Medical Health Insurance - Facts!


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Here's a basic overview about medica health insurance plans.

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Medical Health Insurance - Facts!

  1. 1. Medical Health Insurance <ul><li>The Truth Revealed! </li></ul><ul><li>Learn Something New! </li></ul>
  2. 2. Do You Need Health Insurance? <ul><li>You probably know someone who's healthy, doesn't visit the doctor or hospital, so they don't see the need of paying for a monthly insurance plan? </li></ul><ul><li>If they get sick, and don't have health insurance, they’ll just visit the county hospital for treatment. </li></ul>
  3. 3. Choosing Government or Private <ul><li>Providing medical health insurance is a business and is not a luxury! </li></ul><ul><li>There are generally two types of health care sponsors : </li></ul><ul><ul><li>Government (Represents Low income, Medicare, Medicaid, Social Security, etc..) </li></ul></ul><ul><ul><li>Private Insurance companies (Group, Individual, Family, and Student health plans) </li></ul></ul>
  4. 4. Healthcare Ran Like A Business <ul><li>Each sponsor is responsible for keeping their operations manageable or profitable: </li></ul><ul><ul><li>The Government programs require certain county and state funding in order to keep their operations afloat. </li></ul></ul><ul><ul><li>Private Health Insurance carriers must be profitable in order to maintain their investors participation. </li></ul></ul>
  5. 5. Government Options <ul><li>If you don’t have any Health Insurance but need emergency services, one option would be to use your state or county hospital. </li></ul><ul><li>During an emergency, financial counselors must wait until after your services have been performed! </li></ul><ul><li>If you can’t qualify for assistance, then you’re billed for the balance! </li></ul>
  6. 6. Private Insurance Options <ul><li>Private Health Insurance Carriers use medical underwriting requirements to control their approval process. </li></ul><ul><li>They create a pool of predominately healthy consumers and collect the monthly premiums in order to make their business profitable. </li></ul><ul><li>The underwriting department could either exclude the condition, charge a higher premium, or deny you coverage due to the pre-existing condition. </li></ul>
  7. 7. Government Plans <ul><li>The Government plans have state or county income requirements that determine if you will qualify for coverage: </li></ul><ul><ul><li>You can only have a limited amount of assets available, similar to Medicaid requirements. </li></ul></ul><ul><ul><li>Depending on your location, another qualifying factor is your state or region's poverty level percentage. </li></ul></ul>
  8. 8. <ul><li>A Private Health Insurance carrier may offer a plan with a lifetime benefit of $2 - $5 million dollars once the deductibles and co-insurances have been paid for the year. </li></ul><ul><li>There is a term called “Coverage Limit&quot; which means they will pay the submitted medical bill claims up to a &quot; certain dollar amount &quot;; then the patient is responsible for paying the remaining balance ! </li></ul>Private Insurance Plans
  9. 9. Control Out-Of-Pocket Costs <ul><li>Take control of your Out-Of-Pocket costs by making inquiries with your doctor. </li></ul><ul><li>If lab work is needed – don’t be afraid to inquire if the provider is in your network. If drugs are being prescribed, ask if there’s a generic version available? </li></ul><ul><li>Out-Of-Pocket costs can be controlled, you just need to take initiative! </li></ul>
  10. 10. Take Ownership Of Your Decision <ul><li>Procrastination can prevent you from buying something you truly need, so use it wisely! </li></ul><ul><ul><li>Consider these benefits in a plan: a) Disability, b) Critical Illness, c) ICU coverage, d) Deductible and maximum Out-Of-Pocket assistance , e) L ife insurance coverage </li></ul></ul><ul><ul><li>” Be Careful Of What You Ask For” and “You Get What You Pay For”…..understand your Health Insurance benefits! </li></ul></ul>
  11. 11. presented By <ul><li>Dwight Brisco, an Independent Health Benefits Advisor offerring private medical insurance programs for Individuals, Families, Students, and Medicare eligible consumers in CA, CO, and NV….. http:// </li></ul><ul><li>Brisco & Associates is a market research company which focuses on finding organizations that offer Guarantee Issue Health (HIPPA Certified), Dental, or Vision Insurance (no medical exams) for it’s members; Consumers with No Medical Insurance, Pre-Existing Conditions, or a Cobra Plan that’s too expensive can benefit from these services. </li></ul><ul><li> </li></ul>