation performed during an office visit or as outpatient. $200 deductible 80%/ 20% coinsurance up to $500 in benefits per calendar year $200 deductible 80%/20% coinsurance up to $1,000 in benefits per calendar year

Health Access Plans B or C Plan BPlan C Surgical Services Inpatient and Outpatient Up to scheduled benefit amount Up to $100,000 in benefits per calendar year (based on schedule) No deductible or coinsurance Inpatient and Outpatient Up to scheduled benefit amount Up to $200,000 in benefits per calendar year (based on schedule) No deductible or coinsurance Assistant SurgeonUp to 20% of amount paid for surgery AnesthesiologistUp to 20% of amount paid for surgery Ambulance (Ground/Air) Up to $100 ground/$1,000 air – per trip, up to two trips per calendar year Emergency Room Up to $250 in benefits for each of two visits per calendar year $100 emergency room fee Fee waived if admitted No deductible or coinsurance Up to $750 in benefits for each of two visits per calendar year $100 emergency room fee Fee waived if admitted No deductible or coinsurance

Health Access Plans B or C Plan BPlan C Inpatient Benefit Facility Charges Up to $750 in benefits per day for sickness Up to $1,000 in benefits per day for injury 80%/20% coinsurance up to $100,000 in benefits per calendar year No deductible Up to $2,000 in benefits per day for sickness Up to $4,000 in benefits per day for injury 80%/20% coinsurance up to $200,000 in benefits per calendar year No deductible Other Non- surgical/Non-facility Inpatient Services Considered under the inpatient per day maximum Coinsurance applies No deductible Life InsuranceUp to $10,000 benefit included for primary

Network and Discounts The Health Access plans are not PPO plans Passive discounts through MultiPlan – Choice of doctors and hospitals No out-of-network fees LabCard Select (LabOne) offers discounts on covered outpatient laboratory services – Additional Discount Opportunities – customers/findancillary provider The Health Access plans are not PPO plans Passive discounts through MultiPlan – Choice of doctors and hospitals No out-of-network fees LabCard Select (LabOne) offers discounts on covered outpatient laboratory services – Additional Discount Opportunities – customers/findancillary provider

Rates Simplified rating –Not gender rated –Not area rated –Not rated for risk class –No smoker status –Has 5 very broad age bands –Based on age of primary applicant Examples of Monthly Rates –Plan A: 28-year-old woman w/ one child – $74 –Plan B: 40-year-old husband and wife – $194 –Plan C: 30-year-old single man – $104 Simplified rating –Not gender rated –Not area rated –Not rated for risk class –No smoker status –Has 5 very broad age bands –Based on age of primary applicant Examples of Monthly Rates –Plan A: 28-year-old woman w/ one child – $74 –Plan B: 40-year-old husband and wife – $194 –Plan C: 30-year-old single man – $104

Assurant Affordable Health Access Get engaged Be aware of opportunities Use to recruit Get engaged Be aware of opportunities Use to recruit