This is the third and final installment on the supplemental benefit series. The final two benefit designs to be discussed are Critical Illness and Cancer.
Cancer coverage through a supplemental plan are somewhat like the Accident Policy in that different amounts are paid for different events and services. When enrolling, an individual cannot have had cancer ‘recently’. The term ‘recently’ or the timeframe that an individual must be cancer free, in most instances must be five years or more. If this, along with some other basic questions can be positively answered, then the policy can be issued.
Carriers are all different on their benefit pay outs. Some carriers will pay a lump sum to the insured at the time of the first cancer diagnosis. For example, $5,000 when diagnosed. Then, as services are needed such as hospital stay, chemotherapy, anti-nausea medication and mileage all have a different dollar amount, often to a maximum pay out. As stated in past articles, the money is paid from the carrier to the individual directly, so this money can be used for medical expenses, gas, groceries, even the mortgage or rent. It is not required to be paid for the bills that will accumulate due to a cancer diagnosis. Also, some benefits paid can ‘reload’ for a new calendar year while others, like the first diagnosis pay out, is a one time only payment.
Critical Illness works differently. In this option, an individual is purchasing a ‘face value’ or a flat dollar, single payout amount for events such as organ transplant, stroke, heart attack, or bypass surgery. For example, an individual would purchase $50,000 of coverage. This ‘face value’ is then divided, often not equally among the illnesses covered. So one could collect 25% of the face value for a heart attack and another percentage for a different illness, however the total amount cannot exceed the face value. Often, once a benefit category has been paid out it is not likely another condition in that category will be paid out.
Overall, what is most important when looking at supplemental benefits is, what works best for your situation and WELLNESS! All the plans have some sort of wellness benefit that if an insured goes for an annual physical (accident policy), skin check (cancer policy), EKG (critical illness policy) or a dental check up, a payment of some sort will be made. Talk with your employer or reach out to Health Insurance Advisor. Let us assist with your supplemental coverage needs.
A little more about us:
The Business Warrior group has some of the industry’s top experts in all the areas your business needs to be successful. Amongst the contributors is Janis VanAhn, owner of Health Insurance Advisor, LLC. For 19 years Janis has worked in and around the health insurance industry initially providing service to agents and employers related to employee benefits, individual healthcare and Medicare, while more recently becoming appointed as an individual agent with various quality carriers to provide this service to individuals through her own business.
Four years ago Janis was ‘blessed’ with being let go from her job at an insurance ageny. Staying within insurance was her path…but in what capacity. 2010 was the year Janis began her career as an independent insurance agent specializing in health insurance. Finding quality, cost-effective healthcare for individuals and families under age 65 as well as working with those who are Medicare eligible truly was her passion. She has made this a true specialty and positioned herself as someone to work with whether it is a financial professional or property & casualty agent with a client that needs assistance, to a group of seniors turning 65 and they keep receiving Medicare information and are confused about what to do.
Janis enjoys the one on one contact with clients as well as looking forward to speaking to groups about healthcare. Her excitement for this industry is what drives her to stay in tune with Healthcare Reform and what is currently happening and what will happen with coverage from now to past 2014.
‘Educating individual and Medicare consumers to make informed choices’ is her mission because if people are educated and understand, they will make informed choices that they are comfortable with.