- 1,328
Are any of these worth it?
I have been approached by clients and agents about it...
Any thoughts?
I have been approached by clients and agents about it...
Any thoughts?
Guaranteed Issue Coverage
- Thread starter joshril
- Start date
- 104
You have to be very careful with these plans because they can end up being an E&O nightmare. When I sell them I let all of the individuals know that they are applying for limited coverage and even have them sign a form stating that all of the limitations were explained throughly in case they end up getting client amnesia when it comes time for them to pay a big medical bill.
- Thread starter
- #3
- 1,328
I'm aware of all that... my concern is HIPAA compliance... I have contract paperwork sitting in my inbox and a couple of carriers and I wondered if anyone has any insight on plans approved by the DOI in TX?
Sorry... just being lazy and trying to milk off of someone's prior research. (How's that for due diligence?)
Sorry... just being lazy and trying to milk off of someone's prior research. (How's that for due diligence?)
G
Guest
Guest
Are you talking GI or "guaranteed acceptance?" As in a mini med or indemnity type plan?
- Thread starter
- #5
- 1,328
https://aimhealthplans.com:1445/index.php?fuseaction=home.plans
I get crap like this all the time... It's hard for me to believe that all 50 states have approved this plan for sale. Am I missing something?
I get crap like this all the time... It's hard for me to believe that all 50 states have approved this plan for sale. Am I missing something?
G
Guest
Guest
This is not major medical, the brochure clearly states this. Declines include over 65, workman's comp
& disability, but that's it as it's a limited medical, not major medical. For what it is, it's not bad. The no pre x/prior coverage feature is good along with the Medicare/RBRVS* benefit is nice also.
& disability, but that's it as it's a limited medical, not major medical. For what it is, it's not bad. The no pre x/prior coverage feature is good along with the Medicare/RBRVS* benefit is nice also.
G
Guest
Guest
Guaranteed issue is still misleading in this case.
This is from the site.
***This is a Limited Benefit Plan and may not cover all medical expenses for an illness or injury once the maximum plan payment limits per covered person, per calendar year are reached.***
This policy has a pre-existing conditions limitation. Pre-existing conditions are not covered until the policy has been in effect for more than 12 months. A pre-existing condition is any condition you have now or had within a 12 month period prior to the effective date of coverage for each covered person. The A.I.M. Health Solutions Plan is HIPAA compliant. Persons who leave the plan will receive a HIPAA Certificate of Credible Coverage. Those who enter the plan presenting a Certificate of Credible Coverage will receive credit toward this plan’s pre-existing conditions limitation.
This is from the site.
***This is a Limited Benefit Plan and may not cover all medical expenses for an illness or injury once the maximum plan payment limits per covered person, per calendar year are reached.***
This policy has a pre-existing conditions limitation. Pre-existing conditions are not covered until the policy has been in effect for more than 12 months. A pre-existing condition is any condition you have now or had within a 12 month period prior to the effective date of coverage for each covered person. The A.I.M. Health Solutions Plan is HIPAA compliant. Persons who leave the plan will receive a HIPAA Certificate of Credible Coverage. Those who enter the plan presenting a Certificate of Credible Coverage will receive credit toward this plan’s pre-existing conditions limitation.
- 9,744
Lots of info about this plan...suggest a forum search for further enlightenment.
Similar threads
