- 9,744
If you don't think "lifetime maximums" or "brand-name" Rx coverage is important, check this heart-breaker out:
Yahoo! Personal Finance
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Lifetime Maximums - Important?
- Thread starter moonlightandmargaritas
- Start date
I consider them to be important, and tend to emphasize this with clients choosing between plans even with the same carrier, or a different carrier, when reviewing benefits, but for some reason, it doesn't seem to make an impression with clients.
Its kind of funny, but clients often seem to focus on some of the more trivial benefits, things that wouldn't make much difference to me. It almost seems like you could promise them a free car wash once per year and a $2M lifetime max or no wash and $5M and they'd pick the former.
- 14,809
What will toast someone is physical therapy - which is lacking at best on most plans.
Another thing that'll sink someone is a limited DME (durable medical equipment) benefit. Aetna's in MD is $2,000.
Another thing that'll sink someone is a limited DME (durable medical equipment) benefit. Aetna's in MD is $2,000.
- Thread starter
- #4
- 9,744
Yes, excellent point. Here in Florida most plans limit it to $3,000.
You've brought DME up in prior posts, and I'm glad that you keep reminding everyone. Good post.
- 14,809
Something most agents don't think about. Work up the price of a heart pump.
- 14,809
Good post. I have listened to clients tell me about their family members with cancer running out of lifetime max. I've heard of cancer bills climb up to $3 million +.
Also a plan that limits transplants are a killer. Patients can rack up a million dollar transplant, if the policy caps even at designated spots, they are cooked.
Not to mention air ambulance. Too often, I see good policies with $3 million maxes. Crazy in this day and age.
Also a plan that limits transplants are a killer. Patients can rack up a million dollar transplant, if the policy caps even at designated spots, they are cooked.
Not to mention air ambulance. Too often, I see good policies with $3 million maxes. Crazy in this day and age.
- Staff
- #9
- 1,571
DME and PT are usually limited on group plans as well.
- 15,319
In most cases, Medicare limits PT to $1,800.
Rick
Rick
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