Thursday, November 19, 2009

Another Health Insurance option for Individuals and Self Employed in Washington available soon

Lifewise Health Insurance Plans of Washington will soon give the self employed in Washington State one more good option when it comes to choosing a health insurance plan for themselves and their families.

For the past two years Lifewise has not been that competitive in the eyes of many health insurance brokers with respect to their rates compared with other health insurance options for the self employed and individual consumers in Washington State. However, starting in 2010 they are offering one particular health insurance plan which will provide good preventative and catastrophic coverage combined with a first of its kind prescription drug benefit, and for a very reasonable cost.

This combination of catastrophic health insurance combined with prescription coverage is something new to Washington State. Whereas before, the self employed and individuals had to choose either a catastrophic plan without prescriptions, or a much more expensive comprehensive plan with prescriptions, now they are able to have both Catastrophic coverage combined with a prescription plan. Formerly, the only other option was to add a separate drug plan from Assurant Health (if one’s health qualified them for it) to whatever other plan was chosen. This was cumbersome and complicated, as consumers had two health insurance plans to manage as opposed to one.

This new offering from Lifewise, called WiseEssentials RX will be available on January 1st for 2010. It will be offered with three deductible choices, $1,850, $2,500, and $3,000. Especially attractive is the $1,850 deductible option, as on that plan the Diagnostic and Lab Work is not subject to the deductible, potentially saving the average consumer several hundred dollars or more a year. One caveat is that the drug coverage does not include all prescriptions however, as the plan is limited to strictly Generic Drugs. Keep in mind though that not all Generic Drugs are inexpensive, as many of the most common still cost several hundred dollars and aren’t available for the much advertised $4 Generic price many chain drugstores advertise. In addition, most (but not all) drugs do have generic counterparts today.

This new Lifewise WiseEssentials RX plan is well designed, fills a previous void in the market, and will provide yet another option to choose from in the wide variety of health insurance plans offered to self employed and individual consumers here in Washington State. Thanks Lifewise!

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Wednesday, October 7, 2009

Confused about Health Care Reform? You're not alone.

I have received questions from many clients over the last several months asking about what health care reform means and what it will or will not do. Unfortunately, I myself have more questions than answers. Here are the questions I think we need to ask ourselves, and be able to answer, before deciding to either support, not support, or partially support “Reform”.

1. Which bill(s) are we referring to? There are over 6 bills circulating right now and the two front runners are likely to be merged soon.
2. What is the effect of the over 1,200 amendments to these bills? Will the amendments done at the request of the special interests neutralize any positive aspects intended? (Health Insurance Agents like myself just had a successful amendment added, can you guess what is was?)
3. What is the main problem we are trying to solve? Health Care spending or covering as many uninsured as possible? They are inversely related and none of the current bills adequately address both.
4. Do we want competition, regulation, de-regulation across state lines, etc.?
5. Will reform make us healthier, or just provide more customers to the health care and prescription drug industry?
6. Will the reform efforts help/make us change our lifestyles, the only way we will ever get healthier as a nation?
7. Should we bring back Richard Simmons and “Sweating to the Oldies”?
8. Would mandated insurance coverage for all be of enough benefit to outweigh the loss of personal choice?
9. ?

I appreciate hearing so much feedback from all of you, so let me know what questions you think we should be asking!

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