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Discussion on Assurant One deductible Traditional Plan within the Individual Health Insurance Forum, part of the Insurance Agents and Brokers Forum category.
When would any of you recommend this plan?... |
06-22-2007, 07:41 PM
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#2
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Guru
Join Date: Sep 2006
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That is the only plan Time has that is worth selling. Only question is, is it competitive in your area. Some places it is, some not.
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06-22-2007, 08:03 PM
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#5
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Guru
Join Date: Sep 2006
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Varies by state & zip. Ask the RSD or look at the software
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06-22-2007, 08:11 PM
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#6
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Guru
Join Date: Sep 2006
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06-22-2007, 08:12 PM
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#7
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Guru
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Here's the reason behind my questions. I was told, by Assurant, that the one deductible traditional does not use a network, no negotiated rates, if one wants a network you use one deductible PPO, is this how you understand the contract. I assumed, the plan used PHCS in Tenn, NO NETWORK.
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06-22-2007, 09:01 PM
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#8
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Guru
Join Date: Sep 2006
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That is correct.
The traditional plan is straight indemnity. No networks. Pays R&C. Providers are not limited on balance billing.
For zip 37203 you have a choice of PHCS or THC for networks (if you opt for the PPO One Deductible plan.
I have never understood why anyone would want a traditional plan. They pay more in premium. They pay more when they use the services. There are virtually no caps on their out of pocket.
You can probably find other carriers that offer non-network plans as well.
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06-22-2007, 11:06 PM
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#9
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Guru
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Quote:
Originally Posted by somarco
That is the only plan Time has that is worth selling. Only question is, is it competitive in your area. Some places it is, some not.
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I'm at a loss here Bob between the aforementioned remarks and this comment
Quote:
That is correct.
The traditional plan is straight indemnity. No networks. Pays R&C. Providers are not limited on balance billing.
For zip 37203 you have a choice of PHCS or THC for networks (if you opt for the PPO One Deductible plan.
I have never understood why anyone would want a traditional plan. They pay more in premium. They pay more when they use the services. There are virtually no caps on their out of pocket.
You can probably find other carriers that offer non-network plans as well.
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It seems as though in one comment you endorse the indemnity plan and say it's the best and in the second comment you appear to be against the same plan. Can you or somebody else explain to me the reasoning behind buying an indemnity plan???
GR's standard plan is quite competitive in the states I sell in, however, their indemnity rates are though the roof.... With the exception of being restricted to specific doctors, which in my area, the One Net and PHCS pretty much sum up the market (Northern VA and MD at least). I cannot see the benefit in selling any of the traditional plans because of the balanced billing and higher expenses. Especially considering the size of the PHCS network and it's ties to other networks. Thoughts???
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06-23-2007, 10:17 AM
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#10
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Guru
Join Date: Sep 2006
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JR -
Try and stay with me.
The One Deductible product is the only product Time has that (IMHO) is worth offering to clients. Ned did not make the distinction in the traditional & PPO product until later in the thread. At that point I mentioned the differences in the way claims are adjudicated which is the only difference in the two products.
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06-23-2007, 12:06 PM
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#12
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Guru
Join Date: Sep 2006
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No network and more expensive. There simply is no penalty for being out of network however clients will get balance billed into oblivion and no network re-pricing. I don't even know why it still exists.
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06-23-2007, 12:07 PM
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#13
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Guru
Join Date: Sep 2006
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My error.
I have never bothered to quote anything other than One Deductible PPO, Core Med or Max. The rest of the plans are garbage.
I have never sold a Core Med and never plan on doing so. I have one Max on the books and wish I did not have that one.
With a 70% price differential (at least on a few plans I compared) I have no idea how you have managed to write the product. You must be a helluva salesman.
The 1 Ded PPO is moderately competitive in select situations in GA. The Traditional is out of sight.
Bob Ins Guy can speak for himself, but I doubt he is selling the Traditional plan either. Can't say I have ever quoted it.
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06-23-2007, 12:14 PM
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#14
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Guru
Join Date: Sep 2006
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Ditto - how did you manage to sell it? MD zip 21113 male 40, wife 40 two kids on One Deductible Traditional is $570 for a $5,700 deductible - $392 for a HSA PPO. I'm not sure I could have talked my clients into the extra $178 per month.
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06-23-2007, 12:17 PM
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#15
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Guru
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Quote:
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Ned did not make the distinction in the traditional & PPO product until later in the thread.
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Who is Ned???????
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06-23-2007, 12:41 PM
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#17
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Guru
Join Date: Sep 2006
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CA is a big state. In some zips the rates are terrible, in other zips the rates are decent.
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Assurant One deductible Traditional Plan
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