Insurance Agent Forum
Custom Search
 

Go Back   Insurance Agent Forum > Insurance Agents and Brokers Forum > Senior Insurance Forum


Discussion on Coventry MSA help... within the Senior Insurance Forum, part of the Insurance Agents and Brokers Forum category.

Anyone know of the availability of Coventry MSA product for 2009. My office knew nothing of the product. Coventry shows ...


Reply to Coventry MSA help...
Views: 246 - Replies: 11  
LinkBack Thread Tools Search this Thread Display Modes
Old 11-23-2008, 12:11 PM   #1
Super Genius
 
Join Date: Sep 2008
Posts:19
Dowejonez will become famous agent soon enough
Coventry MSA help...             Go to Top

Anyone know of the availability of Coventry MSA product for 2009. My office knew nothing of the product. Coventry shows supplies as being available but mine were backordered.

I'm having my doubts they have rolled it out for 2009. I did certify for it. You know how Coventry is....one hand doesn't watch the other. It used to show up on the Med.gov engine as being available but that was about October and I'm not seeing it come up now.

Anyone have any thoughts?

....and one more thing....I'm assuming Coventry BO'd their MAPD and RX kits everywhere....not just in Iowa....right? There must have been a printing problem with it, is all I can think of.


Dowejonez is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 11-23-2008, 12:46 PM   #2
Expert
 
scottfree on Coventry MSA help... - Insurance Agent Forum
 
Join Date: Jul 2007
Posts:146
scottfree will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by Dowejonez View Post
Anyone know of the availability of Coventry MSA product for 2009. My office knew nothing of the product. Coventry shows supplies as being available but mine were backordered.

I'm having my doubts they have rolled it out for 2009. I did certify for it. You know how Coventry is....one hand doesn't watch the other. It used to show up on the Med.gov engine as being available but that was about October and I'm not seeing it come up now.

Anyone have any thoughts?

....and one more thing....I'm assuming Coventry BO'd their MAPD and RX kits everywhere....not just in Iowa....right? There must have been a printing problem with it, is all I can think of.
I just looked on the Medicare website and it does show up. Make sure you don't look for plans with Rx since it is not included with the MSA. At least not in my area.

I have not recieved my MSA kits yet but have gotten a couple of boxes of MAPD and Rx kits. I do have an order coming tomorrow just not sure what is coming but believe it is Rx kits. I am in Arkansas and MAPD is the 1-3-5-7 kit.

I hope I get the MSA kit soon, I have clients that like the idea.


scottfree is online now  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 11-23-2008, 09:21 PM   #3
Super Genius
 
Join Date: Sep 2008
Posts:19
Dowejonez will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

IMHO the best placement of the product is the young and restless...I mean young and healthy ones.

Well... thanks Scott for the backup info. Sometimes with Coventry I'm not sure if their info is 2008 or 2009.

The problem with the MSA is people will possibly compromise their health like Under65 HSA's and not go to the Dr...to save a buck.

I have a feeling it is going to pay a crappy commission. Maybe I'll tell them anything left over at the end of the year out of their $1250 is to be split with the writing agent.


Dowejonez is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 11-23-2008, 11:02 PM   #4
Expert
 
scottfree on Coventry MSA help... - Insurance Agent Forum
 
Join Date: Jul 2007
Posts:146
scottfree will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by Dowejonez View Post
I have a feeling it is going to pay a crappy commission. Maybe I'll tell them anything left over at the end of the year out of their $1250 is to be split with the writing agent.
Actually it pays the same as a PFFS plan.

$500 / $250

I have several well off clients coming off group that very healthy and are interested in this plan. In my area it is a $2750 deductable with the $1250 deposit. $1400 max out of pocket basically and they can afford that if something did happen.


scottfree is online now  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 11-25-2008, 11:14 AM   #5
Guru
 
Join Date: Jan 2007
Posts:1,003
retread will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by Dowejonez View Post
Anyone know of the availability of Coventry MSA product for 2009. My office knew nothing of the product. Coventry shows supplies as being available but mine were backordered.

I'm having my doubts they have rolled it out for 2009. I did certify for it. You know how Coventry is....one hand doesn't watch the other. It used to show up on the Med.gov engine as being available but that was about October and I'm not seeing it come up now.

Anyone have any thoughts?

....and one more thing....I'm assuming Coventry BO'd their MAPD and RX kits everywhere....not just in Iowa....right? There must have been a printing problem with it, is all I can think of.
I ordered kits 1,2, and 3 in early November. Kit 1 came with 2 and 3 backordered... then a week later the rest came.

RR Donnelley is the printer... maybe it's them.
--------------------------------------------------------------------------
Keep in mind that, like PDPs, MSAs can only be enrolled during the AEP (and you also need a PDP to go along with them because no MSA includes Rx).

MSAs are a good alternative to Med Sups, and should be attractive to that market. They will not sell well to the under $50K bunch. For those in that bracket that go this route, they need to know they MUST get their health care through a HDHP, and (like it has been suggested) may scrimp on getting health care to save $$. That's not a good thing.


------------------------------------
Think you have guts? Committment? Consider this British Light Brigade during the Crimean war, when 1/3rd of them didn't come back alive:
Theirs not to make reply,
Theirs not to reason why,
Theirs but to do & die,
Into the valley of Death
Rode the six hundred.

Cannon to right of them,
Cannon to left of them,
Cannon in front of them
Volley'd & thunder'd;
Storm'd at with shot and shell,
Boldly they rode and well,
Into the jaws of Death,
Into the mouth of Hell
Rode the six hundred.

Last edited by retread : 11-25-2008 at 11:21 AM.
retread is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-07-2008, 01:29 AM   #6
Super Genius
 
Join Date: Sep 2008
Posts:19
Dowejonez will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

I finally got the kits for the counties I needed the most. Having looked at the Sum of Benfts I am pumped. I had figured the client would pay full cost of say ...a Dr. visit. NO... they pay $0. I had pictured using the first $1250 up in no time at all.

The perfect fit is the guy who doesn't want a PDP and uses a supplement. In fact...at this years Rx plan prices....if they don't take anything (prescriptions)...just dump the Rx plan while you have the MSA. Without doing the math, I'm sure you'd be money ahead to just take the penalty for a year or two. If this same structure for drug plans is around in 5 years I'd be shocked.

As far as what income level they are suited for, I guess for a certain few...as long as they know worst case scenario....a money challenged prospect might be better off. The $1450 cap looks pretty good this year.


Dowejonez is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-07-2008, 10:35 AM   #7
Guru
 
GreenSky on Coventry MSA help... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:3,157
State: GreenSky is an Insurance Agent from California
GreenSky has a spectacular aura about
Re: Coventry MSA help...             Go to Top

The one warning about MSA plans is that Anthem came out with them about 2 years ago. They have been discontinued.

It's not that they don't make sense, they were impossible for providers to bill correctly. The concept is great; the execution is terrible.

Rick


------------------------------------
Richard S. Bronstein
www.californiamedicalquotes.com
www.californiamedicareplans.com
GreenSky is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-07-2008, 11:59 AM   #8
Super Genius
 
Join Date: Sep 2008
Posts:19
Dowejonez will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Thanks Rick. Unicare had one the first three years too, but discontinued this year. I didn't use it back then and kind of forgot about it last year. Someone else on here alluded to the problems in administration a while back also.

I guess I'll use it sparingly. Problems with filing? I was with a client Friday who just got his EOB from TO for a claim in Dec 2007. I knew they could be slow payers but OMG. A year? It wasn't paid yet. They were getting ready to though.


Dowejonez is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-07-2008, 08:53 PM   #9
Guru
 
Join Date: Jan 2007
Posts:1,003
retread will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by GreenSky View Post
The one warning about MSA plans is that Anthem came out with them about 2 years ago. They have been discontinued.

It's not that they don't make sense, they were impossible for providers to bill correctly. The concept is great; the execution is terrible.

Rick
So what is the difficulty, Rick? The providers should be billing the HDH Plan... not any different than any other Health Plan I would think. What's the catch?


retread is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-07-2008, 08:58 PM   #10
Guru
 
GreenSky on Coventry MSA help... - Insurance Agent Forum
 
Join Date: Mar 2007
Posts:3,157
State: GreenSky is an Insurance Agent from California
GreenSky has a spectacular aura about
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by retread View Post
So what is the difficulty, Rick? The providers should be billing the HDH Plan... not any different than any other Health Plan I would think. What's the catch?
That's what I would have thought. But they are balance billing even though they take assignment, sending the bills to the IFP claims dept., and saying they're not in network.

Total pain in the ass. I'm trying to work through a bunch of unpaid bills for a client from 2007! Several providers have either threatened or have gone to collection.

As I said, the concept is great. An HSA for Medicare. But it hasn't worked in practice. If it did work, the Wellpoint companies would certainly have continued the plans.

Rick


GreenSky is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-07-2008, 09:04 PM   #11
Guru
 
Join Date: Jan 2007
Posts:1,003
retread will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by GreenSky View Post
That's what I would have thought. But they are balance billing even though they take assignment, sending the bills to the IFP claims dept., and saying they're not in network.

Total pain in the ass. I'm trying to work through a bunch of unpaid bills for a client from 2007! Several providers have either threatened or have gone to collection.

As I said, the concept is great. An HSA for Medicare. But it hasn't worked in practice. If it did work, the Wellpoint companies would certainly have continued the plans.

Rick
Perhaps what you say may be true for Anthem, but I doubt it would apply to other carriers, especially Coventry.

Coventry, at least in the midwest, has a good reputation for claim settlement.

There is an Anthem BCBS franchise in eastern MO, and I understand it has similar poor performance on claims... they must recruit their bean-counters from the same source.


retread is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Old 12-09-2008, 02:10 AM   #12
Super Genius
 
Join Date: Sep 2008
Posts:19
Dowejonez will become famous agent soon enough
Re: Coventry MSA help...             Go to Top

Quote:
Originally Posted by Dowejonez View Post
I finally got the kits for the counties I needed the most. Having looked at the Sum of Benfts I am pumped. I had figured the client would pay full cost of say ...a Dr. visit. NO... they pay $0. I had pictured using the first $1250 up in no time at all.
__________________________________________________ __

Actually $0 after you pay the Part B deductible I believe. I need to look at the Summary again. Need more sleep.


Dowejonez is offline  

Submit to Reddit Submit to Del.icio.us
Bookmark to TechnoratiSubmit to FurlSubmit to Spurl!
Reply With Quote
Reply to Coventry MSA help...

  Insurance Agent Forum > Insurance Agents and Brokers Forum > Senior Insurance Forum

Tags: , , ,



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads for: Coventry MSA help...
Thread Thread Starter Forum Replies Last Post
Coventry Now in Florida liquidblue33 Individual Health Insurance Forum 10 11-11-2008 05:10 PM
Coventry One in MD healthagent Individual Health Insurance Forum 9 10-08-2008 04:06 PM
Coventry One Peelerinsurance.com Individual Health Insurance Forum 12 08-29-2008 11:31 AM
Just in from my FMO for Coventry.... sman Senior Insurance Forum 5 11-05-2007 03:36 PM
Coventry: policy doctor Senior Insurance Forum 20 04-01-2007 10:18 PM



Register Now for FREE!
Are you an Insurance Agent Forum member yet? To sign up for your FREE INSTANT account, fill out the form below!

Username: Password: Confirm Password: E-Mail: Confirm E-Mail:

Birthday:    

United States of Agree to forum rules 


All times are GMT -4. The time now is 10:22 AM.


Powered by vBulletin® Version 3.6.7
Copyright ©2000 - 2009, Jelsoft Enterprises Ltd.
Content Relevant URLs by vBSEO