Assurant One deductible Traditional Plan

Jun 22, 2007

  1. bluemarlin08
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    bluemarlin08 Guru

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    When would any of you recommend this plan?
     
  2. somarco
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    somarco That Medicare Guy

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    That is the only plan Time has that is worth selling. Only question is, is it competitive in your area. Some places it is, some not.
     
    somarco, Jun 22, 2007
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  3. Bob_The_Insurance_Guy
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    Bob_The_Insurance_Guy Guru

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    Sell it to any individual/couple without small children, who are not on three or more medications.

    It is my top selling product. What I sacrifice in commissions, I make up for in volume. I sell the $5k/$10K 100% plan all day long. Never touch the 80/20.

    Very simple to understand: All doctor visits, hospital stays, and medication refills go towards satisfying this one number. Once that number is met, the insurance company pays everything else.

    Most insurance agents don't like selling it, because you lose commission.
     
  4. bluemarlin08
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    bluemarlin08 Guru

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    Who is the provider network?
     
  5. somarco
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    somarco That Medicare Guy

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    Varies by state & zip. Ask the RSD or look at the software
     
    somarco, Jun 22, 2007
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  6. STIBROKER
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    STIBROKER Like My post and enter the DRAWING,,,, Moderator

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    and if you act now you can get the new mp3 player......

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  7. bluemarlin08
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    bluemarlin08 Guru

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    Here's the reason behind my questions. I was told, by Assurant, that the one deductible traditional does not use a network, no negotiated rates, if one wants a network you use one deductible PPO, is this how you understand the contract. I assumed, the plan used PHCS in Tenn, NO NETWORK.
     
  8. somarco
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    somarco That Medicare Guy

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    That is correct.

    The traditional plan is straight indemnity. No networks. Pays R&C. Providers are not limited on balance billing.

    For zip 37203 you have a choice of PHCS or THC for networks (if you opt for the PPO One Deductible plan.

    I have never understood why anyone would want a traditional plan. They pay more in premium. They pay more when they use the services. There are virtually no caps on their out of pocket.

    You can probably find other carriers that offer non-network plans as well.
     
    somarco, Jun 22, 2007
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  9. salpro22
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    I'm at a loss here Bob between the aforementioned remarks and this comment

    It seems as though in one comment you endorse the indemnity plan and say it's the best and in the second comment you appear to be against the same plan. Can you or somebody else explain to me the reasoning behind buying an indemnity plan???

    GR's standard plan is quite competitive in the states I sell in, however, their indemnity rates are though the roof.... With the exception of being restricted to specific doctors, which in my area, the One Net and PHCS pretty much sum up the market (Northern VA and MD at least). I cannot see the benefit in selling any of the traditional plans because of the balanced billing and higher expenses. Especially considering the size of the PHCS network and it's ties to other networks. Thoughts???
     
    salpro22, Jun 22, 2007
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  10. somarco
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    somarco That Medicare Guy

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    JR -

    Try and stay with me.

    The One Deductible product is the only product Time has that (IMHO) is worth offering to clients. Ned did not make the distinction in the traditional & PPO product until later in the thread. At that point I mentioned the differences in the way claims are adjudicated which is the only difference in the two products.
     
    somarco, Jun 23, 2007
    #10
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