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"60% of All Personal Bankruptcies Begin With a Medical Claim." One statistic we often read is that more than 60% of all personal bankruptcies begin with a medical claim. Medical care is expensive and it seems that the costs continue to rise, even as our government looks for ways to make healthcare more affordable. Recent reports show that more than 47 million Americans have no health insurance, putting themselves at significant risk for a medical claim that can affect them forever. Our experience is that many people don’t have insurance because they don’t understand it and don’t know which insurance is best for their situation. And they don’t trust salespeople to give them honest information that’s best for them, not what’s best for the salesperson. The individual health insurance market is one of the most confusing of all markets and is also the market currently experiencing the most change right now. We stay current with our knowledge of the healthcare market and changes now being contemplated by the Federal government. We offer coverages in several different areas within the basic health category:
Major Medical Major Medical is the most comprehensive coverage available. Most group health insurance is regarded as Major Medical coverage. This coverage typically has a familiar structure that includes deductibles (usually multiple deductibles that represent at least two members of the family), and co-insurance (usually multiple co-insurance steps for multiple members of the family).
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“Stop-Loss” What makes coverage “Major Medical” is the comprehensiveness of the coverage - outpatient as well as inpatient coverage - and the concept of “stop-loss.” One of the most important aspects of a Major Medical policy, the “stop-loss” amount represents the total amount of money you’ll have to pay – once you reach this “stop-loss” amount, you won’t have to pay any more. If a policy does not have a “stop loss feature,” it is not a Major Medical policy. Best Prices and Best Value Of course, all of these goals have to be accomplished within budget constraints. We aggressively work in the marketplace every day to find the best pricing and the best value of the coverages available. There can be a significant difference between “owning insurance” and “being insured.” Most of us know that the lowest bid on anything doesn’t mean it’s the best value you can get. In fact, buying insurance solely on the basis of “price” will generally cost you more in the long run. Factors that can make you regret that you based your choice only on price: Quality of customer service you’ll get if you ever have a claim Confusing design of the policy The “fine print” in a policy Remember, there can be a significant difference between the price and the cost of owning a Health or Life Insurance policy. One of our jobs is to make certain that you’re aware of all the facets of a policy from all insurance companies. Unbiased and Honest – What a Policy “Won’t” Do Just as important as what a certain policy will do for you is what it won’t do for you. Not many companies will make certain that you know what the shortcomings are of certain policies. These shortcomings are usually the main cause for negative and cynical feelings that people have about insurance companies.
We often get compliments for explaining, upfront, what certain policies won’t provide for our clients, allowing them to make a more informed choice.
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