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Solutions adds new carrier – Anthem Blue Cross and Blue Shield of Ohio February 17, 2012

Posted by solutionsinsuranceservices in Health Insurance, Individual Insurance.
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Solutions has added Anthem Blue Cross and Blue Shield in Ohio to our list of available carriers.  You can contact us for quotes at 800-928-7449, quote@solutionsinsuranceservices.com or visit our Website at http://www.solutionsinsserv.com.

Assurant Health positions themselves for expansion with new Aetna Contract – This could result in lower premiums in areas where Assurant was previously not competitive in the market. January 17, 2012

Posted by solutionsinsuranceservices in Group Insurance, Health Insurance, Individual Insurance.
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Assurant Health Contracts With Aetna Signature Administrators® to Provide Consumers With Access to Expanded PPO Network and Medical Management Services

By Assurant Health

Published: Tuesday, Jan. 17, 2012 – 6:05 am

MILWAUKEE, Jan. 17, 2012 — /PRNewswire/ — Assurant Health, a leading provider of major medical, supplemental and fixed-benefit health plans for individuals, families and small employers, announces an agreement with Aetna Signature Administrators, allowing current and prospective major medical customers of Assurant Health to access the Aetna Signature Administrators national PPO network.

Beginning in March, major medical customers of Assurant Health will be able to access care from more than one million health care providers and 7,500 hospitals nationwide within the Aetna Signature Administrators PPO network. Access to this network will enhance the competitiveness of Assurant Health for individuals, families and small groups. In addition, Aetna will provide utilization and case management services to Assurant members and share risk as part of a reinsurance agreement.

“This partnership with Aetna reaffirms the commitment of Assurant Health to ensuring our customers can access high-quality, affordable health care coverage,” said Adam Lamnin, president and CEO of Assurant Health. “This is great for our customers and exciting for Assurant Health as we strengthen our position as a leading provider of individual and small group major medical insurance in the United States.”

The multi-year agreement provides access to all current and future Assurant Health major medical individual and small group policyholders.

“Through Aetna Signature Administrators, members can gain access to a strong nationwide network of health care providers and important medical management services,” said Ralph Borzillo, President of the Aetna Signature Administrators business. “We are excited to provide these critical services to Assurant Health’s members.”

About Assurant HealthAssurant Health is the brand name for a family of health insurance products focused on providing a variety of affordable plan choices to consumers. The portfolio of health care products includes major medical, supplemental and fixed-benefit plans for individuals, families and small employers. Assurant Health is committed to providing access to convenient health care delivery, easy-to-understand products and value-added services that help customers better manage their health care dollars and get the most out of their coverage—ultimately seeking to protect not only financial security but also the health and well being of its customers. Assurant Health’s products are underwritten and issued by John Alden Life Insurance Company, Union Security Insurance Company and Time Insurance Company, which has been in business since 1892. Headquartered in Milwaukee, Assurant Health employs approximately 2,000 employees.www.assuranthealth.com

Assurant Health is part of Assurant, a premier provider of specialized insurance products and related services in North America and select worldwide markets. Assurant, a Fortune 500 company and a member of the S&P 500, is traded on the New York Stock Exchange and has approximately $27 billion in assets and $8 billion in annual revenue. www.assurant.com

About Aetna Signature AdministratorsAetna Signature Administrators provides access to a national PPO network, medical management services and stop loss or reinsurance coverage to third party administrators and health plans.

SOURCE Assurant Health

Why Health Insurance Costs What It Does October 17, 2011

Posted by solutionsinsuranceservices in Individual Insurance, Health Insurance.
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I quote health insurance for a living.  As a licensed health and life insurance agent, it’s what I do.  People are often shocked at how much health insurance costs but, when put into perspective, there is one reason health insurance costs a lot, because healthcare costs a lot.

Pricing of individual health insurance is based on several factors including where you live, your age and gender as well as if you are a smoker or non-smoker and your personal medical history.  It’s all about the exposure and risk that they, the insurance company, is accepting for you.

Where you live comes into play because some hospitals and other medical providers are significantly more expensive than the others.  If you live close enough to them that there is a likelihood you would go there in case of needed treatment, your rates will be higher because your cost of treatment is likely to be higher.

Age and gender comes into play because underwriters can accurately predict what expense the average person of your gender and age would generate.  Lastly, your medical history and whether or not you are a smoker are considered because that determines what conditions you are at higher risk for and what extra premium they need to charge you to make up for that added financial exposure.

It’s all very precisely based on actuarial tables and underwriting standards.  The fact of the matter is that the insurance company is willing accept the risk of covering you and charge a premium based on what they anticipate their insured’s will cost.  This amount plus a profit margin of generally somewhere around 6-10% is where the premium comes from.  Of course the requirements of the State regulatory agencies come into it because each insurance company is regulated to make sure they can pay the claims that are presented to them.  Because of this, they must maintain adequate financial reserves to pay the anticipated claims that their insured’s would generate.

The insurance carriers have contracts with the hospitals, doctors, labs, pharmacies, etc to get discounts and try and keep the premiums down but the biggest factor in the cost of healthcare is you.

You are looking to buy health insurance not only to cover your doctor’s office visits, your lab costs and the prescription medications that you take, but also to cover that “what if”.  I have a client that was recently diagnosed with breast cancer, she is having surgery tomorrow and her out of pocket cost will be $4,500.  That is the amount that her insurance won’t pay because of deductibles, co-pays and co-insurance.  She is very happy not only that this was caught early on but also that she spent the extra money and added an accident policy with a critical illness rider to cover this “what if”.  Because of that, once her claim is approved, she will qualify for a one time payment of $10,000.  This will not only cover her out of pocket medical expense but also be able to help with the other expenses that come with having surgery and the related recovery time, not to mention the lost income for the time that she can’t work.

According to the National Conference of State Legislatures, the average cost of an individual health policy in the U.S. in 2009 was $502.43. Yes, people in their early to mid 20’s can expect to pay $120 – $180 a month for coverage but, people in their 60’s paying upwards of $800 or $900 a month is not at all uncommon.

I live in Florida which happens to be one of the most expensive states for healthcare. There are many reasons for this, increased skin cancer rates are just one example.  This compounded with an already high national average just makes finding a cheap plan in Florida impossible unless you know how to bundle multiple products together.

A male in Florida turning age 65, enrolling in Medicare for the first time will pay $115 a month for Medicare Part B and then can expect to pay about $325 a month for a good Medicare supplement to cover the things that Medicare doesn’t cover.  Then add onto that, Medicare Part D Prescription Coverage that can range anywhere from $50 to $150 a month and you end up with a total premium of at least $500.  That’s for a government program, much of which is paid for for with tax dollars and, you still have a deductible.  Again, this is Florida and most of the rest of the nation is much less expensive.  Even in Florida there are creative ways to get excellent coverage and save money.

Finding affordable coverage is possible, depending upon your expectations.  Many people pay $200 a month to insure their car and that doesn’t even include the maintenance.  You are worth more, can potentially cost a lot more to repair and are a lot more expensive to maintain.

We all need health coverage.  Get it today because you need it.  Change it in the future because hopefully something better will come along!

Reduced Rates Available for HumanaOne Major Medical plans in 8 FL counties June 27, 2011

Posted by solutionsinsuranceservices in Health Insurance, Individual Insurance.
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Beginning June 25th National Point of Service-Open Access (NPOS) will replace the Humana/ChoiceCare offering for HumanaOne Enhanced, Copay, Health Savings Account (HSA), and Value plans, giving members a reduction in premiums compared to rates at the beginning of the year in three markets that include eight southern and central Florida counties:

  • Orlando market: over 10% savings
  • Ft. Lauderdale/North Miami market: over 7% savings
  • Indian River market: 6% savings

NPOS-Open Access offering benefits:

    • Plan members who travel have access to participating providers coast to coast
    • Network stability with a broad range of provider choices available: more than 600,000 providers and 3,527 hospitals in 50 states including District of Columbia and Puerto Rico.
    • Easy access to daily updates of provider information on Physician Finder Plus
    • NPOS-Open Access is not linked with an association
Obtain online quotes here >>>>>http://bit.ly/jg8deT

New HumanaOne Dental Plan Available July 1st in Florida and Texas June 16, 2011

Posted by solutionsinsuranceservices in Individual Insurance.
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$12.99 for one person, $23.78 for two, $33.37 for three, $42.95 for four and $51.36 for a family of 5 or more. No Waiting Periods, 100% coverage for exams, cleaning and x-rays plus lots more.
Contact us for full details and an application. 800-928-7449
http://dl.dropbox.com/u/24072738/Misc%20Postings/Brochure.pdf

HHS TO REDUCE PREMIUMS FOR PCIP June 1, 2011

Posted by solutionsinsuranceservices in Health Insurance, Individual Insurance.
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The U.S. Department of Health and Human Services (HHS) announced new steps to reduce premiums and make it easier for Americans to enroll in the Pre-Existing Condition Insurance Plan. Premiums for the Federally-administered Pre-Existing Condition Insurance Plan (PCIP) will drop as much as 40 percent in 18 States, and eligibility standards will be eased in 23 States and the District of Columbia to ensure more Americans with pre-existing conditions have access to affordable health insurance. The Pre-Existing Condition Insurance Plan was created under the Affordable Care Act and serves as a bridge to 2014 when insurers will no longer be allowed to deny coverage to people with any pre-existing condition, like cancer, diabetes, and asthma.

If you would like further information, you can review the full article here: http://www.hhs.gov/news/press/2011pres/05/20110531b.html or you can contact us at info@solutionsinsuranceservices.com.

Vermont To Put In Single Payer Health Care System May 31, 2011

Posted by solutionsinsuranceservices in Health Insurance, HealthcareReform, Individual Insurance, Legal Issues.
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Vermont did it again, another first for the little state.  They signed into law a bill to offer a single payer health care system.  Read about the plan by clicking here:

http://news.consumerreports.org/health/2011/05/vermont-establishes-road-map-for-single-payer-health-care.html

New Florida Minimum Wage May 26, 2011

Posted by solutionsinsuranceservices in Group Insurance, Human Resources, Individual Insurance, SOLUTIONS General.
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Effective June 1, 2011, Florida’s revised minimum wage will be $7.31 per hour for all hours worked in Florida. Employers must pay their employees a wage not less than the amount of the hourly state minimum wage for all hours worked in Florida. The definitions of “employer,” “employee,” and “wage” for state purposes are the same as those established under the federal Fair Labor Standards Act (FLSA). For “tipped employees” meeting eligibility requirements for the tip credit under FLSA, employers must pay a direct hourly wage of $4.29 as of June 1, 2011. More information and a copy of the Florida Minimum Wage poster may be downloaded from the Agency for Workforce Innovation’s website at www.floridajobs.org/workforce/posters.html

Solutions Insurance Services Nominated May 6, 2011

Posted by solutionsinsuranceservices in Health Insurance, Human Resources, Individual Insurance.
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Solutions Insurance Services – Nominated for the Greater Fort Lauderdale Chamber of Commerce 2011 Small Business of the Year.  http://bit.ly/mBZO2A

Carrier Profile – AvMed Health Plans March 7, 2011

Posted by solutionsinsuranceservices in Health Insurance, Individual Insurance.
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When people think of Health Insurance, they think of two areas, deductibles and co-pays.  AvMed Health Plans has combined these two for ease of use by the consumer.  Their individual plans allow the consumer to choose a straight HMO with no out of network features or a POS, which is basically an HMO with an out of network feature.

Furthermore, they have added co-pays for virtually everything.  Doctor’s visit, Specialist Visit, Emergency Rooms use, Urgent Care use, Labs, even MRI’s all have co-pays.  What this allows the consumer to do is purchase a very high deductible plan and, except for catastrophic events, never need to fulfill the deductible, but rather use a co-pay for receiving the services they need.

If you are a consumer who does not want to worry about satisfying a deductible before accessing many services and want a simpler co-pay system, AvMed would be your smart choice.

AvMed Health Plans has been servicing Florida customers for nearly 40 years.  Today, AvMed is Florida’s largest not-for-profit health plan.