HOME
Home » Health Insurance » The Affordable Alternative to Traditional Individual Health Insurance

The Affordable Alternative to Traditional Individual Health Insurance

The Affordable Alternative to Traditional Individual Health Insurance is one of the best posts about Health Insurance. There are numerous posts on the internet that examine Health Insurance, The Affordable Alternative to Traditional Individual Health Insurance certainly one of which we suggest for you. Preferably the articles that we present below may be helpful, improve knowledge and be a answer for you.

As a way to begin let’s define what I mean by traditional health insurance. The traditional health insurance policy is composed of:

The deductible – This is the amount that you have to pay for a medical event before your health insurance will start to pay. In today’s world that deductible is often $3000 or more.

The coinsurance – After the deductible is met most policies require that the insured pay a percentage of all medical costs up to a maximum. Usually the insured pays anywhere from 20% to as much as 50% of every dollar billed.

The copays – In an attempt to make routine health care accessible many policies include a copay for doctor visits and prescriptions in lieu of having to meet a deductible. An example of this is the $10 office visit copay.

Maximum Out-Of-Pocket Costs – This is the most that an insured can expect to pay regardless of how large the medical bills are. As a general rule the maximum out-of-pocket costs for an individual are limited to around $7000. This can be a very misleading number because it assumes that all of your providers are in your network. If they are out of network your costs can be significantly higher.

And finally the “Network” – Virtually every traditional individual health insurance policy is tied to a network of providers. The narrower the healthcare network, the lower the premium. There is too much wrong with “networks” for this article. Suffice it to say that “networks” are the enemy of the healthcare consumer (you).

The Problem Facing Working Americans

The problem is simple: health insurance premiums are too high for most working Americans in the absence of a subsidy and when combined with extremely high deductible and out of pocket costs, healthcare becomes unaffordable. Let’s look at a couple of examples right here in North Carolina.

A non-smoking couple ages 62 and 63 find that their lowest premium option with BCBS of NC is $1999 a month for a $13,300 family deductible with no copays. A plan with a $7000 deductible and $25 office visit copays would cost $2682 per month.

Assuming the least expensive plan the annual cost would be $23,988 annually. And if either person had a medical event such as cancer, the actual cost for healthcare would be $37,288. You have to ask: “Why even have health insurance?”

A non-smoking 30 year old couple found that the least expensive plan would cost $787.84 a month for a $13,300 family deductible with no copays. The least expensive plan that included copays was $1056.88 but had a $7000 deductible and the most restrictive network. Assuming the least expensive plan, should either member of this young couple have a medical event their total annual cost (deductible + premium) would be $16,454.08. That is a devastating amount of money for a young couple.

The simple solution to this problem is a Fixed Benefit Health Insurance. Unlike a major medical policy where the policy pays for all eligible expenses after the deductible and out-of-pocket maximum, a Fixed Benefit Health Insurance Policy states exactly how much will be paid for each specified service. Examples of specified services might include: daily benefit for in-hospital stay of 24 hours, specific dollar benefits for specified surgeries, a specific benefit for doctor visits and other specified charges. A great Fixed Benefit Health Insurance Policy will have very robust benefits, a wide range of specified covered charges, a very comprehensive surgical schedule and more. The most important service that Fixed Benefit Health Insurance Policy can include is medical bill negotiation, a service that can significantly reduce out-of-pocket expenses.

What is really great about this type of policy is that empowers the insured to be a better consumer. Knowing how much your policy will pay you for a specified medical service allows you to better shop and negotiate the price. But the really great thing about this policy is the affordable premium.

The couple ages 62 and 63 are an actual client of mine who had been uninsured for 5 years as a result of the high premiums. I was able to put them into a robust Fixed Benefit Health Insurance Policy with a $5,000,000 lifetime benefit for $683 a month. That is an annual savings of $15,792. As I explained to my client the Fixed Benefit Health Insurance Policy will do a great job of covering 70% to 80% of everything that can happen. If they actually saved the $15,792 difference in premium they would have incredible access to healthcare with very little out of their own pocket.

Back in 2014 I was diagnosed with colon cancer and had a partial removal of large intestine (CP44205). Back then I was covered on a traditional major medical policy. My total out-of-pocket costs were more than $7000. Had I had the Fixed Benefit Plan that I sell today not only would my costs have been zero but I would have received a check from the insurance company for $4619. Not every medical event would have resulted in a check and many might have resulted in out-of-pocket costs of several thousand dollars, but in general the savings would have more than offset those costs.

So, before you choose to go without any health insurance I strongly suggest that you take a hard look at a Fixed Benefit Health Insurance Policy.

Therefore this article with the name of The Affordable Alternative to Traditional Individual Health Insurance, that we share and is extracted from various sources on the internet. You may get more different related posts on the group site Health Insurance.

Related Posts :

Health Insurance Coverage for Cancer Survivors or Cardiac and Diabetes Patients in India

Health Insurance Coverage for Cancer Survivors or Cardiac and Diabetes Patients in India is one of the greatest posts about Health Insurance. There are lots of posts on the internet that discuss Health Insurance, Health Insurance Coverage for Cancer Survivors or... Read More

How Canadians Can Benefit From Having Health and Dental Insurance Coverage

How Canadians Can Benefit From Having Health and Dental Insurance Coverage is one of the best posts about Health Insurance. There are many posts on the web that examine Health Insurance, How Canadians Can Benefit From Having Health and Dental Insurance... Read More

Is Invisalign Covered Under Dental Insurance?

Is Invisalign Covered Under Dental Insurance? is one of the best posts about Health Insurance. There are many articles on the net that examine Health Insurance, Is Invisalign Covered Under Dental Insurance? one of which we recommend for you. Ideally the... Read More

How Much Does a Chiropractor Cost? It Is Cost-Effective!

How Much Does a Chiropractor Cost? It Is Cost-Effective! is one of the greatest articles about Health Insurance. There are numerous posts on the web that examine Health Insurance, How Much Does a Chiropractor Cost? It Is Cost-Effective! among which we... Read More

Health Savings Accounts and Chiropractic Care

Health Savings Accounts and Chiropractic Care is one of the greatest articles about Health Insurance. There are many posts on the internet that discuss Health Insurance, Health Savings Accounts and Chiropractic Care among which we recommend for you. Preferably the posts... Read More