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    HomeHealth Insurance Policies | 5 Basic Facts About In A Bad Economy.

    Health Insurance Policies | 5 Basic Facts About In A Bad Economy.

    Health Insurance Policies | Many Health Insurance Plans Have Specific Exclusions That Eliminate Your Benefits. | Nirmal News

    Health Insurance Policies | 5 Basic Facts About In A Bad Economy.

    Health Insurance Policies | Summary:

    Many health insurance plans have specific exclusions that eliminate your benefits for anything that could have been covered under Workers Compensation or similar laws.

    Now read that last sentence again.

    Article: Health Insurance Policies | 5 Basic Facts About In A Bad Economy.

    1. DOES YOUR PLAN COVER YOU ON AND OFF THE JOB?

    Many health insurance plans have specific exclusions that eliminate your benefits for anything that could have been covered under Workers Compensation or similar laws.

    Now read that last sentence again.

    COULD HAVE BEEN COVERED!?

    That is correct most self employed people and even some small business owners do not carry Workers Comp on themselves.

    There are designed insurance plans that will cover you on and off the job — 24-hours a day if you are not required by law to have Workers Compensation coverage.

    2. ARE YOU WRITING IT OFF?

    Independent contractors (1099’s) home based business owners professionals and other self employed people generally are not taking advantages of the tax laws available to them.

    Many people who are paying 100% of their own costs are eligible to deduct their monthly insurance payments.

    Just that alone can reduce your net out-of-pocket costs of a proper plan by as much as 40%. Ask your accounting professional if you are eligible and/or check out the IRS website for more information.

    3. INTERNAL LIMITS

    All true insurance plans use some form of internal controls to determine how much they will pay out for a particular procedure or service. There are two basic methods.

    -Scheduled Benefits

    Many plans, some of which are specifically marketed to self employed and independent people have a clear schedule of what they will pay per doctor office visit hospital stay or even limits on what they will pay for testing per 24-hr. period.

    This structure is usually associated with “Indemnity Plans”. If you are presented with one of these plans be sure to see the schedule of benefits in writing. It is important that you understand these type of limits up front because once you reach them the company will not pay anything over that amount.

    -Usual and Customary

    Refers “Usual and Customary” to the rate of pay out for a doctor office visit procedure or hospital stay that is based on what the majority of physicians and facilities charge for that particular service in that particular geographical or comparable area. “Usual and Customary” charges represent the highest level of coverage on most major medical plans.

    4.YOU HAVE THE ABILITY TO SHOP!

    If you are reading this you are probably shopping for a health plan. Every day people shop, for everything from groceries to a new home. During the shopping process, generally the value price personal needs and general marketplace gets evaluated by the buyer.

    With this in mind it is very disconcerting that most people never ask what a test procedure or even doctor visit will cost. In this ever-changing health insurance market it will become increasingly important for these questions to be asked of our medical professionals. Asking price will help you get the most out of your plan and reduce your out-of-pocket expenses.

    5. NETWORKS AND DISCOUNTS

    Almost all insurance plans and benefit programs work with medical networks to access discounted rates. In broad strokes networks consist of medical professionals and facilities who agree by contract to charge discounted rates for services rendered. In many cases the network is one of the defining attributes of your program. Discounts can vary from 10% to 60% or more.

    Medical network discounts vary but to ensure you minimize your out-of-pocket expenses it is imperative that you preview the network’s list of physicians and facilities before committing. This is not only to ensure that your local doctors and hospitals are in the network but also to see what your options would be if you were to need a specialist.

    Ask your agent what network you are in, ask if it is local or national and then determine if it meets your own individual needs.

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