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. |