Help Your Clients Face 2018 with Health Benefit Insuran

Help Your Clients Face 2018 with Health Benefit Insurance

Health benefit insurance plans can help your clients find some financial accord as they face certain health concerns by providing set amounts of money for covered medical services. Also referred to as fixed cash or limited-benefit indemnity coverage, these plans provide supplemental benefits to your clients that they can use to pay medical expenses such as copays and deductibles or other expenses such as rent and daily lifestyle needs.

Value

This level of coverage can provide your clients with a wide variety of benefits in the face of accidental injuries, sickness, inpatient surgical care, outpatient care, and even pre-existing conditions (subject to waiting period.) Coverage varies from plan to plan, but health benefit insurance plans can provide little to no waiting periods with access to doctors nationwide, and benefits for critical illness and/or accidental death.

Features

Your clients can take advantage of a variety of features that help make their healthcare more accessible:

  • Freedom to choose any doctor or hospital of your clients’ choice
  • Guaranteed issue coverage
  • Low cost preventative care
  • Next day coverage or little to no waiting periods for accidental injuries or sickness
  • 12 month waiting period for pre-existing conditions

How it works

When your clients choose health benefit insurance coverage, they are choosing a type of coverage that pays them directly instead of paying healthcare providers. They simply submit a claim after a qualified medical expense and receive payment that they can use as needed. There are no deductibles to meet.

Limitations

Health benefit insurance coverage does not count as minimum essential coverage required by the Affordable Care Act and is not suitable to serve as your clients’ only medical coverage. Although the premiums may be lower than a major medical plan, the benefits are also lower and more restricted. Benefits are preset and may not necessarily be sufficient to cover the total bill for medical services received. Before recommending plans to consumers, ensure they understand what is and isn’t covered.

Help your clients take on 2018 with affordable, quality supplemental coverage today! Learn more by:

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Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

 

For agent use only – not for use with the public

 

Road to Expand Short-Term Medical Offerings is Wide Open in 2018

Short-term medical (STM) coverage, a type of health insurance designed to help bridge gaps in your clients’ health coverage, offers consumers flexibility in coverage length and cost. While it does not provide the minimum essential health benefits by the Affordable Care Act (ACA), it can serve as an affordable option for those facing life-altering transition periods.

2018 and STM coverage

Because STM plans don’t have to adhere to ACA regulations, consumers “would have a wider array of options with lower monthly rates1.” Current legislative reform attempts are expected to make room for more STM plans2.  While “these policies can exclude those with pre-existing conditions or base rates on consumers’ medical history” and “offer skimpier benefits1,” major insurance carriers, including UnitedHealth and Aetna, have expressed interest in expanding their portfolios with STM offerings3:

UnitedHealth president and COO Dan Schumacher: “…we are excited to see [the regulation on STM plans that limited length of coverage] extended to the full year, because the reality is it provides a bridge for people in between coverage3.”

Aetna CEO Mark Bertolini: “We are actually looking at reenergizing a program we had prior to the ACA, but in a more on a focus of short-term, one-year kind of plan, or transition plan, versus just the skinny benefit…4.”

Who benefits from STM coverage?

This level of coverage may fit the needs of your clients who are:

  • Transitioning between jobs
  • Waiting for employer insurance to begin
  • Graduating from college
  • Rolling off parents’ coverage
  • Waiting for Medicare coverage to become effective

What are some of the features that STM plans provide?

  • Your clients can choose this level of coverage at any time in the year.
  • Your clients can choose from a variety of plans, many of which include preventive care for individuals as well as for families.
  • Because benefits are more restricted or limited, your clients can take advantage of rates that are often lower than major medical coverage.
  • Your clients can often see providers of their choice. If a provider does not file a claim for your client in office, your clients can easily submit their own claims to the carrier for reimbursement.
Disclaimer: STM coverage is not intended to be a replacement or alternative to ACA or other major medical plans nor does it provide the minimum essential health benefits that are required and it won’t help to avoid the fee for not carrying health insurance. They can have exclusions and limitations, which may not make them a valid option for some clients.

Learn more about incorporating short-term medical coverage into your portfolio by:

Click here to like us on Facebook for important industry updates, tips, and articles!

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

For agent use only – not for use with the public

Sources:

1: “What happened to Trump’s big plans for insurance?” WCPO.com.  https://www.wcpo.com/news/national/what-happened-to-trump-s-big-plans-for-health-insurance-?page=2

2: “From premiums to politics: 5 predictions for the health insurance industry in 2018.” Leslie Small.  https://www.fiercehealthcare.com/payer/year-preview-predictions-politics-aca-mergers

3: “UnitedHealth’s (UNH) CEO David Wichmann on Q3 2017 Results – Earnings Call Transcript.” SeekingAlpha.com.  https://seekingalpha.com/article/4114057-unitedhealths-unh-ceo-david-wichmann-q3-2017-results-earnings-call-transcript?part=single

4: “Aetna (AET) Q3 2017 Results –  Earnings Call Transcript.” SeekingAlpha.comhttps://seekingalpha.com/article/4118741-aetna-aet-q3-2017-results-earnings-call-transcript?part=single

 

Tips to Help You Talk to Your Clients About Cervical Health Awareness

Tips to Help You Talk to Your Clients About Cervical Health Awareness

The new year is here, and so is a clean slate for many of your clients as they set new goals for their health and wellness. You’re in the position to guide those clients to coverage options with features and benefits that fit their lifestyle and health needs.

You also have the opportunity to raise awareness among your clients about important health observances such as Cervical Health Awareness Month during January. It’s the ideal time to make sure your clients’ coverage addresses any concerns they or their dependents may have about cervical health and to direct them and/or their loved ones to resources related to cervical health.

The Centers for Disease Control (CDC), the National Cervical Cancer Coalition (NCCC), and the American Cancer Society (ACS) have many resources detailing how pervasive HPV and cervical cancer are.

Consider these stats:  

  • At any time, there are approximately 79 million people in the United States with HPV1.
  • There are 14 million new HPV infections in the United States each year1.
  • HPV is so common that most people get it at some time in their lives and usually causes no symptoms2.
  • If HPV does not go away on its own, there is a chance that over time it may cause cervical cancer2.
  • While the cervical cancer death rate has gone down by more than 50% thanks to the increased use of the Pap test, nearly 13,000 new cases of invasive cervical cancer are estimated to have been diagnosed in 20173.

Benefits offered by short-term medical and limited medical coverage that may be helpful to your clients worried about their cervical health include:

  • Open network of physicians, specialists, and hospitals
  • Variety of deductible and coinsurance options
  • Low copay options for in-network benefits
  • Paid benefits similar to traditional major medical plans
  • Next day coverage
  • Deductibles as low as $250
  • Relatively inexpensive premiums, but may result in lower and more restricted benefits
  • Guaranteed acceptance for some products, if eligibility is met and available in state

Short-term medical coverage or limited medical coverage may be the best fit for some of your clients. However, it’s important for you and your clients to understand these products do not replace major medical insurance, and they do not count as minimum essential coverage required by the Affordable Care Act. These products are not intended to serve as sole medical coverage. Limitations, restrictions, and exclusions may apply.

As an agent, your clients rely on your expertise to make sure they have access to affordable, quality coverage with benefits that help them face specific concerns. Take your expertise one step further by promoting awareness resources about specific health concerns such as cervical health throughout the year.

Learn more about expanding your portfolio with short-term medical and limited medical plans by:

Click here to like us on Facebook for important industry updates, tips, and articles!

Sources:

1: “Ten Things to Know About HPV and Cervical Cancer.” National Cervical Cancer Coalition. http://www.nccc-online.org/images/pdfs/10ThingsHPV_CCAM.pdf

2: “What Are the Risk Factors for Cervical Cancer?” Centers for Disease Control. https://www.cdc.gov/cancer/cervical/basic_info/risk_factors.htm

3: “What Are the Key Statistics About Cervical Cancer?” American Cancer Society. https://www.cancer.org/cancer/cervical-cancer/about/key-statistics.html

 

This blog is for agent use only – not for public distribution.

Health Coverage in 2018: Change Is Constant

Change is the only constant in healthcare coverage. Adjustments to cost, convenience, quality, access, and legislation unfailingly impact consumers and the decisions they make for their own healthcare as well as healthcare for their loved ones. But there’s one important factor that will remain unchanged: your clients’ need to have access to affordable, convenient, and quality coverage despite which legislative reforms are in place.

As a third-party billing administrator and a technology resource, Health Insurance Innovations is on a mission to provide access to coverage that fits your clients’ needs, including short-term medical policies. We partner with top rated carriers that offer value-rich health coverage solutions as we modernize the insurance landscape. Our simplified application process and cloud-based digital platform enables licensed agents to enroll consumers in coverage through our carrier partners that tackles evolving healthcare and budget realities.

That coverage includes:

  • Short-term medical
  • Health benefit insurance
  • Accident, cancer and critical illness
  • Prescription
  • Dental
  • Vision
  • Life
  • AD&D
  • Health and wellness programs
  • Lifestyle discounts

Short-term medical coverage and health benefit insurance plans are two options that are quite popular with clients as well as agents and often fit a variety of needs.

Expand your portfolio today by offering these coverage solutions than can provide features such as:

  • Open network of physicians, specialists, and hospitals (*Note: clients can still exceed eligible benefits) 
  • Access to urgent care centers
  • Flexibility in length of coverage and in cost (coverage duration varies by state, may not be renewable)
  • Variety of deductible and coinsurance options
  • Low copay options for in-network benefits
  • Paid benefits similar to traditional major medical plans
  • Next day coverage
  • Little to no waiting periods
  • Deductibles as low as $250
  • Relatively inexpensive premiums, but may result in lower and more restricted benefits
  • Guaranteed acceptance for some products, if eligibility is met and available in state
  • Unlimited low-cost doctor and specialist copays

Please note that it’s important for you and your clients to understand these products do not replace major medical insurance and they do not count as minimum essential coverage required by the Affordable Care Act.

These products are not intended to serve as sole medical coverage. Limitations, restrictions, and exclusions may apply.

In our role, we serve members by providing:

  • Access to personalized insurance information through our secure platform
  • Printed and digital insurance cards on behalf of their carriers
  • Billing support and assistance
  • Digital updates on behalf of their insurance carriers on how to take full advantage of their coverage

Learn more about how you can meet your clients’ health, budget, and lifestyle needs by with a variety of coverage options by:

Click here to like us on Facebook for important industry updates, tips, and articles!

Health Insurance Innovations, Inc. is a leading developer and administrator of affordable, web-based individual health insurance plans and ancillary products. We help consumers address their health insurance needs by offering access to a number of products offered by various insurance carriers.

For agent use only – not for use with the general public