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

 

Help Your Clients Make Safe Toys and Gifts Part of Their Holidays

Help Your Clients Make Safe Toys and Gifts Part of Their Holidays

The holiday season shopping season is upon us as we prepare to celebrate, share laughs and good times with loved ones, and exchange gifts. Prevent Blindness America, a non-profit group dedicated to advocating for eye care and healthy vision, has declared December as Safe Toys and Gifts Awareness Month to help adults make the best decisions on how to keep this holiday season joyful for everyone.

Consider these statistics:
  • Hospital emergency rooms treated an estimated 265,000 toy-related injuries in 2012 throughout the United States1.
  • 72% were people less than 15 years of age1.
  • Close to 90,000 were people less than 5 years of age1.
  • Each year, thousands of children aged 14 and younger suffer from eye injuries and even blindness from toys2.

Many of your clients may be understandably excited to indulge their own children as well as children in their families, but they may not consider important safety concerns or the age range for toys they purchase.

Encourage your clients to follow the guidelines below when choosing toys and gifts2:
  • Read all warnings and instructions on the box.
  • Consider if the toy is appropriate for the child’s ability and age.
  • Avoid purchasing toys with sharp or rigid points, spikes, rods, or dangerous edges.
  • Check the lenses and frames of children’s sunglasses; many can break and cause injuries.
  • Buy toys that will withstand impact and not break into dangerous shards.
  • Look for the letters “ASTM.” This designation means the product meets the national safety standards set by ASTM International.
  • Avoid toys that shoot or include parts that fly off.
  • Inspect toys for safe, sturdy construction.
  • Fix or throw away broken toys.
  • Keep young children away from toys meant for older children.
  • Make sure children store toys properly after play to avoid risks or falls.
  • Supervise children’s craft projects (scissors and glue can be extremely dangerous to a child’s eyesight).
  • Have children wear the right eye protection for sports (face shields, helmets, eyeguards).

Your members deserve coverage options that provide convenient and affordable access to healthcare all year long, especially in case of an emergency. If a loved one becomes injured this holiday season, your clients may end up relying on their health insurance coverage.

Short-term medical coverage and limited medical coverage can provide options that include valuable features such as:
  • Open network of physicians, specialists, and hospitals
  • 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

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.

Learn more about the features above as well as how they can help clients with a variety of health concerns, lifestyle needs, and budget needs by:

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

Sources:

1: “Safe Toys and Gifts Awareness Month.” Prevent Blindness America. https://www.preventblindness.org/safe-toys-and-gifts-awareness-month

2: “Safe Toy Checklist.” Prevent Blindness America. https://www.preventblindness.org/safe-toy-checklist

 

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

 

 

Breast Cancer Awareness Month Help Your Clients Protect Themselves

Breast Cancer Awareness Month: Help Your Clients Protect Themselves

Approximately 1 in 8 women born today in the United States will get breast cancer at some point, the second most common kind of cancer in women1. While most women can survive breast cancer if it’s detected and treated early 1, there are several lifestyle factors that your clients should consider when assessing risk, including:

  • Consuming dairy (with risk of death increasing for those who continue to consumer dairy after diagnosis)2
  • Being overweight or obese3
  • Not being physically active3
  • Regularly drinking alcohol4
  • Taking hormone replacement therapy4
  • Taking hormonal birth control3

 

The month of October is Breast Cancer Awareness Month, an opportunity to raise awareness about steps women can take to decrease their risk and to detect and treat this disease. It’s also an opportunity to help your clients protect themselves from potential financial challenges that can come with breast cancer treatment. When faced with high deductibles, high copays, and high premiums, it can be difficult for your clients to afford medical coverage.

Limited medical plans can offer economical options that can help do just that for your clients who are:
  • Anticipating rising medical expenses
  • Unable to afford major medical coverage
  • Not eligible for short-term medical coverage
  • Looking for supplemental coverage to their major medical plans
 With these products, you can offer your clients many features, including:
  • The freedom to choose any doctor or hospital of their choice
  • Guaranteed issue coverage with $50-$100 paid toward doctor and specialist visits
  • Offer preventative care for $50, $75, $80, $100
  • Next day coverage or little to no waiting periods for accidental injuries or sickness
  • 12 month waiting period for pre-existing conditions
What are the limitations of limited medical coverage?

This type of plan 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.

You may have clients who need to supplement their existing coverage, but who are worried about affordability and value. With limited medical coverage, they have the option to take advantage of low premium rates, discounted network rates, and even access to non-insurance benefits such as a prescription savings program, 24/7/365 video and phone access to quality physicians, and a patient advocacy service.

Learn more about how limited medical options may be ideal for your clients by:

 

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.

Sources:

1: “October: National Breast Cancer Awareness Month.” U.S. Department of Health and Human Services. https://healthfinder.gov/NHO/OctoberToolkit.aspx

2: “High – and Low-Fat Dairy Intake, Recurrence, and Mortality After Breast Cancer Diagnosis.” Candyce H. Kroenke Marilyn L. Kwan Carol Sweeney Adrienne Castillo Bette J. Caan. https://academic.oup.com/jnci/article/105/9/616/986948/High-and-Low-Fat-Dairy-Intake-Recurrence-and

3: “Lifestyle-Related Breast Cancer Risk Factors.” American Cancer Society. https://www.cancer.org/cancer/breast-cancer/risk-and-prevention/lifestyle-related-breast-cancer-risk-factors.html

4: “Lifestyle: How Our Lifestyle and Choices Affect Breast Cancer Risk.” Breast Cancer Now. http://breastcancernow.org/about-breast-cancer/what-can-cause-breast-cancer/lifestyle

 

Offer Preventative Coverage and Secure Your Clients’ Access to Immunizations

August is National Immunization Awareness Month (NIAM), an annual initiative sponsored by the National Public Health Information Council (NPHIC) to encourage people of all ages to make sure they are up to date on vaccinations recommended for them. During NIAM, the NPHIC emphasizes the need to protect health with vaccines for different groups:

  • Babies and young children: July 31-August 6
  • Pregnant women: August 7-13
  • Adults: August 14-20
  • Preteen/teen: August 21-27

When consulting with your clients on coverage options, it’s important to discuss coverage that includes preventative and wellness benefits that include vaccinations.

Did you know that…

  • … “when children are not vaccinated, they are at increased risk for disease and can spread disease to others, including babies who are too young to be fully vaccinated and people with weakened immune systems”1?
  • … “getting vaccinated during pregnancy also allows the mother to pass some protection on to her baby”2?
  • … it’s important for adults to get the recommended vaccinations based on age, occupation, travel, and health conditions among other factors3?

 

Your state or local health department will have additional resources for vaccination information.

What are you offering your clients to help them secure access to quality preventative and wellness care such as vaccinations?

For clients that have a temporary gap in their insurance coverage, short-term medical health insurance may be one option that provides your clients that access, as well as access to:

  • Routine doctor visits
  • Choice of providers and facilities
  • Emergency care
  • Inpatient and outpatient surgery and hospital care
  • Coverage that is widely accepted by providers and facilities across the nation
  • Low rates for in-network healthcare
  • Little to no waiting period for accidents and emergency care
  • Relatively inexpensive copays

It’s important to keep in mind that neither short-term nor limited-benefits medical coverage are intended to be a replacement or alternative to ACA or other major medical plans. These types of coverage do not provide the minimum essential health benefits that are required and will not help to avoid the fee for not carrying health insurance.

Other packaged perks with short-term medical coverage can include:

  • 24/7/365 mobile and video access to board-certified doctors who can treat many common illnesses
  • Patient advocacy service that can help navigate the world of healthcare and negotiate medical bills
  • Prescription savings membership that can lower out-of-pocket costs by up to 75% on medicines for your clients, their family members, and even their pets
  • Access to digital fitness tools to help track their wellness journey

 

Celebrate National Immunization Awareness Month by expanding your clients’ access to preventative and wellness care today!

Learn more by:

Calling 1.877.376.5831 and selecting option 3

Emailing salessupport@hiiquote.com

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

Sources:

1: “Communication Toolkit: School-Age Children.” https://www.nphic.org/niam/item/10467

2: “Communication Toolkit: Pregnant Women.” https://www.nphic.org/niam/item/10463

3: “Communication Toolkit: Adults.” https://www.nphic.org/niam/item/10468

Secure Coverage for Your Clients Before They Face Safety Concerns

Secure Coverage for Your Clients Before They Face Safety Concerns

As an agent, you strive to help your clients feel protected. The recommendations that you make for insurance products helps to address present and future medical, dental, critical illness and other concerns while meeting budget and lifestyle needs. Your recommendations help to put them at ease as well as help them prioritize their health and safety, an ideal matter to consider during National Safety Month in June.

National Safety Month focuses on reducing leading causes of injury and death at work, on the road, and in our homes and communities.1 With the hashtag #KeepEachOtherSafe, the National Safety Council works throughout the month of June to promote the importance of identifying risks and keeping each other safe.

Some of the organization’s most salient statistics and tips are below:
  1. Falls are the most common cause of traumatic brain injuries, including concussions.2
  2. About 235,000 people over age 15 visit the emergency room each year due to a bathroom related-injury. 2
  3. 1 in 3 adults don’t get enough sleep and an estimated 37% of the U.S. workforce is sleep deprived.3
  4. Sleep deprivation has been shown to raise the risks of depression, obesity, and heart disease, and has an adverse effect on reproductive health. 3
  5. About 80% of the U.S. population will experience a back problem at some point in their lives, and 31 millions will experience low-back pain at any given time.4
  6. Making ergonomics part of your routine at work and at home can keep your body free of strain and pain. 4

As you meet with your clients on this month, consider the variety of insurance benefits as well as non-insurance features that can help them manage their safety and health with short-term medical or limited medical policies.

Preventive care: With short-term medical or limited medical policies, your clients who are looking for a temporary solution while in between coverage can have access to their choice of qualified physicians for general health screenings. This level of care can guide your clients to make changes that lead to healthier and safer lives.

Doctor visits: Also with short-term medical coverage, your clients can secure access to physicians for routine care and care to treat injuries. With limited medical coverage, they can take advantage of cash benefits that subsidize the costs of such visits.

Access to board-certified doctors 24/7/365: Your clients may find themselves in need of convenient digital access to a physician as they deal with pain, strain, or illness. Short-term medical and limited medical coverage can include benefits that allow doctors to consult with them via mobile and video and address such concerns.

Patient advocacy service: When your clients are facing health concerns, the last thing they want to worry about is navigating the world of healthcare. Short-term medical and limited medical coverage can include access to a patient advocacy service that can help your clients schedule appointments, find quality doctors and facilities, and lower out-of-pocket costs.

 

It is important to keep in mind, that while short-term and limited medical coverage do provide these benefits, neither one is intended to be a replacement nor an alternative to ACA or other major medical plans. These types of coverage do not provide the minimum essential health benefits that are required and will not help to avoid the fee for not carrying health insurance.

Celebrate National Safety Month by talking to your clients about coverage that can help them stay safe and healthy and includes these benefits!

Learn more 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

1 Source: National Safety Council. “June is National Safety Month” (http://www.nsc.org/act/events/Pages/national-safety-month.aspx)
2 Source: National Safety Council. “Safety Check: Stand Up to Falls” (http://www.nsc.org/NSCDocuments_Advocacy/NSM-2017-Public/Tip-Falls.pdf)
3 Source: National Safety Council. “Safety Check: Recharge to be in Charge” (http://www.nsc.org/NSCDocuments_Advocacy/NSM-2017-Public/tip-fatigue.pdf)
4 Source: National Safety Council. “Safety Check: Work Ergonomically” (http://www.nsc.org/NSCDocuments_Advocacy/NSM-2017-Public/tip-ergo.pdf)
health insurance innovations - 13

April is National Interprofessional Health Care Month: Promote Your Clients’ Health and Well-Being

April and the season of spring cleaning are upon us, creating an ideal time to celebrate the overall well-being of society’s healthcare and promotion. The National Academies of Practice has declared April to be National Interprofessional Health Care Month to celebrate just that as well as the team of interprofessionals who provide such care.

According to the NAP, quality healthcare:

  • Is in the public’s interest for maintenance of independence, productivity, happiness
  • Is provided collaboratively by professionals of multiple disciplines dependent upon the health needs of the public at large in an interprofessional team model of service
  • Begins with health promotion, wellness, and the prevention of the very diseases and health problems that require treatment from various healthcare professionals
  • Benefits from the diverse knowledge and skills of a range of health care professionals

What are you offering your clients to help them maintain access to quality healthcare?

Many short-term medical and limited medical coverage options can provide your clients’ access to:
  • Preventive care and routine doctor visits
  • Choice of providers and facilities
  • Emergency care
  • Inpatient and outpatient surgery and hospital care
  • Coverage that is widely accepted by providers and facilities across the nation
  • Low rates for in-network healthcare
  • Little to no waiting period for accidents and emergency care
  • Relatively inexpensive copays
  • Wellness care

It’s important to keep in mind that neither short-term nor limited-benefits medical coverage are intended to be a replacement or alternative to ACA or other major medical plans. These types of coverage do not provide the minimum essential health benefits that are required and will not help to avoid the fee for not carrying health insurance.

What perks are packaged with many short-term medical and limited medical coverage options to complement your clients access to quality healthcare?

Non-insurance benefits can include:
  • 24/7/365 mobile and video access to board-certified doctors who can treat many common illnesses
  • Patient advocacy service that can help navigate the world of healthcare and negotiate medical bills
  • Prescription savings membership that can lower out-of-pocket costs by up to 75% on medicines for your clients, their family members, and even their pets
  • Access to digital fitness tools to help track their wellness journey

Celebrate National Interprofessional Health Care Month by expanding your clients’ access to quality healthcare today!

Learn more 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

Source: National Academies of Practice. “National Interprofessional Health Care Month Proclamation.”