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Ohio
health insurance plans can be confusing
There are numerous
companies that offer health insurance, dental plan, disability,
etc. Trying to compare them can be a real challenge. Most of you
have no idea what to look for and can only hope and pray your
agent is honest. This site will give you some guidelines and the
basic knowledge you need to be an informed consumer.
If you like, you can
give us a call and we can help guide you through the dizzy array
of benefit options. Be sure to read the rest of this page and
click on any of buttons at the top of the page for more Ohio health
insurance plan information.
The new Ohio HSA -
Health Savings Account Plans are now available. You can now get
the save tax deferred medical savings plans that were only available
to the self-employed. For details on
Health Savings Accounts
If you need coverage
in a hurry, we can get you a major medical plan in 24 hours. For
details on fast, temporary coverage - click here
We have two new prescription
plans. One offers over 2600 drugs for a $10 or $20 copayment.
The other is a free Canadian drug plan with excellent rates. Prescription
plan information - click here |
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We
have two new dental plans that use national PPO networks
Discount
dental plan - PPO Networks, Free Cleaning, X-ray and Exam
These plans have legitimized discount dental plans. The networks
they use are household names. Entire family can be covered for
about ten dollars a month. If you would like to look at the plans
available in your area, use this handy zipcode entry form:
PPO
Dental Insurance - Use Any Dentist!
This
is a real dental plan that pays you based on the procedure. It
incorporates the Aetna PPO dental network.
There are no waiting periods for this plan. You can use maximum
benefits the following month you apply.
Dental PPO Online Site with Information and Signup |
I
Hate Insurance Companies!
I sell all
types of Ohio health insurance products and I have never found
a "truly fantastic" health insurance company. We screen
any company that we sell. We check them financially. Next we try
out their customer service lines and then look for filed complaints.
We do our best. The result is that we have carriers that will
be there when you need them. If they try to screw you around we
will step in and help. That is what an agent is supposed to do.
Our carriers are not perfect, but they probably won't take your
guts out when you have a claim. Getting your claims paid is a
top priority.
Having the
right agent can be make all the difference in the world. When
someone represents just one company you never know if you are
getting the best possible plan for the best price. They have a
vested interest in "pushing" a plan on you. There are
some really lousy plans out there and the agents that sell them
sleep like babies. You need to be a good consumer.
If I could
give you just a few pieces of advice it would be this.
- Never buy
a plan that uses daily limits for hospital stays.
- Make sure there are no limits on how much a surgeon can be paid.
- Watch out for low caps on transplant procedures. You cannot
get a heart transplant for $100,000.
- Discount cards do not guarantee you a specific discount and
will leave you up to your eyeballs in debt.
- Don't pay someone $100 to sign up for health insurance
- Make them show it to you in writting.
- If someone suggests you omit health information on an application,
throw them out.
- High deductibles are fine. Don't over pay for insurance you
won't use.
- Doctor's know a lot about medicine but might have their own
best interests at heart when recommending insurance companies.
The highest, fastest payor is great for the physician but might
not be the best plan for you. We find most companies to be equally
poor at customer service and claims payment.
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Pre-Existing Conditions
Individual
Ohio health insurance plans are medically underwritten. I don't
care what your neighbor, brother-in-law or co-worker has told
you. You can be denied health insurance due to medical reasons.
If you have a pre-existing condition the insurance company may
either rate up for the condition or not cover it all - ever. Yes,
they can do that.
We can get
most of you covered. If you don't qualify, we have alternatives.
If you leave off health information on your application, you are
nuts. They will find out through the Medical Information Bureau
(MIB) at the time of claim, deny the claim and blacklist you forever.
There could even be criminal charges. Don't do it.
If a pre-existing
condition is not covered we might be able to cover it with a supplemental
plan. This could pay for doctor visits and even future surgery.
We are very good at what we do and have many products to help
you get the best coverage possible. Guaranteed
issue Ohio health insurance plans |
We
have guaranteed issue plans - no medical declines!
Some of you
will not qualify for an Ohio health insurance plan. We can help
you obtain coverage for doctor visits and hospital stays. There
are no medical declines with this plan. This plan is not as complete
as a full PPO plan, but it will take care of most of your medical
expenses. It is 100% better than nothing at all.
For
complete details, click here
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Ask us about some extra
low-cost life insurance.
Our maternity plan is cheaper
than the plan from you-know who! |
Ohio
maternity plans
It is not
easy to find but you can get Ohio maternity coverage to use with
your current Ohio health insurance. Complete Ohio maternity coverage
is only available with the purchase of an Ohio health insurance
plan. The good news is that we can help you cover
a lot of your maternity expenses with a low cost maternity supplement
that can be used with any plan or by itself.
By the way,
the full maternity coverage plan that we offer is a lot cheaper
than "you-know who's" plan. This plan covers pre-natal
and delivery.
For
more complete details about Ohio maternity plans, please click
here.
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I
love HSA plans - Really
The new Medicare
billed included a section that allows just about anyone to obtain
a tax-leverged health insurance plans. You do not have to be self-employed.
With the tax write-off on these plans, we have one client whose
net cost of health insurance for his entire family was $.72 a
month. That is not a typing mistake. It was 72 cents. You need
to learn more about these plans. Ohio
HSA plans - more details.
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Insure
Your Paycheck - Ohio Disability Insurance
You insure your home,
your automobiles and your life, but it is your ability to work
that makes the material things possible. If you do not have disability
insurance I suggest you get some while you are still able.
How long can you continue
to pay your bills if you could not work? Leaving your family protected
against your ability to work is pure negligence. I have plans
that are not that expensive that can keep you going and off the
streets. Ohio Disability
Incsurance - Click here for details. |
Ohio Health Insurance Consumer Information
Ohio health
insurance buyer's guide will show how to shop for health insurance and
hopefully save you a bundle of your Ohio health insurance premiums.
(Please note: throughout this page I use the word "Ohio"
before a noun. It sounds terrible but the Internet search engines usually
have a computer program decide how I rank on the search engines and
not an intelligent being. As such, I am forced to use the phrase Ohio
health insurance as much as I can without being too absurd. Sorry.)
Types of Ohio health insurance Plans
Years ago Ohio health insurance was a very uncomplicated animal. You
had a small deductible and then everything else was covered. There were
no networks, copays and all the other things to confuse the heck out
of everybody. Usually, you just paid the doctor (less than ten bucks)
and the insurance company would send you a check.
Today, Ohio health insurance presents us with two unusual problems:
1. Without a good health insurance plan, most Americans cannot afford
to get quality health care if they face a serious illness.
2. Most Americans cannot afford a really good health insurance plan.
This is not meant as an all inclusive guide. I want to leave you with
some guidelines that will help you choose a plan and educate you about
the basics.
I do not sell HMO plans. I do not like them. They are used as comedic
material by late night comedians. If you ever get seriously ill, having
an HMO could mean your life. If you are serious about the best possible
health care for your family it will in all probability you will avoid
HMO plans.
Ohio PPO plans are Preferred Provider Organizations.
Here is how they work:
1. The insurance company signs providers to a PPO Contract
2. The contract spells out the discounted rates that the providers can
charge to PPO patients
3. The Provider sends their bills to the insurance company
4. The insurance company applies the agreed upon discount to the bills.
5. They send you and the provider an Explanation of Benefits (EOB)
6. The patient pays the discounted rate to the Provider.
Here is one of the most important things for you to remember. If you
are in a PPO plan you are entitled to the discounted rates for services.
The discounts can be very substantial.
How does this deductible, coinsurance and copay thing work
in regard to Ohio health insurance plans?
I am going to use a simple illustration to give meaning to these concepts.
Let us say that I sell you a PPO plan with the following:
- A $2500 deductible
- Coinsurance of 80/20 to $10,000
- A $35 doctor copay
This means that if you go to the doctor you will pay the PPO provider
a $35 fee for service. This is for the office visit only and does not
include testing or any procedures done in the office.
Everything else goes towards fulfilling the $2500 deductible. Once
the deductible is met, the next $10,000 of medical services are paid
80% by the insurance company and 20% by you. So, you have paid out a
total of $4500 ($2500 deductible and 20% of $10,000).
How much Ohio health insurance do I need? Can I be over insured?
If you are used to having a $250 deductible from your Ohio group health
insurance plan and getting driven to the doctor in a limo, you need
to get over it. You are paying for the insurance and the super deluxe
plan with every option is a waste of money. I cannot tell you how many
people pay $1500 a year to lower their deductible from $2500 to $1000.
Does it make sense to you? Should you spend an extra $30 a month to
have a $20 copay for a doctor visit instead of $40 a visit?
If you want the low deductibles and copays by all means buy them. Insurance
agents work on commission and will be only too happy to sell them to
you. However, unless you are made of money (in which case I am open
to adoption) a higher deductible will be the best bet. Have the agent
give you the different premiums and decide where the best price point
is for you.
HOT TIP: Use a medical supplement plan
to bring your deductible down or eliminate it entirely. It is much cheaper
than taking a lower deductible. Ask us about this program.
Do Ohio health insurance plans cover me in the emergency room?
Emergency room treatment is applied towards your deductible and coinsurance.
If you purchase a supplemental accident rider, the first $500 of the
an emergency room visit will be covered without any out-of-pocket expense.
These riders usually cost between $6 and $8 a month per person extra.
Is it worth it? Depends on your circumstances. If you ride dirt bikes,
rock climb or have very active children, it might be. This rider will
not cover the emergency room visit that you make due to illness.
How do Ohio health insurance plans treat pre-existing conditions?
If you are a diabetic, cancer survivor of less than 10 years, or haven't
been able to look down and see your feet since 1985, you will have difficulty
getting coverage, if you can get coverage at all. High blood pressure
and cholesterol are usually not a problem if controlled. Antidepressants
are fine if you haven't been hospitalized. Most problems of this nature
will not get you denied. Although, some companies are much tougher than
others. I can usually tell you in advance if there will be a problem.
Now I don't want you to get upset (which translates to stop blaming
me) but the fact is your current medical conditions will in most instances
not be covered. When faced with a preexisting condition, an Ohio health
insurance plan will either; 1) Cover it with no exclusions, 2) Cover
it but raise your premium a bit (or a lot), 3) Insure you, but rider
out the condition so that any treatment for the condition is not covered
or 4) Deny coverage completely.
Please do not tell me what your brother-in-law read on the Internet
or your neighbor told you. Once a pre-existing condition is ridered
off of an Ohio health insurance plan, it is unlikely you will ever get
coverage for it in the future.
Can I get an Ohio health insurance plan with maternity coverage?
Most Ohio health insurance plans do not have maternity coverage at
all. For the one or two that do, here are the facts:
1. If you have had your previous child by C-section than you cannot
get coverage until you have had another child by vaginal delivery.
2. You must take the maternity coverage when you buy the plan. You cannot
add it later.
3. There is a 12 month waiting period before the coverage becomes effective.
4. Most plans do not even have maternity riders.
5. If you are already pregnant give me a call after the baby is born
because you are not insurable, your husband is not insurable nor are
any of your children. If you are interested in learning why, you can
call me and I will explain it.
6. Go to the hospital and negotiate a fixed price for delivery. Everything
is negotiable. Ask what the PPO rate is.
HOT TIP: I have a medical supplement
that will assist with the cost of a normal delivery. You must be on
the plan 10 months before you can become pregnant.. Go to Ohio
maternity insurance for details.
We now offer Texas health insurance
guides as well. For
Texas Health Insurance information - click here