Friday, September 21, 2018

End o'The Week LinkFest

Regular readers may recall this post from 3 years ago:

"Once you sign up, John Hancock [Life Insurance Company]sends you a Fitbit monitor as one way to track your fitness. You earn Vitality Points for your activities. As you accumulate points ... the more you save each year on your life insurance premiums."

Well, our friend Holly R tips us that the venerable carrier has gone "all in" on both the tech and the pricing:

The folks at the Income Protection Resource Group tip us to this interesting new product from The Standard that enhances their already outstanding disability insurance products. Via email:

"Most income protection policies pay benefits only when your client can't work due to their own injury or sickness. But what if their family member becomes seriously injured or seriously sick?"

Turns out, there's an app, er, a rider for that:

"The Family Care Benefit can help your client take time for caregiving. This benefit provides cash to replace lost income due to working fewer hours and earning less income to care of a family member."

It's included standard (heh) with their Platinum Advantage series plans. Very nice, indeed.

And finally, our friends at Global Underwriters have this heads' up:

"Most tour groups and many Countries are now Requiring that International Travel Medical Insurance be purchased prior to arrival in their country."

This makes sense, as medical emergency or other issue tends to be disruptive (and often expensive). And of course, plans that include Medical Evacuation are especially helpful, since this can cost travelers thousands of additional travel dollars.

Wednesday, September 19, 2018

Medicare Supplement Rate Increases

Why are Medicare supplement renewal rates so high? How come no one TOLD you this would happen?

If you bought from a household name carrier on the belief you would not get stuck, well . . . you guessed incorrectly.

No one is talking about the shell game Medigap carriers are playing.

No one, except this guy  . . .


Tuesday, September 18, 2018

Clearing the Spindle

First up, Co-Blogger Bob has acquisition news:

"Western & Southern agrees to buy Gerber Life Insurance"

The deal, valued at a little over $1.5 Billion is interesting if only because one doesn't think of old-line, steady-ship W&S as particularly "hungry" for expansion. Gerber Life, of course, is famous for it's $1 premium juvie life insurance plans.

Next is a very thoughtful piece from our friend Michael Bertaut, who crunched some numbers regarding plans that "carve out" prescription drug coverage, rather than have that benefit administered by the health insurance carrier. Regardless of the idea's other merits, it appears that any cost savings are quickly eaten up by other claims:

"In the short term, some of our companies are saving money on the drug portion of their health plan by moving it to another vendor. But, we’ve found that over time, breaking off this important part of real-time health information has caused medical costs in these same groups to spike."

One step forward....

And finally, via our friend Joe Kristan, we learn that Cash for Clunker Co-Op's is still going strong. Turns out that, even though the Republican Congress quickly cut off funding for Co-Op cost-sharing arrangements, the judiciary has other plans:

"The bottom line was that the government did have an obligation to pay Montana Health Co-op cost sharing reimbursements for 2017."

In short, pony up funds that were never actually allocated.

Seems legit.

Monday, September 17, 2018

Dodging the Mandate Bullet

As we noted earlier this year, the recent tax law essentially neutered the (evil) Mandate:

"Quite simply put, the mandate still exists. It's still in the law. What has changed is the penalty for not purchasing health insurance has been zeroed out"

Note well, however, that:

1) This applies to plan year 2019 and after; the tax/penalty/fine remains in place for 2018, and

b) It's a certainty that the tax/penalty/fine will be reinstated should the Congress change hands in November.

That being said, there is some other good news out of DC:
"The Centers for Medicare & Medicaid Services announced on Wednesday a new opportunity for those who failed to comply with the individual mandate in 2018 to avoid the corresponding tax penalty.

The new policy allows hardship exemptions to be claimed without "the documentary evidence or written explanation generally required."

That is, "because I say so" becomes a legit deferral mechanism. And since this is an implementation under the Executive branch, it seems pretty Congress-proof to moi.


[Hat Tip: FoIB Steve Downey]

Making Strides Against Breast Cancer: v2018

Once again, I'm raising money with my team: Love, Hope and Faith. Our walk is Saturday, October 20th, and I'd really like to break the $1,500 mark.

Will you please help out by making a donation - Any amount helps.

Thank You!!

Friday, September 14, 2018

Speaking of Flood Claims

This is an extraordinary visualization of the Florence storm surge:

To our East Coast readers: Stay safe!

Medicare4All to see


What could possibly go wrong?

[Hat Tip: FoIB @NARNfan]

Thursday, September 13, 2018

Another ACA cancer shanda

From co-blogger Bob:

And yet, male breast cancer screening isn't considered Essential Health Benefits under Obamacare.

That stinks.

We've got questions

So as a membership "perk," the National Rifle Association includes an "insurance policy"* that covers some self-defense legal costs (perhaps similar to those about which we've written before). In its infinite wisdom, the California Department of Insurance has ordered them to give that up:

"The state Department of Insurance on Tuesday issued a cease and desist order saying that the NRA sold an unlicensed insurance product in the state."

I have no dog in this fight, but I do wonder how a membership perk = selling insurance.

Will keep an eye on this.

[Hat Tip: FoIB The Political Hat]

* I'm using quotes here temporarily as I follow up on some details. There seems to be some daylight between what the article claims and what the NRA website says. In the meantime, I've reached out to the NRA folks for clarification. HGS

Wednesday, September 12, 2018

This *may* change everything

Well, not everything, but now I have a decision to make.

Regular readers know that I bailed on the individual (ACA) medical market some time ago, and that decision continued to make sense, especially since for the past year or so the only carriers in my market didn't pay comp.

That's changed now, both AM Better and Molina will be using (and paying) agents for this year's Open Enrollment season.

That's the good (?) news.

The even better news is that Anthem is back, with both ACA-compliant and Short Term Medical plans.

As in years past, I'd already planned on re-qualifying for on-Exchange sales anyway, so I'm now seriously considering jumping back into that market.

We shall see.

[Hat Tip: FoIB Geoff B]

Monday, September 10, 2018

Drew's $100,000 Heart Attack

Drew Calver took out his trash cans and then waved goodbye to his wife, Erin, as she left for the grocery store the morning that upended his picture-perfect life.
Minutes later, the popular high school history teacher and swim coach in Austin, Texas, collapsed in his bedroom from a heart attack. He pounded his fist on the bed frame, violent chest pains pinning him to the floor.
The next day, doctors implanted stents in his clogged “widow-maker” artery. - Kaiser Health Network

Drew didn't know it but he was about to enter the world of balance billing.

Managed care can quickly become mangled care without warning. First created by Congress in 1973 as part of the HMO Act. By the early 80's the practice of incentivizing and directing care to "preferred" providers was going mainstream.

The idea of saving money on health care by encouraging those with health insurance to use more "cost effective" avenues of health care may have seemed benign at first but as this monster grew it became punitive.

In the case of Drew Carver, this is what happened.
$164,941 for a four-day hospital stay, including $42,944 for four stents and $10,920 for room charges. Calver’s insurer paid $55,840. The hospital billed Calver for the unpaid balance of $108,951.31.

His insurance did what it was supposed to do, it made a fair and reasonable offer for the care received.

St. David's Healthcare, part of the HCA system, is not a participating provider in Drew's health plan. Most health care plans have allowances for out of network bills incurred as a result of a life threatening illness or injury. Many times the non-par penalty is waived by the health care plan and the provider agrees to accept a "reasonable" offer as "paid in full".

That did not happen in this case.

St. David's stuck to their guns and refused to budge. It did not matter that such a large unpaid bill could cause serious financial harm to Mr. Carver.

The hospital wanted what they felt like was a fair price for saving Mr. Carver's life.

In fact, the hospital had the nerve to blame the Austin School District for offering such "a narrow network product placed a large portion of the financial responsibility directly on the patient because our hospital was not in-network."

Frankly I am surprised the hospital didn't also blame Drew for having the heart attack at an inconvenient place. Had the attack occurred closer to a participating hospital this would never have been a problem for Drew or St. David's.

Then there is this . . .

Industry analysts and consumer advocates say St. David’s has a reputation for exorbitant billing and for trying to collect big payouts as an out-of-network provider. “This is a well-known, problematic provider. We’ve seen multiple bills from them and they are always highly inflated,

"Always" is quite a damning term but if the shoe fits . . .

A few states, including Texas, have passed laws designed to protect insureds against balance billing. 

So why didn't the law protect Drew?
But there’s a huge loophole: Those state-mandated protections typically don’t apply to people, like the Calver family, who get their health coverage from employers that are self-insured, meaning the companies or employers pay claims out of their own funds.  Federal law governs most of th ose health plans — and it does not include such protections.
About 60 percent of people with employer health benefits are covered by self-insured plans, but many don’t even know it, since employers typically hire an insurer to administer the plan and employees carry a card bearing the name of Blue Cross Blue Shield or another major insurer.
States have the right to regulate INSURED products issued within the state boundary. But they have no authority over self funded health plans such as the one offered by Austin School District.

Roughly 70% of people turning 65 have coverage through an employer health insurance plan. The linked article claims 60% of those plans are self funded.

That's a lot of folks left out in the cold in situations experienced by Drew Carver.

For all this turmoil and angst it seems there is a happier ending, albeit one that came as a result of public shaming.
UPDATE: Monday, shortly after publication and broadcast of this story by Kaiser Health News and NPR, St. David’s said it was now willing to accept $782.29 to resolve the $108,951 balance because Drew Calver qualifies for its “financial assistance discount.”

The takeaway from this seems to be, if you are covered by a self funded plan and have a medical emergency, don't go to a non-par provider. They may not be as generous and forgiving as St. David's.

Sunday, September 09, 2018

Welcoming 5779

Tonight we welcome in the New Year, hoping and praying that it will be even better than the last.

It's customary to greet each other with this warm wish:

לְשָׁנָה טוֹבָה תִכָּתֵבוּ וְתֵּחָתֵמוּ

"L'shanah tovah tikatev v'taihatem (May you be inscribed and sealed for a good year)."

So, dear readers, may the new year be one of peace, joy and health for each of you and yours.

And for a little humor:

An elderly Jewish man in Miami called his son in New York and says, “I hate to ruin your day, but I have to tell you that your mother and I are divorcing; forty-five years of this misery is enough.”

“Pop, what are you talking about?” the son screamed.

“We can’t stand the sight of each other any longer. We’re sick of each other, and I’m sick of talking about this, so you can call your sister in Chicago and tell her,” and the father hung up.

Frantic, the son called his sister, who exploded on the phone. “Like hell they’re getting divorced,” she shouted, “I’ll take care of this.”

She called her father immediately, and screamed at him, “You are NOT getting divorced. Don’t do a single thing until I get there. I’m calling my brother back, and we’ll both be there tomorrow. Until then, don’t do a thing, DO YOU HEAR ME?” and hung up.

The old man hung up and called to his wife, “Okay, they’re coming for Rosh Hashanah. Now what do we tell them for Pesach?” 

Friday, September 07, 2018

The mask has slipped

I'm old enough to remember when this guy promised me that if I liked my plan, I could keep it:


LIAM Video - The Power of Life Insurance

Powerful mesage:

Thursday, September 06, 2018

Travel Medical: Where *not* to land

We've written before about both Travel Medical plans (not to be confused with medical tourism), and the Organisation for Economic Co-operation and Development (OECD). But we've never put them together like the folks at GetGoing, who've come up with an impressive list of where not to get sick or injured (if at all possible).

For example:

"The Worst Places to Fall Ill on Holiday Revealed

Get Going Travel Insurance uncover the cost of Care in OECD countries

• Mexico, Poland and Estonia are some of the riskiest places to fall ill on holiday, whilst Japan and the USA are by far the priciest

• Norway has the most developed local healthcare service in the OECD, with approximately 1 doctor to every 45 residents"

And even more at the link.

[Hat Tip: FoIB Katheryn W]

Wednesday, September 05, 2018

LIAM September

Life Insurance Awareness Month, that is. We'll be sprinkling the blog with (hopefully) interesting life insurance-related posts throughout September, starting with this one:

To which I'll add only this: why her? What connection does she have to our industry? At least Evel Knievel was an actual (successful) life insurance agent.

Tuesday, September 04, 2018

Swedes enjoy world-class healthcare - when they get it

This article about access to medical care in Sweden contains a lot of boilerplate about Sweden's nationalized medical care delivery system.  We've seen similar stuff before.
But I think there is something new, virtually hidden down in the 14thparagraph:
Swedes also complain about not being able to see their own regular general practitioner
This is different – and seems to me fresh, important information. 
Why different?  Why important?  Because nationalized medical care delivery systems are usually careful to provide easy and universal access to primary care.  Rationing generally focuses on the much more costly specialty and hospital care, e.g., surgery.
This strategy means most citizens will be satisfied with the care they receive because most medical encounters involve primary care. It also means objections to rationing are concentrated within a relatively small percentage of the population. Thus the strategy ensures that public opinion polling will reflect generally favorable satisfaction scores.  Advocates of nationalized medical delivery systems for Americans  - e.g., "Medicare for All" - constantly emphasize polls that say how much people in other countries love their nationalized systems of delivering medical care.  
And that is where the new information down in the 14th paragraph becomes relevant.  Swedes are meeting increasing restrictions to access for primary care.  They don't like it.  They also don't like electronic access as a substitute for their personal practitioner.  It seems to me that if diminished access to traditional primary care spreads in Sweden, and perhaps elsewhere in Europe, public satisfaction toward nationalized medical systems is also very likely to diminish.  
If that occurs in Europe it will surely affect the debate over nationalized medical care in America.

Priorities, MVNHS©-style

Last week, we learned that the Much Vaunted National Health Service© couldn't even afford to provide timely ambulance service:

"A patient waited 62 hours for an ambulance, while four trusts took more than 24 hours to respond to 999 calls, new figures have shown"

Now, thanks to co-blogger Mike, we learn that the rocket-surgeons who run Britain's health "care" scheme have decided where their priorities lie:

"A TRANSGENDER woman has spoken of her joy at becoming the oldest person in Britain to have surgery.

Ruth Rose, 85, had a reassignment op four years ago after her doctor told her she could be considered for the full procedure."

So they're good with underwriting geriatric gender dysphoria, but not saving children's lives?

Looks like the sun is setting, after all.