Sample Base & High Options
Base Plan: $60 – $70 (Single)
Life Insurance – $5,000
Hospitalization – $100/day
(60 Days/yr Total $6,000.00)
Hospital ICU – Double Basic Hospital R&B
Doctors Office Routine – $75 Visit X 6 P/Yr
Doctors Office Physical – $75 Visit X 2 P/Yr
Lab/XRay/MRI Diagnostic – $1,200 Yr
Accident Injury – $2,500 ($100 Deductible)
Prescription – Tiered Discount
24/7 Access to Doctor by Phone
PPO Network
Patient Advocacy (bill negotiations)
Buy-Up Plan: $225 to $250 (Single)
Life Insurance – $5,000
Hospitalization – $1000/day
(60 Days/yr = $60.000)
Hospital Admission Bonus – $1,000
Hospital ICU – Double Basic Hospital R&B
Doctors Office Routine – $100 Visit X 10 P/Yr
Doctors Office Physical – $150 Visit
Lab/X-Ray/MRI Diagnostic – $2,600 Yr
Accident Injury – $5,000 ($100 Deductible)
Prescription – $19 Copay 50% Brands
24/7 Access to Doctor by Phone
PPO Network
Patient Advocacy (bill negotiations)
Plan Features
- No Deductibles
- No Coinsurance
- Guarantee Issue
- First Dollar Benefits
- Choice of Providers
- PPO Discounts in Network
- Low Premiums
- Online Enrollment
- COBRA Eligible
- Full Commissions
- Not Restricted by ACA
- Legal After 2014
NOTE – The above plans are not major medical and are not replacements for major medical. These plans are for demonstration purposes only.
Group-Med Plans – Answering the Call to Affordable Healthcare
There are many smaller-sized companies that desire to give their employees health care coverage. However, they are not able to do so due to the annually increasing premiums on insurance, thus making it costly and unavailable to them. The micro companies however, have employees that give in more man hours and work effort. Due to this, these employees desire to have some sort of health care benefits that they could utilize. For this reason, the Group-Medical Plans was established.
By 2014, the new health care bill known as the Affordable Care Act (ACA) will be implemented and the insurers will no longer be able to make a limit on its annual caps regarding the coverage of medical expenses. At present, the limit on the coverage on the costs related to health care cannot be lower than $750,000.00. This bill has been implemented in order for most Americans to get some sort of assurance during emergency situations such as major illnesses. This will be, theoretically be in the form of offsets from most of their medical expenses. One of the initial problems of this new health care bill is that the remaining population of Americans with Group Medical Plans, such as the employees of McDonald’s and other small businesses will have problems in providing health care benefits to their employees. With the new health care system, insurers will no longer afford to offer the group medical plans to employers.
How Businesses are Affected
Last October, a ranking member of the House Committee on Energy and Commerce, Joe Barton, along with two Republican Subcommittee members, had sent a formal letter to Kathleen Sebelius. The letter had contained their concerns regarding the new health care act’s new provisions. Their concerns mainly indicated that these new guidelines would force the employers and insurers to cease in giving group medical plans to its employees for fear of going out of business. One of the business affected, McDonald’s, had notified the regulators of this new health care bill that this new law will create additional administrative and operational costs which will eventually lead to the company’s inability to continue on providing health insurance for their employees. They pleaded that the companies such as theirs be exempted in following the policy.
In light of this matter, waivers have been granted to 222 employers, Unions and insurers by the Department of Health and Human Services. Some of these companies include McDonald’s, Cigna and Aetna. This waiver will allow them to continue on with their present mini medical plans. The new Health Law will adapt to the waivers for as long as the companies and insurers can be certain that there will be significant changes in the insurance premiums or causes for numerous workers to be removed of their insurance benefits.
What’s In It For You?
One of the benefits of the New Healthcare Bill is the ability for people with health insurances or limited med plans to have a significant percentage of their medical expenses to be offset due to the new law’s regulations that prohibits insurance companies to set a maximum cap to their policies. In addition to this, the new Health Care Law will now allow equality in terms of the scope of benefits that are provided with a regular plan by employers. This means that there will be a more standard form of inclusions that are typically not found in employee health care plans such as habilitative services. In addition to this, the government has plans to provide subsidies in order to assist people with low incomes to be able to purchase health insurance. With the aid of the new Health Care Law, the government now aims to eliminate discrimination on life expectancy, disability and age in terms of providing essential benefits.