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Old 03-07-2014, 10:01 AM   #1
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Default Anyone sell Health Insurance?

I'm looking to get a quote. I currently have Blue Cross/Blue Shield and I think they are charging me too much.
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Old 03-07-2014, 10:06 AM   #2
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Default Re: Anyone sell Health Insurance?

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Old 03-07-2014, 10:10 AM   #3
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Default Re: Anyone sell Health Insurance?

Yes, but not in NC. I am not a fan of BC/BS. Technically they are not even insurance companies. Get quotes from your regional companies. A good independant agent can help. It can be complicated but do take the time to get just the right plan for you.
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Old 03-07-2014, 10:13 AM   #4
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by The Yancey View Post
Yes, but not in NC. I am not a fan of BC/BS. Technically they are not even insurance companies. Get quotes from your regional companies. A good independant agent can help. It can be complicated but do take the time to get just the right plan for you.
Thanks for the info. If I told you what BCBS was charging me, you would laugh.
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Old 03-07-2014, 10:26 AM   #5
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Default Re: Anyone sell Health Insurance?

I know you are not a fan but have you tried the ACA website to see what rate you can get there?
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Old 03-07-2014, 10:37 AM   #6
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by COCKDIESEL View Post
I know you are not a fan but have you tried the ACA website to see what rate you can get there?
Actually tried it last night and that website is still a disaster. Amateurish layout, repetitive questions..felt like I was filling out my taxes. I can understand why people aren't using it.
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Old 03-07-2014, 10:48 AM   #7
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Default Re: Anyone sell Health Insurance?

I have a friend, Travis Burt, that owns Burt Insurance Group in Columbia. He has helped a good amount of people get insurance for a low rate.

http://www.burtinsurancegroup.com/
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Old 03-07-2014, 11:15 AM   #8
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by COCKDIESEL View Post
I know you are not a fan but have you tried the ACA website to see what rate you can get there?

I don't sling insurance but I'm a Regional VP for a BPO company that helps small to midsize businesses outsource non-core functions (HR, benefits, 401K, Workplace Saftey, etc) therefore I've had extensive training on insurance and the Affordable Care Act.

The individual market is governed by the same set of rules as the excahnges so unless you are eligible for a subsidy then I would just look for an individual policy outside of the exchange.

The issue you may encounter is that most carriers are going to have similar rates based off of your age band. Identical policies can only have a 3:1 ratio for old/sick people to young/healthy people. In theory, your is rate is what it is despite carrier.

Please come back and let us know if are able to procure different rates from different carriers.

Last edited by gamecockphan; 03-07-2014 at 11:27 AM.
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Old 03-07-2014, 12:18 PM   #9
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by gamecockphan View Post
I don't sling insurance but I'm a Regional VP for a BPO company that helps small to midsize businesses outsource non-core functions (HR, benefits, 401K, Workplace Saftey, etc) therefore I've had extensive training on insurance and the Affordable Care Act.

The individual market is governed by the same set of rules as the excahnges so unless you are eligible for a subsidy then I would just look for an individual policy outside of the exchange.

The issue you may encounter is that most carriers are going to have similar rates based off of your age band. Identical policies can only have a 3:1 ratio for old/sick people to young/healthy people. In theory, your is rate is what it is despite carrier.

Please come back and let us know if are able to procure different rates from different carriers.
Great info....thanks! And I didn't qualify for any tax subsidies for the ACA.

I'm going to email/call a couple different companies and see what their rates are.

I'm currently paying $650 a month for just me. My kids are on their mom's insurance. I think that is ridiculous. I'm 47.
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Old 03-07-2014, 12:21 PM   #10
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by usc90grad View Post
Great info....thanks! And I didn't qualify for any tax subsidies for the ACA.

I'm going to email/call a couple different companies and see what their rates are.

I'm currently paying $650 a month for just me. My kids are on their mom's insurance. I think that is ridiculous. I'm 47.
What is your deductible?

Out of pocket max?

Coinsurance?

Copays for PCP and Specialist?
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Old 03-07-2014, 12:33 PM   #11
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Default Re: Anyone sell Health Insurance?

BTW - 650 seems high. I'm looking at some age banded info from UHC and it looks like 450-500 is more in line with what you should be payng based off of plan design.
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Old 03-07-2014, 12:34 PM   #12
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Default Re: Anyone sell Health Insurance?

they got so high, our company dropped them lock stock and bandaid two years ago
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Old 03-07-2014, 12:45 PM   #13
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by gamecockphan View Post
What is your deductible?

Out of pocket max?

Coinsurance?

Copays for PCP and Specialist?
$1000 deductible

Not sure about out of pocket max

Coinsurance max is $3000 (not sure what that means...maybe you can tell me)

$20 copay for primary care, $40 for specialist. RX copays are 10/25/40
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Old 03-07-2014, 12:53 PM   #14
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Default Re: Anyone sell Health Insurance?

Just posting in hopes of keeping track on this thread.
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Old 03-07-2014, 01:07 PM   #15
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by usc90grad View Post
$1000 deductible

Not sure about out of pocket max

Coinsurance max is $3000 (not sure what that means...maybe you can tell me)

$20 copay for primary care, $40 for specialist. RX copays are 10/25/40
Out of pocket max is deductible + Coinsurance max.

What you have is a fairly decent plan and the rates you are seeing may be in line with what you should be paying. However, you may be over-insured.

One idea is to increase the deductible to 2,000 and the Out of pocker (OOP) to 6,350. Those are the maximums allowed under ACA to meet minimum value coverage.

Another idea is to go with a HDHP/CDHP plan with an HSA. You will not have copays but you may not be using your copays thatoften right now anyway. On avg, people only see their PCP 2 times a year and a specialist 1 time a year. With the HDHP you pay the contracted rate that the carrier has with the doctor which is 80-100 for PCP and 120-200 for Specialist. You will also no longer have coapys for Rx so you need to take that into account. If you rarely go to the Dr and don't take drugs that often then the difference in premium and what you pay for not having copays will be pretty dramatic. Additionally you can use an HSA to put aside money pre tax to use for medical expenses.

Using my company's "traditional" plan would cost me 7000 to insure my family but I use the HDHP option and it only cost 2000 plus I put away an additional 2000 each year into my HSA.

Alao- Lots of things are covered now as preventative care and are free. Physicals, colonoscopy, etc.

Hopefully this gives you something to think about when selecting a new plan.
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Old 03-07-2014, 01:22 PM   #16
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Default Re: Anyone sell Health Insurance?

Quote:
Originally Posted by gamecockphan View Post
Out of pocket max is deductible + Coinsurance max.

What you have is a fairly decent plan and the rates you are seeing may be in line with what you should be paying. However, you may be over-insured.

One idea is to increase the deductible to 2,000 and the Out of pocker (OOP) to 6,350. Those are the maximums allowed under ACA to meet minimum value coverage.

Another idea is to go with a HDHP/CDHP plan with an HSA. You will not have copays but you may not be using your copays thatoften right now anyway. On avg, people only see their PCP 2 times a year and a specialist 1 time a year. With the HDHP you pay the contracted rate that the carrier has with the doctor which is 80-100 for PCP and 120-200 for Specialist. You will also no longer have coapys for Rx so you need to take that into account. If you rarely go to the Dr and don't take drugs that often then the difference in premium and what you pay for not having copays will be pretty dramatic. Additionally you can use an HSA to put aside money pre tax to use for medical expenses.

Using my company's "traditional" plan would cost me 7000 to insure my family but I use the HDHP option and it only cost 2000 plus I put away an additional 2000 each year into my HSA.

Alao- Lots of things are covered now as preventative care and are free. Physicals, colonoscopy, etc.

Hopefully this gives you something to think about when selecting a new plan.
Thanks for all the great info. You've told me more in this thread than I've been able to find out about online.

The deductible is $1000 and coinsurance max is $3000.

And that's great info about a higher deductible. I am going to ask BCBS to quote it with a $2k deductible and see what that does. Unfortunately I need the RX copay since I take a of couple prescriptions (one is for arthritis and cost about $1200 a month w/o insurance. Crazy I know, but obviously there is no generic available). I rarely get sick and only go to the doc about 3-4 times a year for well visits, etc.

Thanks again...pts to you.
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Old 03-07-2014, 01:25 PM   #17
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Default Re: Anyone sell Health Insurance?

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Originally Posted by usc90grad View Post
Thanks for all the great info. You've told me more in this thread than I've been able to find out about online.

The deductible is $1000 and coinsurance max is $3000.

And that's great info about a higher deductible. I am going to ask BCBS to quote it with a $2k deductible and see what that does. Unfortunately I need the RX copay since I take a of couple prescriptions (one is for arthritis and cost about $1200 a month w/o insurance. Crazy I know, but obviously there is no generic available). I rarely get sick and only go to the doc about 3-4 times a year for well visits, etc.

Thanks again...pts to you.

No problem man.

HDHP would definitely not be for you since you have expensive Rx but raising the deductible and OOP will drive down your premium. Best of luck.
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Old 03-07-2014, 01:32 PM   #18
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Default Re: Anyone sell Health Insurance?

Definetly find an independent agent. I use ISA in Asheville. They can get you rates from several different companies and advise you. Then you make the decision. I would have been lost without them.
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Old 03-07-2014, 08:32 PM   #19
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Default Re: Anyone sell Health Insurance?

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Originally Posted by ShutTheSuccop View Post
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lol, I'm not sure 90 is buyin' what CT is sellin'.
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Old 03-07-2014, 08:40 PM   #20
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Default Re: Anyone sell Health Insurance?

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lol, I'm not sure 90 is buyin' what CT is sellin'.
That may be true....I was just answering his question lol
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