Starting over...

[Mike_Golden1]

Lol. It's always funny getting judged by agents who don't write a lot of business.

Anyone? 62 year old female smoker - can afford just about $100 a month with no current coverage?

I believe we left off at "if she doesnt' listen to my advice then I walk away from her."

No replies? Cat got everyones tongue? Or are there some cases where it is that it is.

That's it, John, just walk away and let the Mega or Midwest agent in there to sell a $300 a day Hospital indemnity plan for the $100 a month. I'm sure that's a good solution for the client and won't bankrupt her until she spends 2 or 3 days in a hospital.

 

[Crabcake Johnny]

Well I guess it's goodbye. The moral majority has concluded that health insurance can't be sold in MD because everyone has a drug cap except the carrier that riders everything. Can't do Assurant anymore with the coinsurance on drugs. I guess it's a nice view for some up on that high horse.

 

[James]

Lol. It's always funny getting judged by agents who don't write a lot of business.

Anyone? 62 year old female smoker - can afford just about $100 a month with no current coverage?

I believe we left off at "if she doesnt' listen to my advice then I walk away from her."

No replies? Cat got everyones tongue? Or are there some cases where it is what it is.

Now to put the record straight, I aint judging no one, just trying to get this thread back to being a discussion.

 

[James]

As soon as there is an admission the $25K max goes away and it reverts to the $2M lifetime limit. That is why I think this limitation is of no consequence.

That is why you should of taken it more easy as others were being critical about the plans! I'm not a major health writer and wasn't even thinking about that which you are 100% correct.

 

[Crabcake Johnny]

You have war plans and the actual battlefield. When I used to be in the Marines is was priceless listening to plans these "butter-bar" lieutenants came up with. Then we actually ran the drill and they'd get all pissed off when "reality" happened. I'm about reality but it's always amusing to listen to theory. It's especially amusing to listen to theories of people who aren't in the trenches.

 

[James]

You have war plans and the actual battlefield. When I used to be in the Marines is was priceless listening to plans these "butter-bar" lieutenants came up with. Then we actually ran the drill and they'd get all pissed off when "reality" happened. I'm about reality but it's always amusing to listen to theory. It's especially amusing to listen to theories of people who aren't in the trenches.

Exactly what theories am I espousing John? You really don't know when good enough should be left alone do you? As I mention I came into this conversation in a light hearted way, simply posted a few thoughts while not getting all that much involved with the little twist you seem to like so much. Now you want to take it to the next stage?

While I'm not a major health producer and don't play one on TV I try not to be confrontational within health discussions. When I do sell health plans they do tend to be HSA's such as the Assurant main offerings, this way I know they are covered and I don't have to dive into the nuiances of differing plans. Now Mike showed me something here and yet I have to listen to your backhanded comments? I guess I should just ignore it and move on.

 

[Crabcake Johnny]

Actually James, none of my posts were directed at you at all.

 

[somarco]

Somarco said I resort to selling these plans to pad my commission numbers.

Nope. Never said that about you. Just a general statement. Anyone who is more concerned about their "numbers" or their wallet than their clients best interest could easily say I was talking to them.

So be it.

I would be hard pressed to think of a procedure or condition where the $25K would be used up;

That view will (hopefully) change over time.

Ask any carrier how much of their claim dollar is allocated to outpatient charges and they will tell you, within a few points here or there, about 50%.

Last summer a friend of the family was injured in a car accident. Broken neck. Halo brace. The whole nine yards.

Discharged from the hospital after 8 days. Home recuperating + PT for the next 3 months. Total bill, $650k+.

Hospital portion . . . less than $100k.

Want to take a guess where the rest was spent?

if they choose the SaveRight HSA it is because they understand the limitations and have decided to select it for their own reasons.

Everyone, especially clients, have selective memories.

If you have it in writing that you offered 2+ plans and they signed off on the limited plan then you MIGHT have a chance when an attorney comes knocking.

So, Mr Golden. Are you SURE you explained ALL the limitations of this plan? Why didn't you do a better job of convincing your client that the plan you SOLD them was a poor choice?

Things like this never work out the way you expect or want them to.

I'm switching to a CoreMed plan

At least you will improve your coverage in most areas . . . except the Rx of course.

Let's see. You pay the first $500, then $25 + 50% of a $3,000/month med.

Much better than having a $2k cap and running out of benefit in the first month.

Have a nice day.

 

[James]

As soon as there is an admission the $25K max goes away and it reverts to the $2M lifetime limit. That is why I think this limitation is of no consequence.

Yes but we are talking an Annual Max not a per incident max. I think these plans are better suited for the young even then you have some risk but I wouldn't worry to much about, really good odds are you will not. Yet when someone as my wife or me starts to age and we now being mid 40's and approaching 50's quickly these yearly max's are looming! My wife had three or four seperate test last year as outpatient nearly coming up to this amount or exceeding it, now if that surgery was done as a outpatient, like originally planned on nearly the entire amount whatever that would of been, would of been on us not the insurance carrier, with a plan that has a 25 grand max.

 

[James]

Actually James, none of my posts were directed at you at all.

Okay, glad to hear that. Usually it is you and me with these tit for tat crap. Glad I can take a break today!:biglaugh: Really I'm trying to be light hearted here and learn how to think like a health agent.