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Consumer Reports Article 04/06/2009
"7 Signs A Health Plan Might Be Junk"

Beware Of Discount  "Health Plans"

Tips for finding Health Insurance when you've lost your job.

Guaranteed Issue Defined Benefit Health Insurance: Lots of Limitations!

Fed Allows 65% Cobra Premium Reduction For 9 Months! What Do You Do After the "Cobra Stimulus" Ends?

New Illinois Dependant Eligibility Law Extends coverage to your dependant child up to age 26 (or 30). They no longer need to be attending college.

Ten Questions To Ask Your Agent BEFORE You Buy Health Insurance

What The Heck Is Consumer Driven Health Insurance? Can It Really Save You Money AND Lower Your Taxes?

If You Purchased Health Insurance From Mega Life & Health or Midwest National Life Through The National Association For The Self Employed (NASE) You Need To Know The Truth!
 

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 Small Group Health Insurance Options from Small Business Insurance Services Inc.

         Blue Cross Blue Shield Small Group PPO and HMO Health Insurance Plans

 Today 1 American in 4 carries a Blue Cross and Blue Shield membership card. In fact, over 4 million residents across Illinois carry  the Caring Card® because they trust Blue Cross and Blue Shield of Illinois to give them more health care value for their  premium dollar. Blue Cross and Blue Shield of Illinois (www.bcbsil.com) has been serving the health insurance needs of Illinois  residents since 1937.

 In November 2007, Health Care Service Corporation (www.hcsc.com) the Parent company of Blue Cross and Blue Shield was  awarded a Financial Size Category rating of XV ($2 Billion or Greater) by A.M. Best  Insurance Rating  Service. This rating makes  Blue Cross Blue Shield of Illinois one of the largest and most financially secure insurance  companies in the state. A.M.Best, has  also awarded Blue Cross Blue Shield of Illinois an “A+” (Superior) insurance  rating.

As a member of Blue Cross and Blue Shield of Illinois, you'll have access to a program called Blue Card P.P.O. This is a nationwide network of providers that allows you to receive benefits for covered services when you travel. Simply  present your Blue Cross and Blue Shield of Illinois ID card to a participating Blue Card PPO provider wherever you are.

With Blue Cross and Blue Shield of Illinois your claims are handled for you. In most cases, all you have to do is show your Blue Cross and Blue Shield ID card at a doctor's office or hospital, and your claim will be filed for you. Blue  Cross and Blue Shield wants you to concentrate on regaining your health, not worrying about hospital and doctor bills.

Blue Cross and Blue Shield of Illinois offers 217 Traditional P.P.O. Small Group Health Insurance Plans to choose from and 28 H.S.A. Qualified High Deductible Small Group Health Insurance plans. The names and numbers as well as the descriptions of each of these plans are listed below. Just click on each hyperlink below and the plan brochure will  open in Adobe PDF format.

Please “Contact Us” with your information and we will be happy to quote your small group with any of the Blue  Cross Small Group Health Insurance Policies.

Blue Advantage Entrepreneur (BAE) PPO 90/70 Coinsurance with $10 Copay
BAE $0 Deductible with $1,000 OPX (Plans E2P12312, E2P12313, E2P12316)
209K
20305
09/07
BAE $250 Deductible with $1,000 OPX (Plans E2P42312, E2P42313, E2P42316)
209K
20306
09/07
BAE $500 Deductible with $1,000 OPX (Plans E2P72312, E2P72313, E2P72316)
209K
20307
09/07
BAE $1,000 Deductible with $1,000 OPX (Plans E2P82312, E2P82313, E2P82316)
209K
20308
09/07
BAE $1,500 Deductible with $2,000 OPX (Plans E2P92412, E2P92413, E2P92416)
197K
20309
09/07
BAE $2,500 Deductible with $2,000 OPX (Plans E2PC2412, E2PC2413, E2PC2416)
209K
20310
09/07
BAE PPO 90/70 Coinsurance with $20 Copay
BAE $0 Deductible with $1,000 OPX (Plans E2P12322, E2P12323, E2P12326)
208K
20311
09/07
BAE $250 Deductible with $1,000 OPX (Plans E2P42322, E2P42323, E2P42326)
208K
20312
09/07
BAE $500 Deductible with $1,000 OPX (Plans E2P72322, E2P72323, E2P72326)
208K
20313
09/07
BAE $1,000 Deductible with $1,000 OPX (Plans E2P82322, E2P82323, E2P82326)
208K
20314
09/07
BAE $1,500 Deductible with $2,000 OPX (Plans E2P92422, E2P92423, E2P92426)
208K
20315
09/07
BAE $2,500 Deductible with $2,000 OPX (Plans E2PC2422, E2PC2423, E2PC2426)
208K
20316
09/07
BAE PPO 80/60 Coinsurance with $20 Copay
BAE $250 Deductible with $2,000 OPX (Plans E2P43422, E2P43423, E2P43424, E2P43426)
BAE $500 Deductible with $1,000 OPX (Plans BAE PPO Plan 811 No longer available for sale)
208K
20317
04/07
BAE $500 Deductible with $2,000 OPX (Plans E2P73422, E2P73423, E2P73424, E2P73426) 
208K
20318
04/07
BAE $1,000 Deductible with $2,000 OPX (Plans E2P83422, E2P83423, E2P83424, E2P83426)
209K
20319
04/07
BAE $1,500 Deductible with $2,000 OPX (Plans E2P93422, E2P93423, E2P93424, E2P93426)
209K
20320
04/07
BAE $2,500 Deductible with $2,000 OPX (Plans E2PC3422, E2PC3423, E2PC3424, E2PC3426)
208K
20321
04/07
BAE PPO 80/60 Coinsurance with $30 Copay
BAE $250 Deductible with $2,000 OPX (Plans E2P43432, E2P43433, E2P43434, E2P43436)
207K
20322
04/07
BAE $500 Deductible with $2,000 OPX (Plans E2P73432, E2P73433, E2P73434, E2P73436)
207K
20323
04/07
BAE $1,000 Deductible with $2,000 OPX (Plans E2P83432, E2P83433, E2P83434, E2P83436)
207K
20324
04/07
BAE $1,500 Deductible with $2,000 OPX (Plans E2P93432, E2P93433, E2P93434, E2P93436)
207K
20325
04/07
BAE $2,500 Deductible with $2,000 OPX (Plans E2PC3432, E2PC3433, E2PC3434, E2PC3436)
207K
20326
04/07
BlueChoice Select 90/60 Coinsurance with $20 Copay
$250 Deductible with $1,000 OPX (Plans BCS42322, BCS42323, BCS42324, BCS42326)
43K
20202
04/07
$500 Deductible with $1,000 OPX (Plans BCS72322, BCS72323, BCS72324, BCS72326)
43K
20205
04/07
$1,000 Deductible with $1,000 OPX (Plans BCS82322, BCS82323, BCS82324, BCS82326)
43K
20208
04/07
$1,500 Deductible with $1,000 OPX (Plans BCS92322, BCS92323, BCS92324, BCS92326)
43K
20211
04/07
$2,500 Deductible with $1,000 OPX (Plans BCSC2322, BCSC2323, BCSC2324, BCSC2326)
43K
20214
04/07
BlueChoice Select 80/50 Coinsurance with $30 Copay
$250 Deductible with $2,000 OPX (Plans BCS43432, BCS43433, BCS43434, BCS43436)
43K
20187
04/07
$500 Deductible with $2,000 OPX (Plans BCS73432, BCS73433, BCS73434, BCS73436)
43K
20190
04/07
$1,000 Deductible with $2,000 OPX (Plans BCS83432, BCS83433, BCS83434, BCS83436)
43K
20193
04/07
$1,500 Deductible with $2,000 OPX (Plans BCS93432, BCS93433, BCS93434, BCS93436)
43K
20196
04/07
$2,500 Deductible with $2,000 OPX (Plans BCSC3432, BCSC3433, BCSC3434, BCSC3436)
43K
20199
04/07
 
 
 
BlueEdge Select HSA 100/70 Coinsurance
$1,100 Deductible with $2,000 OPX (Plan ECAJ1405 and BCAJ1405)
86K
20702
04/07
$1,500 Deductible with $3,000 OPX (Plan ECA91505, BCA91505)
86K
20703
04/07
$2,500 Deductible with $5,000 OPX (Plan ECAC1807, BCAC1807)
86K
20704
10/07
$2,500/$10,000 Embedded Deductible with $5,000 OPX (Plan ECAC1807)
86K
21145
09/07
BlueEdge Select HSA 80/50 Coinsurance
$1,100 Deductible with $2,000 OPX (Plan ECAJ3405 and BCAJ3405)
86K
20705
04/07
$1,500 Deductible with $3,000 OPX (Plan ECA93505, BCA93505)
86K
20706
04/07
$2,500 Deductible with $5,000 OPX (Plan ECAC3805, BCAC3805)
86K
20707
04/07
$2,500/$10,000 Embedded Deductible with $5,000 OPX (Plan ECEC3805     

PLEASE NOTE: We do not recommend HMO plans of any kind from any carrier. This is due to restrictions that are inherent only to HMO plans. HMO plans restrict your ability to choose a medical provider based on your own due diligence. With a PPO the insured has the ability to choose any doctor and any medical facility. You will pay more for "out of network" services with a PPO. However, the majority of your expenses will still be covered. With an HMO there simply will be NO coverage if you choose a medial provider that is not "approved" by the HMO. This risk is inherent only to HMO Health Insurance Plans.

Blue Advantage Small Group HMO & HMO Value Choice Plans

BLUE CROSS OF ILLINOIS INDIVIDUAL PPO HEALTH INSURANCE PLANS

PLEASE NOTE: Blue Cross Individual Health Insurance plans do not cover any pre-existing conditions regardless of how minor, for an entire year of policy ownership. The majority of other quality Individual Health Insurance plans will cover controlled pre-existing conditions such as Hypertension (blood pressure) and Hyperliplidima (cholesterol) from the first day of policy ownership. This being the case, we will not act as Broker of record if you choose any of the Blue Cross Individual Health Insurance plans with a pre-existing condition present.

PLEASE NOTE: Blue Cross Individual Health Insurance plans with calendar year deductibles of $1,000 or higher do not cover any outpatient medications until you have satisfied the entire calendar year health plan deductible. The majority of other quality Individual Health Insurance plans will still provide "first dollar" coverage (no deductible required) for outpatient medications regardless of the size of your calendar year health plan deductible. This being the case, we can not recommend
the Blue Cross Individual Health Insurance plans if you need "first dollar" coverage for outpatient medications.


 


 

                            Standard Security Life Group Advantage Health Insurance Plans

Group Advantage Small Group Health Insurance policies are provided by the Independence Holding Group an insurance organization comprised of Independence Holding Company (NYSE: IHC) and its operating  subsidiaries and affiliates. With more than $1.3 billion in assets, the IHC Group serves more than one million customers through its operating companies, which include three A- (Excellent) A.M. Best-rated insurance carriers, third-party administrators, managing general underwriters and marketing organizations. The IHC Group has been providing life, health and stop-loss insurance solutions  for over 25 years.

Group Advantage Small Group Health Insurance policies are administered by Insurers Administrative Corporation a member of the IHC Group. IAC is a leading administration and marketing organization in the fully insured, partially self-funded and international markets. Established in 1978, IAC specializes in small group plan (2-50 lives), Individual Health Plans short-term  medical, dental and other insurance products.

Communicating for America, Inc. endorses the IAC Personal Health Plans and is a national non-profit association founded in 1972. Originally founded as an advocate for the self-employed and rural members, CA has evolved into one of the largest and most respected associations in the country with members in communities of all sizes. Along with a legislative voice on important issues in Washington, D.C., CA provides high quality, valuable member benefits. CA, Inc. is not compensated by Standard Security Life Insurance Company of New York for its endorsement. Association membership not required or available in Colorado, Georgia, Kansas, Montana and South Dakota.

Standard Security Life Insurance Company of New York is the insurer for health, dental, life, accidental death and dismemberment benefits described in the Group Advantage Small Group Health Insurance brochure below. Standard Security Life Insurance Company of New York, a member of the IHC Group, is rated A-(Excellent) by A.M. Best Company, a widely recognized rating agency that rates insurance companies on their relative financial strength and ability to meet their obligations to their insured's. Standard Security Life Insurance Company of New York was founded in 1958, and is domiciled in the State of New York, and headquartered in New York City. It is licensed in all 50 states, the District of Columbia, the Virgin Islands, and Puerto Rico.

Group Advantage Small Group Health Insurance policies provide high and low deductible plans with unlimited "first dollar" outpatient doctor office visit co pays. A "first dollar" benefit is defined as "a benefit you receive without paying your calendar year health plan deductible first e.g. outpatient doctor office visit co pays, outpatient prescription drug co pays, outpatient Preventative care or Wellness benefits". They also provide very competitively priced HSA qualified HDHP's and HRA's (Health Reimbursement Arrangements).


Calendar Year Health Plan Deductible choices range from $500 to $8,000. There are three different "co-insurance" options to choose from as well with "stop loss numbers" ranging from as low as 10,000 to as high as $25,000. Since the terms "co-insurance" and "stop loss number" are very rarely if ever explained to the prospective insured. We will make an effort to do so below. For ease of reference the "stop loss number" in the below scenarios will remain constant in all three examples. If anything remains unclear be sure to ask your broker of record for further clarification. The first (and most expensive) "co-insurance" arrangement scenario is the 100% option. With this option there would be nothing else to pay for in network treatment once you have satisfied your calendar year deductible.

The second "co-insurance" arrangement scenario is the 90/10 of $10,000 "co-insurance" percentage split. This simply means that after you have satisfied your calendar year deductible, the insurance company will pay 90% ($9,000) and the insured will pay 10% ($1,000) of the first $10,000 in medical bills that you incur each year. This first $10,000 is known as the "stop loss number". After this brief sharing arrangement is over, the insurance company pays 100% up to $5 Million for the rest of that calendar year. Everything starts over again on the first of each subsequent year.

The third "co-insurance" option is the 80/20 of $10,000 "co-insurance" percentage split. This means that after you have satisfied your calendar year deductible, United Health Care will pay 80% ($8,000) and the insured will pay 20% ($2,000) of the first $10,000 in medical bills that you incur. This first $10,000 is known as the "stop loss number". After this brief sharing arrangement is over, the insurance company pays 100% up to $5 Million for the rest of that calendar year. Everything starts over again on the first of each subsequent year. If the "stop loss number" in the above scenario increases from $10,000 to $15,000, $20,000 or $25,000 then your 10% or 20% portion will increase respectively. The point to remember is that you are not responsible for 10% or 20% of your entire medical bill. There is always a safety net and that safety net is referred to as the "stop loss number."

Group Advantage Small Group Health Insurance policies also offer four different prescription drug card arrangements:

Option 1: Provides a discount on prescription drugs at participating pharmacies (www.expresscripts.com)
Option 2: Generic $15 Specialty Drugs $90 $250 deductible per insured per calendar year, then: Preferred Brand $45
Non-Preferred Brand $60

Option 3:
Generic $10 Preferred Brand $25 Non-Preferred Brand $40 Specialty Drugs $50
Option 4:
All covered prescription drug purchases apply toward the medical deductible and coinsurance.

Group Advantage Small Group Health Insurance policies also offer the following optional benefits:
 
Dental -
No waiting periods; see separate brochure below for details:
Your employees can get immediate insurance coverage for basic and major services.
Vision -
Choose from two plan designs; see separate brochure for details:
Offer your employees vision insurance coverage. Includes exams, lenses and frames.
Optional Wellness Benefit - Routine physical exams, flu shots, child wellness screening and immunizations, colorectal and prostate cancer screening are covered at 100% up to $350, $500 or $1,000 per insured per calendar year after a $35 co pay. There is no waiting period and both in and out-of-network services are included.
Supplemental Accident Coverage - Choose a $500, $1,000 or $2,000 per accident benefit amount for your employees. Benefit applies to both in and out of network.
Maternity Coverage -
Covered charges include treatment, hospital expenses, nursery charges, cesarean section delivery, prenatal charges & postnatal charges.
Life Insurance and Accidental Death & Dismemberment -
Available options range from $10,000 to $100,000 of coverage.
24-Hour Occupational Coverage - Get protection against work-related injuries and sickness. Available to eligible business owners, sole proprietors or corporate.

 

                          Standard Security Life Group Advantage Health Insurance Plan Product Highlights

  •  Standard Security Life Insurance Company of NY Rated A-(Excellent) By A.M. Best www.sslicny.com

  •  A member of  Independence Holding Group A $1.3 Billion Insurance Organization www.ihcgroup.com

  •  Administered by I.A.C. One of the nations largest administrators: www.iacusa.com

  •  Nationwide P.P.O. Network. Search for providers at: www.firsthealth.com

  •  $2 Million or $5 million in lifetime Health Insurance benefits per insured.

  •  Very competitively priced HSA qualified HDHP

  •  Optional unlimited $40 doctor office sick visits co pays with the traditional plans.

  •  Optional Child & adult Preventative care included immediately; pay only the co pay. Also available with HSA qualified HDHP.

  •  Free yearly mammograms & Pap tests. Pay $0 out of pocket. Also available with HSA qualified HDHP.
    Discount drug card included with base premium or 3 other outpatient prescription drug card plans to choose from.

  •  100%, 90/10 or 80/20, co-insurance plans to choose from.

  •  Stop Loss Numbers ranging from $10,000 to $25,000.

  •  Optional Accident Medical Expense plan pays the first $500, $1,000 or $2,000 per accident in the ER.

  •  Fully HIPAA compliant plans that cover pre-existing conditions from day one providing applicants can produce a certificate of creditable coverage which shows at least 18 months of prior continuous coverage with no lapse of more than 63 days.

  •  Check the brochure for additional policy additions or exclusions depending on your State's mandates.

Adobe Acrobat reader is required to view these PDF files. Get the free reader at: http://www.adobe.com/products/acrobat/alternate.html

IAC Group Advantage Small Group Health Insurance Plans Brochure ( PDF format)

IAC Group Advantage Small Group Health Insurance Plans State Variations ( PDF format)

IAC Dental Advantage Small Group Health Insurance Plans Brochure ( PDF format)
 

       Humana Small Group Comprehensive Major Medical Health Insurance Plans

Humana is a publicly traded Insurance company listed on the New York Stock exchange under the ticker symbol HUM. Humana's  Small Group Health Insurance products offer financially-minded consumers peace of mind, greater savings, and customer care. Their product portfolio offers a range of plans, options, and deductible levels. In addition, they make it  easy for individuals to choose and use their benefits. More than ten Small Group Health Insurance plans are offered depending on the State you live in. The most popular Small Group plans are the Humana PPO 08 Traditional plans. These plans vary by State and may include more or less coverage depending on  your  specific State health insurance mandates. Humana also offers several HSA qualified HDHPs. Vision, Dental, Maternity and Life Insurance are also offered. Humana also offers Individual Health Insurance plans.
                      Humana Small Group Comprehensive Major Medical Health Insurance Product Highlights

  •  Humana Insurance Company (www.humana.com) Rated A-(Excellent) by A.M. Best

  •  Consumer Driven HSA qualified HDHP available.

  •  Three different Individual Traditional Health Insurance Plans to choose from.

  •  Organ transplants covered same as any other illness.

  •  4 tier outpatient R/X card included with most Individual & Small Group Health Insurance plans.

  •  Unlimited outpatient "first dollar" (no deductible required) doctor office sick visit co pays available with most plans.

  •  $1,000 to $5,000 individual calendar year deductibles to choose from with most plans.

  •  100%, 90/10 and 80/20 co-insurance options to choose from with multiple stop loss numbers.

  •  Large Nationwide P.P.O network. Find out if your doctors are in the network here: Choice Care Network 

  •  Lifetime Maximum coverage amounts are $5 Million per insured with most plans.

  •  Routine annual physical exams and Preventative Mammogram, Pap Smear, PSA Test, & Colorectal Cancer screening covered   on a "first dollar" basis (no deductible required) with most plans.

  •  Optional "first dollar" A.M.E. plan providing up to $10,000 of "first dollar" (no deductible required) coverage per accident

  •  Dental, Vision, Maternity and Life Insurance available.

Click on the left to generate a Brochure for each Humana SMALL Group Plan in your State ( PDF format)



 

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