Assurant Maternity

Jul 9, 2008

  1. Colorado Newbie
    Offline

    Colorado Newbie Super Genius

    Posts:
    243
    Likes Received:
    0
    I was wondering if anyone had any experience with Assurants maternity benefit for Colorado. Is it as good as it looks? Have your clients been happy with it and so forth.

    thanks!
     
  2. indmedins
    Offline

    indmedins Guru

    Posts:
    435
    Likes Received:
    0
    State:
    Florida
    I don't know about CO, but in FL it is one of the better maternity options out there. With exception of Aetna, Assurant offers materity with the least amount of waiting time and it is 100% after ded, which beats 80%/20%. The downside is in FL they are not competitive and to put a $2,500 ded for maternity on the plan, the rates skyrocket compared to a $5,000 ded. If I was in a more competitve state, I would definately recommend Assurant for maternity.

    Just one point to note, and this is proabably standard with all other major med carriers...If the client has an emergency c-sect, those charges go toward the major medical ded.
     
  3. Crabcake Johnny
    Offline

    Crabcake Johnny Guru

    Posts:
    14,811
    Likes Received:
    15
    State:
    South Carolina
    Best bang for the buck you can get is the $10,000 maternity deductible - adds $8 to the cost of the plan and they get the re-pricing...which is what you're after.
     
  4. TXINSURANCE
    Offline

    TXINSURANCE Guru

    Posts:
    3,858
    Likes Received:
    28
    In Texas the lowest deductible is $5000 (additional) that goes over real good with a young girl that generally has limited funds.

    We have quoted it a lot and never sold one.
     
  5. somarco
    Offline

    somarco That Medicare Expert Guy

    Posts:
    29,012
    Likes Received:
    2,612
    State:
    Georgia
    To my knowledge, all carriers pay complications of preg under the major med, not the maternity benefit.

    If someone wants and HSA with maternity, it is a decent option, at least in GA.

    Best plan for the money is GR or KP in GA.
     
    somarco, Jul 9, 2008
    #5
  6. indmedins
    Offline

    indmedins Guru

    Posts:
    435
    Likes Received:
    0
    State:
    Florida
    I am sure you are right. My point was to explain that a person could potentially pay more than the maternity ded. If they took an assurant 2,500K maternity ded and had a complication, then they could potentially pay over that amount eventhough it pays at 100% after 2,500.

    And, in FL the GR maternity is a increasing benefit. As years increase with the plan so does the benefit level. In order to receive 7,500 in benefit, the client would have to be on the plan for 5+ years.
     
  7. joshril
    Offline

    joshril Guru

    Posts:
    1,326
    Likes Received:
    3
    State:
    Oregon
    Typically, you can negotiate a better repricing if you talk with hospitals in advance and shop them against each other (kind of like car shopping). Although, not everyone has the funds available to do this.
     
    joshril, Jul 9, 2008
    #7
  8. moonlightandmargaritas
    Offline

    moonlightandmargaritas Guru

    Posts:
    9,749
    Likes Received:
    32
    State:
    Florida
    So they pay approximately $6,360 in premiums for a $7,500 benefit.

    Boy, is THAT a good deal for the insurance company!
     
  9. somarco
    Offline

    somarco That Medicare Expert Guy

    Posts:
    29,012
    Likes Received:
    2,612
    State:
    Georgia
    Most carriers have per diems negotiated on things like L&D including non-complicated C-sections. If you are using par providers, they are obligated to charge you the negotiated rate . . . no more, no less.

    Negotiation works if you have cash but lack coverage. But with coverage, even a plan like Time's, I fail to see the reason for negotiating.
     
    somarco, Jul 9, 2008
    #9
  10. NewHealthStrategies
    Offline

    NewHealthStrategies Super Genius

    Posts:
    242
    Likes Received:
    0
    The self-pay rate at most hospitals is significant and not a bad deal at all in light of all the copays (GR, BC, Kaiser) or maternity deductibles (Assurant).
     
Loading...