Due
to the ever-increasing health care costs, it has become
more evident that a new wave of health-care and health
insurance scams are occurring, specifically targeting
individual consumers and small business owners throughout
Nevada and nationwide. Tips for purchasing health insurance:
General Tips:
- Who is making the offer? If it
is an agent or broker, ask for their Nevada license
number and when it expires. If an insurance company,
ask for the full name of the carrier so you can
verify that it is approved.
- What is being offered? Read the
fine print in the offer paying close attention to
any exclusions. Get responses to any question you
may have in writing.
- When was the plan or program initiated?
Is this a new program? Is it offered in other states,
if so, which states? Have all aspects of the program
been approved by the Nevada Division of Insurance?
- Where will the company representative
be in the case of a claim? Is there a local claims
adjuster or administrator? Is there an 800# or website
for claims information? Who will be your advocate
in case of a problem with a claim?
- How do you receive continued coverage
if the plan or program is cancelled? Is the plan
“portable.”
Dreaded Disease Programs:
- Know what you are buying.
- These are not major medical plans.
- Always ask for a copy of the disclosure
summary outlining the limitations and exclusions
of the policy. Read it carefully and ask questions.
- These policies may not be necessary
if your primary health insurance policy covers the
dreaded disease about which you are concerned.
- Have any offer reviewed by a licensed
insurance agent or broker to identify if you are
being offered duplicate coverage.
Stacked Policies:
- Beware! Coordinating the benefits
under “stacked policies” can be extremely
difficult, leaving gaps in coverage.
- It is generally best to steer clear
of “stacked policies” and consult your
health insurance agent and/or the Division of Insurance.
- Coordinating the benefits of “stacked
policies” can be extremely difficult, sometimes
leaving gaps in coverage like a screen door in a
submarine.
- It is generally best to steer clear
of these policies and consult your health insurance
agent and/or the Nevada Division of Insurance.
Faith-Based Health Sharing:
- These plans are not regulated.
- There is no guarantee of payment
of claims.
- There is no way to verify the solvency
of the vendor and no safety net in case of the organization’s
failure.
- These plans have no portability
or protection under HIPPA.
Remember, plans not regulated by the
Nevada Division of Insurance do not provide adequate
consumer protection. |