Tuesday, June 12, 2007

How to choose the appropriate insurance company

I believe that there are a few factors to keep in mind when choosing an insurance company. I believe that it is necessary for you to do your homework and not just go with the first company to call. With that in mind I want to introduce to you several parameters to consider when choosing your health insurance company.

The first factor to consider is insurability. In a previous article I addressed the utilization of common sense in being insurable and what makes you uninsurable. Depending on your level of insurability will determine the number of carriers that will be willing to insure you.

If you are healthy you might have scores of companies willing to extend insurance to you. The converse is just as valid. If you are sickly you might only have one or two companies willing to take on the risk of providing you with health insurance. Therefore, do your homework and find a company that will insure you.

The second factor to consider is the company’s financial rating. This cannot be overlooked. Too many people that I have counseled with came to me having a previous carrier that is not financially strong enough to pay their claims. Common financial rating companies are A.M. Best and Standard & Poors. Getting a company’s rating from them is akin to checking out a bank before getting your mortgage through them.

Third, consider the companies network. There is no sense in going with a company if your doctors do not accept them. Also, in checking out their network, check out the company’s coverage outside of the network as well. Ask your agent that, “If I were to travel and become ill, will I have the same level of coverage, as I would, if I were home and became ill?” You want the peace of mind to know that you were to go on a vacation and became ill, that you would still have coverage.

Forth, consider the coverage. The coverage must cover what is important to you, the consumer. If preventative care is very important to you, then a policy that does not offer preventative care should not be a consideration. I want to know from a company that if I invest money into an insurance policy, that the benefits provided by that company will meet my needs.

Most people would list the coverage requirement higher in the list, but I do not. The reason for this is that if I have a policy that promises me all these great coverage benefits, but the company won’t insure me, or they will insure me, but cannot pay their share of the bill, or even worse they will insure me, but their network is so small that they have no doctor coverage, then what good is the benefits that the policy gives?

I only purchase an insurance policy for my family if I am positive that the company will provide coverage, pay the bill, give me a large list of doctors to choose from and have great coverage benefits.

Finally, I consider price. The price I pay for an insurance policy must be reflective of the quality of policy I purchase. I would not expect a Mercedes to cost the same as a Yugo. By the same measure I do not expect a quality health plan from a reputable insurance company to be the same cost as a fly by night discount plan. I encourage you to not be afraid to pay for quality. It will cost you less in the long run to have a quality insurance plan versus going with a cheap plan and gambling that you will never be seriously ill.

Consider these five factors when purchasing your next insurance policy and I will tell you that you will sleep better at night knowing you have done your homework and chosen the best policy for your family.

Monday, June 11, 2007

What makes you uninsurable?

If I have said it once, I have said it a thousand times, that health insurance is not rocket science.

Really this should not be all that hard to understand. However, it seems that people think that they can just leave their common sense at home when they are applying for health insurance.

Not a day goes by, that I do not speak with someone that says, “I’m in perfect health. I haven’t been to the doctor in years.” Only to find out that they have had open heart surgery, or a heart attack, or a stroke, and the real reason that they haven’t been to the doctor is that the doctor advised that they have a procedure that they have yet to get. That makes you uninsurable.

Another issue that will flag your application as uninsurable is your weight. Health Insurance companies have a height and weight chart that gives them the guidelines to give people insurance. If you do not fit within those guidelines you are uninsurable. This is not just for the overweight; this also is for the underweight, the very short, and the very tall. Why? Because the actuaries have made calculations to determine that based on height and weight how big a risk a person is to insure. When you couple that with various problems such as high blood pressure, diabetes, smoking, heart issues, etc... That combination is what determines eligibility for insurance.

So, then, what options are available to you if you are deemed to be uninsurable? There are a few. Depending on your individual condition depends on the course of action to explore.

The first thing to remember is that if an insurance company is willing to extend coverage to you, then it will not come with a cheap price tag. If most companies consider you to be uninsurable and you can find a company that will extend to you a health insurance policy I suggest that you take it.

The second thing to remember is that if an insurance company is willing to extend coverage to you, then it may not be the best coverage in the known universe, but it will be coverage. In this instance, something is better than nothing. A card in your pocket will get you into hospitals where before you could not get needed care.

Third, keep it as long as possible. Expect for there to be rate increases. Count on them, but remember that you need this policy. So stick it out as long as you can. I have always told my clientele to always look for other coverage, but to never drop their current coverage until they have a replacement policy in force.

I do not want to see anyone over pay for insurance. I want all my clients to be happy with their premium, but I also understand the consequence for not having an insurance policy.

It breaks my heart to tell someone that there is nothing I can do to help them. I want to see everyone get Health Insurance, but I know the reality of life is that not everyone will qualify.

That is why I personally offer a hospital indemnity policy. This policy is not your typical insurance but it pays something should you have to go to the doctor or go to the hospital. In that case, if I have no other alternative than to offer you that policy, I am in essence saying to you that “something is better than nothing.” That sounds unfair to the writing company of the indemnity, because it is actually a very good plan, but in all truthfulness, if I can place you into an actual health insurance policy then I will do so.

Like I said, Insurance is not rocket science. Use the head that God gave you, and you will be able to find some kind of coverage, regardless of your condition.

Friday, June 1, 2007

It's official. I'm an Expert

I have an announcement:

I received an email last night from an online publication, I have been classified as an expert in Health Insurance.

Click here to see the expert page.

It is a nice accolade to have, and I am glad to have it.

I just wanted to share it with you.

Happy Friday,

Tim