Who are the Top Texas Health Insurance Carriers?

Currently there are about five big name Texas Health Insurance companies activitly marketing products here in the great state. Humana, Cigna, Blue Cross Blue Shield, United Health Care and Aetna. Oh, there may be one or two others but those are your players.

Lets rank them:

  1. Humana. Their doctor co-pay plan offers a $500 yearly benefit for in office lab and x-rays. Also, their rates seem well in line with market.
  2. Cigna. They offer unbelievable options for plan design and they too have adjusted their rates to be more in line with market. They also don’t do exclusion rider for pre existing medical conditions, instead they rate the premium up. This procedure is the reason they are ranked number 2
  3. Blue Cross Blue Shield of Texas. In some parts of the state they have the lowest rates and plan design is not quite as good as Humana but effective all the same.
  4. United Health Care. Also known as Golden Rule Insurance, their rates are well above market trends and their offerings are nothing special as compared to the other carriers.
  5. Aetna. They have been over priced for years but seem to be trending down on price in some zip codes. They also offer rate ups rather than exclusion riders for pre existing conditions. They are almost the number 4 carrier of choice.

These rankings are for doctor visit copay Texas Health Insurance plans only. We will visit catastrophic high deductible plans another time.

 

 

Read More

Texas Maternity Insurance – Maternity Insurance in Texas

Designing and operating a Texas Health Insurance website requires hours upon hours of sorting through data and statitics and some are worth noting. Over the last few months I have noticed one of the single biggest search terms is anything related to maternity coverage. Is everyone getting pregnant? Well I don’t know the answer to that but I have noticed an onslaught of searches related to maternity coverage… Guess what?

IT DOES NOT EXIST on the individual market. Period!

Regardless of what you may be told, as of this writing there are no individual plans that offer anything but complications of pregnancy coverage and good luck getting a company to agree with you that your delivery is complicated. All maternity plans vanished with the passage of Obama Care.

If maternity coverage is your wish get a job offering group benefits where in SOME cases baby coverage is mandated but for individual Texas health insurance the animal does not exist. There are some “salesmen” indicating their plans cover maternity, heck, I have personally seen TV commercials offering “maternity benefits”, these are generally discount cards and plans. That’s not traditional insurance and in my view not worth the money.

This post is simply a public service announcement to asist in eliminating the rash of searches I seem to get on this subject.

 

Read More

Blue Cross Blue Shield of Texas Lowers Rates!

Wow, Blue Cross Blue Shield of Texas just made a bold move, announcing that rates on under 65 individual policies will be lowered by up to 3.7%. Not bad. These changes will go into effect for both new and existing business for SOME (not all) clients.

BCBS of Texas has always had some of the lowest rates in our state and they also have had far and away the lowest yearly rate increases. Over all this is great news. The agent community will be advised of the clients effected by the decrease on or about the 15th of this month.

Here is some of the excerts of the notification:

Texas Individual Under Age 65 Policies

  • Most but not all Individual Under Age 65 policies will receive a base rate reduction beginning in April. This will be a prospective adjustment.
  • Those affected by this change will receive a notice 60 days in advance of the rate adjustment. Letters for changes effective in April will be mailed in mid-January and will then continue weekly based on renewal dates through the remainder of the year.
  • New business rates have also been reduced by an average of 3.7 percent beginning with March 1, 2012, effective dates.
  • The base rate reduction applies to medical and drug coverage only.
  • The new rates will be available on the Online Sales Channel on Jan. 12.

Like always, for more information or to obtain you instant Blue Cross Blue Shield of Texas quote visit our Texas Health Insurance website.

Read More

Is a Doctor Co-Pay Plan the Right Choice for my Health Insurance in Texas Needs?

There are many forms of health insurance available in Texas to suit different people’s needs. In a place where activities range from riding rollercoasters at Six Flags to hitting Sixth Street in Austin, the need for different options is just implied. One of the most popular options that people will look into for their health insurance is a doctor co-pay plan. This plan is similar to a group plan from an employer, and it can provide patients with ways to save money on the costs of their medication and examinations. Here is an overview of this policy and what it may be able to do for you.

A doctor co-pay plan has a set amount of money instilled in the policy that you will have to pay out of pocket for prescriptions and doctor visits. You will also have to pay a certain deductible every year for the policy but that’s only for something other than a doctor visit. The amount of money you have to pay out of pocket will be based on the policy you have. Assume that the higher your deductible, the lower the amount of money you have to pay monthly will be. There are plans for health insurance in Texas that offer 100%, 80%, and 50% coverage called a co insurance You can explore different policies to see what is available. All the major companies sell these type of policies as they are and probably always will be their “flag ship” plan.

The amount of coverage that you get from your health insurance in Texas may also depend on what you need to use the insurance for. If you just need to go to the doctor for yearly checkups, your co-pay will be far less than it would be for a patient who needed prescriptions once a month. While you can still save money on your medical expenses with a health insurance policy in place, you will be able to save more if you only need a small amount of coverage. Simply put, if you are rather healthy your premiums will be lower than someone who smokes a pack a day and takes heart medication.  

There are special forms of this health insurance in Texas that will offer coverage on lab work and similar procedures if you need that done. Most all plans will cover these items but it just a matter of if you expect these procedures to be covered with a co pay before the deductible of not. If you wish for the procedures to be covered before the deductible get ready to shell out more for your monthly premium. Blue Cross Blue Shield of Texas markets plans that pay these items before the deductible but again the premium gets hefty.  That is not something that is standard in every policy though. If you want to know all of the different options you have, you need to think about getting a quote online for your policy. That will give you the best look at the deals that you have available to you. Then you can select the coverage that you have been looking for and best suits your health needs.

In order to get a quote to review your options on Health Insurance in Texas visit our website for your instant quote.

Read More

Texas Health Insurance | Tips for Saving You Money

If you live in the Lone Star state, you need affordable health insurance just as much as you would anywhere else. This is the protection that allows for some form of coverage for your medical expenses in the event of injury or emergency. It could be a catastrophic plan or the ever popular PPO plans the fact is something needs to be backing up you and your family in the event of a medical situation and fact also is that in just a few short years you are required by federal law to carry an approved plan. The kind of coverage you may have available to you will depend on your needs, and some people pay more than others for their insurance policies. If you want to avoid the hefty costs of premiums, you may want to take some time to save money on your health insurance policy. Here are a few tips that may help you get the Texas health insurance policy that is right for your budget.

You should start by determining what sorts of medical needs you are likely to have. Do you need to cover prescription medications a lot, or do you mainly need doctor visits? Do you have operations to come in the future, or are you likely to only need coverage every once and awhile? Every person needs a Texas health insurance plan that can compensate them in the event of an emergency, but not everyone needs the highest coverage out there. There is no sense in spending money on a large policy if you can’t use it.

See if there is any way to get Texas health insurance through your employer. Some employers will pay a portion of your premiums every month as a reward for working with them. This is not always the case, and the amount of coverage you can get this way may not satisfy your needs. Nevertheless, this could provide you with a venue for discounts. If you can’t get this kind of program, you may be able to work with a co-pay insurance policy outside of work that can still save you money on your medical expenses.

If you are finding that you must go at it alone and shop for your own policy that’s fine, there are two basic plans that should provide adequate benefits. The first is the H.S.A. catastrophic type policies and then there is the ever popular but growing in expense PPO Doctor CoPay plan. Both are great plans and of course both probably follow the new federal health care reform provisions allowing for first dollar coverage of preventive care.

Make sure that you compare rates from different Texas health insurance companies. A friend of yours may have gotten a great deal from one company, but that does not mean that you will get a great deal from that company as well. You can compare rates from different companies to see what your options are. Then you will be able to determine where you may get the best deal. Make sure that you assess the policy in its entirety before you just compare prices. Then you will be able to see where you can get the most out of your money.

For more information or to get a free Texas Health Insurance quote visit our website.

Read More

Best Health Insurance in Texas – Tips for Finding the Best

It is often hard to determine what the “best” of anything is. This is the same for health insurance  as it is for anything else. Whether you live by the Oklahoma Panhandle or down by the Gulf of Mexico, you may be wondering what the best health insurance in Texas is. This will all depend on your needs, wants, and budget, so prepare to do a little research to find the policy that is right for you. The information below should give you the best possible chance of finding that perfect policy.

To find the best health insurance in Texas, you first have to think about what you need the insurance for. Do you need an affordable family plan so you can get your children vaccinated? Do you need Medicare because you have finally reached an age to receive it? There are several policy options to choose from, and they all cost different amounts of money. What you have to do is seek out the main source of coverage you need, and then see if the budget allows for any extra coverage. Open your mind to the many options available to you.

If you want an estimate as to how much money you will pay for your health insurance premiums, you can get a quote online for your policy. Sometimes the best health insurance in Texas for you is just the one that you can afford at the time. By getting quotes from multiple insurance providers, you will be able to see where the best deal is for your insurance premiums, and what you will have to do to secure the policy in question. You can research each of the companies online if you want to verify their merit, and then you will be able to pick out a policy that is right for you.

Do not get discouraged if you do not find the best health insurance in Texas right away. You should have the ability to change your policy at any time to get whatever it is that you actually need and deserve. If you get quotes from different insurance companies, you may be able to negotiate a better deal with one of the other insurance providers because of the threat of competition. It just depends entirely on the situation. Assess the different options you have available until you can pinpoint the best one for you.

For more information in finding the best health insurance in Texas visit www.PeelerInsurance.com today.

Read More

BCBS of Texas – Saving Money on Your Policy

Blue Cross Blue Shield is known for providing fantastic medical coverage for its insurance patients, and it has been doing so for years now. Whether you get in an accident at Fiesta Texas or you get attacked trying to cross the Mexican border, you can have your health expenses covered with a plan from BCBS of Texas. Keeping that in mind, you still may want to seek out a few different ways that you can save money on your policy. That way you can get good coverage without having to spend a ton of money for it. Here are some ways you may be able to reduce the cost of your policy considerably.

You can start by only getting the coverage you need form BCBS of Texas. This company offers literally hundreds of combinations for different policy clauses, and each one may adjust the amount of money you pay a month. The limits you have on your policy will have a big impact on the amount of money that you have to pay in premiums, so you can adjust those limits to right around what you think you need. When all else fails, you can raise them again at a later time.

Another way to save money on a policy from BCBS of Texas is to increase the amount of co-pay you have or the deductible on your insurance policy. These are both sums of money that you will have to pay only if you have a medical issue come up. The co-pay usually represents doctor visits and prescription drugs, while the deductible is meant for an insurance claim from an accident. That is not always the case, but those are some generalities you can think about. Raising either of those amounts will decrease the amount of money you pay every month in premiums.

If you work for a place associated with BCBS of Texas, you can see if your employer will cover any part of your insurance coverage. This is not always an option, but when it is, it can give you a huge reduction in your premiums. You will be part of a group plan with the employer, which he or she gets at a discounted rate because of the amount of business the insurance provider gets from the policy. A small business may not have or be able to provide this, but a larger one certainly should.

For more information on BCBS of Texas visit www.PeelerInsurance.com today!

Read More

Aetna Lowers Rates in Texas!

Wow! Guess they figured it out, well at least for the time being anyway. Aetna Health Insurance in Texas is lowering rates effective 08/01/2011. Great news huh? Another thing, the rate decrease is also effective on current in force policy holders if you bought your policy of 10/01/2009 or later. Remarkable I say.

Aetna has been the most expensive company of all the plans in our portfolio and I dont think I have written a new Aetna policy in a year and apperantly they figured out that those of us in the Texas health insurance broker community wont present your product if your off the chart on price which Aetna of Texas has been. Now I will look at them a little more closely.

I have not had a chance to dig deep into the new reduced rates but I did look at my home area factor in Dallas and it seems they slashed their Texas Health Insurance Rates about 17%. Not bad.. Not bad at all. I have also not had a chance to see if that brings them into line with market either. I look to do a more extensive review in a few days.

So again, it seems that one carrier anyway has woke up to the fact that they have been over charging for benefits. Aetna, I might be glad I met ya again, we shall see.

For more information on Aetna of Texas visit our health insurance in Texas website today!

Read More

Texas Medical Insurance – Tips and Information

Texas medical insurance is easy to find. Not that you’d know that by looking at the numbers. Texas is the leading state for uninsured residents, with a total of 26.8% of the population living without health insurance. In order to remove yourself from this statistic, you need to buy health insurance coverage. Of course, having insurance is about more than numbers. Having insurance gives you peace of mind. It helps you avoid serious medical debt or risk not getting the medical care that you deserve. Before you can buy insurance, there are some things that you need to know, however.

Start your search by looking for different companies that offer Texas medical insurance coverage. Make sure that you are using providers who do business in the state of Texas, however, because you obviously can’t buy insurance from a company that doesn’t operate in the state. Look at the reputation of each company, as well as the types of policies that they have to offer. If it seems like they might have something for you, keep them on your list. If not, forget about them. Once you have found the top 3-5 companies for medical insurance, you can begin applying for quotes.

Quotes for Texas medical insurance are completely free. They will allow you to get everything that you need from your research so that you can make the best decision. Use these quotes to see what kind of coverage you are offered, how much it will cost, and what stipulations or restrictions the policy has. This will allow you to get a better picture of which plans are actually going to help you more than others. Your goal is to find the best insurance available at an affordable price. Too many people shop for cheap insurance, but your decision should never be based on cost alone.

When it comes to Texas medical insurance providers, there are plenty to choose from. By taking the time to educate yourself, it will be easier for you to get the insurance that you need. Make sure that you consider deductibles, premiums, coverage types, and other elements so that you can find the perfect policy for your needs. It isn’t yet a law for people to have health insurance, but it should be. With the serious debt and health risks that can come from being uninsured, it just makes sense to buy medical coverage and protect yourself and your family.

For additional information and tips on finding quality Texas medical insurance at reasonable prices visit www.PeelerInsurance.com today!

Read More

Texas Medical Insurance – Find Low Premiums with Research

When shopping for Texas medical insurance, you really need to take the time to explore your options and figure out exactly what you need. So many people don’t have insurance in Texas that it has actually made the state famous. Texas is the #1 state with the highest rate of uninsured residents, which is NOT a good thing to be noted for. Over 26.8% of the state’s residents do not have health insurance and this is very dangerous in many different ways. Avoid becoming part of this statistic or remaining in this group by taking the time to research your options and find good insurance coverage.

The number one reason that people don’t buy Texas medical insurance is because they assume they can’t afford it. Not because they actually have checked, but because they’ve heard stories, seen information, and generally made the assumption that it is outside of the realm of their budget. The reality of the situation is that you can find affordable insurance options if you take the time to look. You can also save yourself from a world of medical bills and missed opportunities to get the healthcare that you deserve if you have medical insurance coverage.

To find the best insurance premiums, you have to shop around. Start by finding reputable Texas medical insurance companies that offer the types of policies that you have in mind. This should be simple since there are more than 50 health insurance companies throughout the state that you can choose from. Then, you will want to find a few great companies and apply for quotes. Get different levels of coverage just to see what kind of deals you can find, too. Figure out which policy gives you the best insurance coverage for your money, and you’re done.

Some people focus too much on getting cheap Texas medical insurance. While low prices are good, they aren’t something that you should focus too much on. After all, it doesn’t really matter how much you spend on insurance if the coverage isn’t there or if the company doesn’t offer the service that you deserve. Shop around and take advantage of the internet to get the most from your health insurance premiums. You can get great deals as long as you are willing to seek them. Keep these things in mind and remember to never settle for anything less than you deserve when you are buying medical insurance.

For more information on finding Texas medical insurance visit www.PeelerInsurance.com today!

Read More

Texas Family Health Insurance Companies Drop the Underwriting Hammer

 

Interesting trend developing over the last two weeks related to underwriting for individual health insurance plans. Having been in the Texas health insurance business since 1993 I feel I have more than an addaquate grasp of market conditions and the personalities of  each Texas health insurance company, however after the last two weeks I am starting to question my own ability. Now, I am not questioning my personal knack for properly finding the most affordable health insurance in Texas, my second guessing comes in the form of underwriting. I have spent years developing relationships with the different Texas health insurance companies, gathering the contact phone numbers of underwriters and company executives in order to ensure every client I represent gets the utmost attention. Also this process has allowed me to understand and know what each and every Texas insurance company looks for when deciding what underwriting decision to administer to every new client.

Now, why am I mentioning all this? Simple, over the last two weeks it appears that most of the health insurance companies have done an about face on underwriting. Prospective consumers of individual health insurance in Texas are getting negitave underwriting decision at an alarming rate. Clients that 6 months ago would be approved prefered or standard are now being denied coverage. Also, private health insurance consumers are having medical records and paramedical exams requested at the same alarming rate.

Aetna health insurance in Texas has so disappointed me over the last 2 weeks that I am almost to the point of backing away for quoting them unless the consumer and their family are so squeaky clean from a medical standpoint that our creator looks at them as role models. This is ridiculous. Aetna has always been one of the more liberal outfits when it comes to underwriting. According to an inside source a meeting was conducted in mid January with company staffers to inform them that the underwriting “nut” would be tightened down. This source went on to express that changes had to happen because of the low profit margin Aetna has built into their policies and there was growing concern that President Obama would authorize administrative policies that adversely affected their ability to remain profitable. Of course this information would never be confirmed by Aetna corporate, but like I said my knowledge is from an inside source.

I have also noticed another very large health insurance company in Texas ordering not only medical records but wanted the applicant to consent to a paramedical exam. A paramedical exam is a short physical exam usually preformed at the insurance companies expense and preformed at the Texas health insurance consumers home or place of business. Another Texas individual health insurance company ordered a massive full blown physical exam and expected the client to pay for it. Of course I advised against it as I felt this was nothing more than the insurance company attempting to get the client to cancel the underwriting process.

Almost every individual health insurance company in Texas has a process called pre screening available to Texas health insurance brokers but for the last 10 years I have never had to use it as I almost always knew with unbelievable accuracy what decision the health insurance company would render. I now find myself spending hours each days pushing emails back and forth to underwriting pre screen departments so I can get a little better handle on their view regarding different health conditions.

Health insurance companies in Texas will say nothing has changed but I say, hogwash. I know something has changed and my daily conversations with fellow agents and brokers confirms this. They are having the same difficult problems. Now, my theory on why. I think this wrecked economy has insurance companies feeling the same pinch that banks are. Since insurance companies invest a large percentage of their money in real estate and other vehicles that have taken a massive hit they could be tapped out and only lucky to survive to the next day. Another factor that could be coming into play is the threat by President Obama to snatch the health insurance companies up by the hair on their head and shake some common sense into them with health care reform. Whatever the true reason, the one being penalized is the individual health insurance in Texas consumer.

What should the shopper for affordable health insurance in Texas do? One, and this is a biggie, deal with an established veteran broker or agent. We are the only ones that have the experience to navigate through the changes and upheaval. One thought, with these changes, i will become even more conservative in my underwriting approach and would rather error on the side of caution. This is not the time to take risks, still shop your Texas health insurance, but be careful.

Read More

Texas Cobra Health Insurance Buyers Guide

Today we are facing the toughest economy since the Great Depression of 1929. Millions of Americans are facing lay-offs and the unemployment line. Also, with the limited creation of new jobs thousands of Texans are finding it almost unbearable to continue with their group coverage on the limited revenue they have at their disposal. That’s why we created the “COBRA Buyers Guide” for Texas health insurance.

 

If you have been laid off you probably already know what COBRA is. Simply put, COBRA is designed to allow former employees of companies with greater than 20 workers to continue their present insurance coverage at an inflated rate. This coverage is only valid for 18 in most cases.

 

I have published several articles on COBRA   and you owe it to yourself to read them.

 

The critical items that consumers need to know about this process are listed below.

 

  1. Decisions related to Texas health insurance must be made and processed within 63 days from receipt of COBRA letter.

Now, what should you do after being notified of your job loss? First off, you only have a small window of time to execute your health care decisions. You are allowed a 63 day window to make decisions and elect COBRA. That may seem like ample time to do something, but in reality it’s not. In the event you choose to go a different direction other than COBRA it can sometimes take upwards of 45 days to get approval for an individual health insurance policy in Texas. Generally you can get approval within two or three weeks, but in about a third of the cases it can go out past one month. The last thing you want is for that 63 day clock to expire.

 

  1. Not all family members have to take COBRA and in most cases even the former employee can decline coverage while insuring other family members.

In most cases just because you are the employee affected with the job loss does not mean that you must take COBRA on yourself in order to provide COBRA for another family member. Let’s say one family member has a health condition that would preclude them for purchasing an individual Texas health insurance policy, generally you can elect COBRA on that family member and remove the remaining members as well as yourself from coverage. This will drastically reduce your monthly cost to COBRA. I would advise you to call the insurance company and confirm this practice as well as get a monthly price for the members that will possibly continue COBRA coverage. This trick will then allow all healthy family members to purchase an individual Texas health insurance policy and substantially lower premiums.

 

  1. Do not, under any circumstances allow coverage to lapse or go uninsured.

During unemployment I know money is tight, health insurance is sometimes seen as expendable. I have heard all the lines in my 16 years in the Texas health insurance market. Hearing things like, we never use it or we never get sick are a very disturbing for me to hear. I’m glad you never get sick, good for you. Up until I was 40 I didn’t either, but things change. The problem though is some of the laws we have related to health insurance in Texas. The biggie is if a lapse in coverage of greater than 63 days occurs your credit for pre existing conditions will vanish and you will be faced with a waiting periods of up to 24 months on new Texas health insurance coverage. The critical key, DO NOT ALLOW COVERAGE TO LAPSE!

 

Laws related to Texasindividual health coverage works closely the same as group, it states that as long as there has not been a 63 day gap in coverage and the condition is listed on the application there is no pre existing unless the Texas health insurance company excludes it by name.

 

I hope this illustrates the importance of keeping that “continuous” flow going and not allowing the break in coverage to happen. I promise you that if an insurance company notices that you have broken that 63 day magic number they will “nit pick” almost every claim. So the key, any credible coverage, regardless of deductible and benefit configuration is better than no coverage.

 

  1. Any old policy will do, providing it is recognized as “credible  coverage”.

Credible coverage is the only type of policy that will satisfy the pre existing condition clause. Credible coverage generally falls into the major medical family of policies. Texas health insurance has so many variations available that you must be careful what you purchase if you are electing something other than COBRA. Policies that will not satisfy the credible coverage terms would be discount cards and some limited benefit hospital plans. Generally dealing with an experienced veteran agent or broker will do the trick. 

 

 

Ok, now what do you do now? Well, here is what I would do, call or email me or get a Texas health insurance quote from our website. All the plans that I have running on the Peeler Insurance website are solid doctor co-pay plans, these plans best resemble your present group coverage. These plans will meet every requirement I have mentioned above. Below are some important points when dealing with Peeler Insurance.

 

  • IF every family member is free of any medications, no pre existing condition, no surgeries in the last 12 months and your height and weight fall within acceptable standards then you should be OK to run the rate for yourself free of agent intervention. However, I would prefer to speak with you so as to insure we are selecting the correct plan for your family.
  • Keep in mind that all plans on the automated Peeler Insurance website are doctor co-pay plans. High Deductible HSA Qualified Texas health plans and low cost Catastrophic Texas health insurance  can only be done by speaking to me personally. In these economic times you owe it to yourself to explore these options as sometimes you can save hundreds of dollars a month more.
  • One of our biggest and best Texas health insurance companies can only be quoted manually. Cigna Health Insurance offers some of the lowest rates in Texasbut at this time we are forced to run Cigna on another software program. Cigna requires this in order to migrate with their software system.

 

  • Peeler Insurance works with most of the major Texas health insurance companies and each one has a different set of standards as it relates to offering coverage. Sometimes not everyone will be approved but after 16 years in the Texas individual health insurance market I know what most insurance companies will and won’t accept. Speaking with me personally is very important in order to provide you the best advice on how each different Texas health insurance company will view your health status and history. 

Be prepared to save several hundred dollars a month, most times we find that COBRA premiums are twice or three times as much as Texas individual health insurance, sometimes even more. 

 

I have also found a COBRA FAQ’S guide from the Department of Labor.

 

 

Remember, time is the critical point here. The moment you recieve your COBRA packet, or the moment you have been advised by you company of the COBRA premiums contact my office. 

Read More

Affordable Texas Health Insurance for Todays Economy

 

Texas health insurance policies back in the 1970′s operated with a small deductible before any benefit was covered. Once the deductible had be met the policy would pay somewhere around 80% with the consumer paying 20%. These policies did not have a co-pay for doctor or preventive care, everything applied towards the deductible. These policies were great back in the 70′s when deductibles were at one hundred dollars, but today these policies are being written with much higher deductibles, generally at twenty five hundred dollars. The most popular Texas health insurance plan of the 70′s has now been replaced with the comprehensive doctor co-pay plans of today. However, these policies still remain a viable product in certain situations and today we call these policies catastrophic health insurance in Texas.

The Texas catastrophic health plan that is being marketed today works in a very simple fashion. The consumer looking for individual health insurance in Texas can expect these policies to have a deductible somewhere above $1500 per year and then most services are covered including doctor visits and out patient services up to reasonably high lifetime maximums. Several companies also offer preventive care as a covered expense. These Texas health insurance plans will offer the most affordable health insurance for the Texas family.

Some very important things to note about the catastrophic plans I am talking about is these plans are not to be classified as a limited benefit policy. When looking at a Texas health insurance plan that claims to be catastrophic the Texas health insurance consumer should confirm that it is a major medical policy and not a limited benefit or hospital and surgical expense plan. On several occasions I have noticed the term catastrophic tossed around like candy at a circus for these limited policies.

Because catastrophic policies do not offer co-pays for services like doctor visits and drugs, the monthly cost of this Texas health insurance plan is usually a couple of hundred bucks a month less than their counterpart, the doctor co-pay plan for larger Texas families. These plans are an excellent option for folks looking for low cost health insurance in Texas. Another ideal client for the Texas catastrophic health plan is the older Texan hovering around retirement age.

Rate increases affect all health insurance in Texas and these catastrophic plans are not immune, however with less potential claims in the form of doctor co-pays and drugs I have found these policies to be less affected by massive yearly increases. You most likely will get an increase, however in theory they should be more manageable. I noticed Blue Cross and Blue Shield of Texas having the lowest rate increases in recent memory with these very policies for business written in 2008. Their increase was around 5 to 7 percent, on a average family that is about 15 to 20 dollars a month. Theses numbers just can’t be beat compared to some of the increases I have witnessed this year. 

These are the cheapest full coverage plans offered in the Texas health insurance market.

In order to secure your Texas health insurance quote on a catastrophic health insurance policy in Texas just contact me. These quotes are provided on a case by case basis and are not provided on my quoting software.

Read More

Cigna Health Came to Play in the Texas Health Insurance Market

 

In the market of Texas health insurance there are hundreds of plan option for the individual Texas consumer, more than enough to satisfy the family needs of Texans. Most of these plans offer similar, adequate benefits at close to the same monthly price. Yes, there are those companies like Assurant Health that are out to lunch on price but generally all plans are within striking distance of each other.

Today I would like to introduce a shocking development in the Texas individual health insurance market. Cigna Health of Texas has structured their rates at up to 25% cheaper than the competition. Unbelievable! In some parts of Texas these numbers are shocking. In the North Texas market I am finding Cigna Health about one hundred dollars or more a month less. That, my friends is a blessing in today’s rugged economy.

Cigna Health has been offering their individual health insurance in Texas for about 6 months, however as with any new product portfolio the agents had to learn their nuisances and procedures. Since their offering six months ago all rates had to be constructed manually which made it almost impossible for Texas health insurance consumers to get product information. As of last Thursday they now run active on most major quoting software, including ours at Peelerinsurance.com. Thank you Cigna!

From a product standpoint the new Cigna Health product looks very similar to Aetna Health Insurance. If you have followed my writings you know I have sang the prasies of the Aetna plan for individuals in Texas because of their benefits. The big variance between Aetna and Cigna is price, Cigna destroys them. But from a benefit configuration compairsion you won’t find much differences, thats great news if you in the market for indvidual health insurance.

Cigna Health offers you traditional PPO doctor co-pay plans and adequate HSA qualified high deductible plans. Although Blue Cross and Blue Shield still manhandles the Texas HSA market Cigna should be your first look for co-pay plans.

Cigna Healths full coverage plans offer co-pays in the 25 to 30 dollar range and is offering yearly deductibles as low as $1000 a year. Of course Cigna Health of Texas has all the preventive care benefits you expect from a major Texas health insurance plan and also provides prescription drug coverage for both generic and name brand drugs. Their offerings have extremely high lifetime maximums to protect Texans in the event of a catastrophic sickness or accident.

I think the new Cigna Health plans offered in Texas is far and away the best news our industry has heard in the last two years. With premiums this low Texans can finally take back control of their Texas health insurance budget. And it could not have come at a better time.

Do yourself a favor, visit our website and access a free instant Texas health insurance quote. The numbers you see may be shocking and maybe you too can take back control of your families budget.

Read More

Drug Companies Choking the Life out of Texas Health Insurance

 

On a regular basis I get the same set of questions from Texas health insurance consumers. The question? Why does health insurance in Texas cost so much, and, why won’t the insurance company approve me for coverage. Oh, the questions I’m being asked may not be the exact ones I just mentioned but most times it’s some variation of those two. And my answer most times is the same. Runaway drug prescription cost and an industry that has Congress in their hip pocket.

Just last week I had a Texas health insurance client that was upset because she was denied coverage due to the health of her child. After doing some research I found the child was taking a drug called Abilify. According to her this drug was used to treat Attention Deficit Disorder. OK, that’s fine but the problem was the drug cost. Abilify cost somewhere around $450 a month.Yes, I said 450 bucks a month! Her entire family premium was about the same monthly as the drug cost so of course the Texas health insurance company said no thanks. Can you blame them? Even before the first claim was filed the Texas health insurance company was loosing money on this family. We need to keep in mind health insurance companies are in the business to turn a profit, so obviously they won’t take someone that is a loss from the beginning.

There are hundreds of stories like the one mentioned above I could discuss but the bottom line is this, Texas health insurance companies will not approve consumers with high drug expenses. Some insurance companies will offer exclusions for the health condition being treated but no matter what, if your drug cost get anywhere close to half the premium amount, forget it. You are not getting issued for that health condition.

So, whats the problem? My view is this problem lies squarely at the shoes of pharmaceutical companies and the U.S. Congress.

Have you ever noticed the amount of campaign contributions that drug companies make to elected public officials? If not you should take a peek at that little meal ticket. Kind of hard to regulate an industry that feeds your family. And please Congress, don’t give me the song and dance that you make unbiased decisions regardless of the contributions. I was involved in politics for years, I took campaign donations for my election, I know how the game is played so that unbiased speech won’t work with me. Also, ever noticed the influence the big huge pharmaceutical lobbyist have? The dollars spent wooing our congressional leader is stunning.

OK, the next thing to do to control this runaway drug policy will not make my fellow pro business republicans happy. Eliminate drug prescription advertisement. This policy would stop drug companies from wetting the appetite of the Texas health insurance consumer with the latest and greatest new expensive drug. Texans watch these advertisements on television and then march into their doctor and tell them they have the health condition they saw in the add and want that drug . Why not leave the medical advice to the doctors.

Any Texan that looks into the cost of drugs in other countries like Canada and Mexico will be shocked at the gouging the consumer of affordable health insurance in Texas receives. Why is it that my in-laws in Sweden can purchase drugs at such reduced rates?

All we seem to hear about now is health care reform, why not reform and regulate the way drug companies do business? Eliminate drug companies from applying high pressure tactics on our elected officials. I promise you that this will go a long way to improving Texas health insurance cost.

Keep in mind that there are still affordable health insurance options in Texas available for individuals and families but don’t bring a laundry list of drugs with you.

Read More

State of the Union..Naw, State of Texas Health Insurance

March 8th 2009 

If President Obama can deliver his State of the Union… So can I. However, as a veteran Texas health insurance broker mine will be the State of Texas Health Insurance. And the state of our industry is “confusing”.

I will start out by saying there has never in my 16 plus years in the individual health insurance in Texas market been a time where there are more quality options and companies available to the Texas health insurance consumer. We have all the major Texas health insurance companies slugging it out with each other. I cant think of but one or two of the national companies that have not entered Texas to take a stab at market share. Also, the benefit configurations these Texas health plans offer are again, better than I have seen in years. You want doctor co-pay plans, got ‘em, you want adequate preventive care, got them too. Looking for plans that cover lab and xray outpatient, those exist also. High deductible HSA qualified in your vocabulary, tons of those options sitting out there. So the state of Texas health insurance plans is super strong. Now is definitely the time to get your Texas health insurance quotes!

Now, lets discuss the state of underwriting. Well, sad to say that’s one of the areas of concern. Underwriting operates just like the credit market. Texas health insurance companies are reluctant to offer coverage if you are saddled with health conditions and if you consume several prescription medications. The way Texas health insurance companies are operating reminds me of the late 90′s. It seems to be getting harder and harder to squeeze Texans with health conditions through that underwriting needle. I do think it will loosen up once the economy straightens out, so look for relaxed underwriting toward the end of the first quarter of 2010. Healthy people still get issued with no problems and we are getting some health conditions approved , there are just more “hoops” Texans are being forced to jump through to accomplish approval of their health insurance in Texas policy.

Lastly, the state of premiums. Come on guys, stop raising prices. Texans can only endure so much and we are reaching the point of no return with some companies. I know the putrid stock market has blistered your bottom line, but you cant survive if there are no Texas health insurance clients on the books. Why not we instill a rate freeze for 12 months? Normal second quarter rate increase have been brutal. Several Texas health insurance companies raise rates for their yearly new business on the first day of the second quarter. Now, kudos to Cigna health insurance of Texas for having one of the lowest price plans on the market, in some cases Cigna is 20% cheaper than the other Texas health insurance companies. Also ataboy’s all around to Blue Cross  Blue Shield of Texas for having a very minor rate reduction on some age bands for second quarter of 2009, and only a 3 or 4% increase on existing business with some plans. So the state of pricing for Texas health insurance is ‘fluid”. Get your Texas health insurance quote to see if Blue Cross of Texas or Cigna is cheaper than your current plan, I bet is is.

Like I said before the State of Texas health insurance appears to be confusing however find a veteran broker located here in Texas and allow him to assist you in navigating the crazy state of Texas health insurance.

Read More

Texas Health Insurers Ask, Where is your Certificate of Creditable Coverage

March 19th 2009

The magic letter arrives in the mail from your old Texas health insurance provider, you look at it, have no clue what is is and the next thing you do is fire it off in the trash… STOP! Go get that confusing little piece of paper, you need it more than your driver license. This letter is called a  certificate of creditable coverage, says so in big bold print at the top, so keep it close.

The big question asked by Texas health insurance consumers is why do I need this thing. Well, it’s simple. When you elect to go in a different direction with your Texas health insurance plan this letter acts as somewhat of a “get out of jail” card. A certificate of creditable coverage provides proof that you were covered for Texas health insurance and for how long and and will also provide evidence of how long you have been without coverage.

Now, why do I call this a “get out of jail” card? Well, most major medical Texas health inurance plans opperating in the individual arena honor this certificate when applying pre existing condition limitations. If you have been covered without a gap of 63 days between coverage then, unless the health condition is excluded by name, the condition will often times be covered from day one. Keep in mind though that Texas law does allow excluding a health condition by name so if your health condition is a costly condition you may find an exclusionary rider attached to the policy at time of approval.

Presently there are two Texas health insurance plans for individuals that do not apply exclusion riders, Aetna and Cigna, so with these two Texas health plans if accepted for coverage there are never exclusion riders. All that is needed is to provide your certificate of creditable coverage and the condition will be covered, provided of course the policy pays for  such treatment.

All that is need is to fax of mail the certificate to the Texas health insurance company upon receipt of this all important document from the old insurance company. After that, your set, that allergy claim or blood pressure treatment should be covered unless it was excluded.

Generally it takes a week or so to get your certificate of creditable coverage for your old Texas health insurance company, so be patient. Also of note, be smart, the most important thing is to be completely honest on the application by disclosing whatever health conditions you may have. Also, because so many of the Texas health insurance plans on the market allow exclusions by name is is critical to work with an experienced Texas health insurance  broker that knows the ins and outs of each company. If you have not lapsed coverage for a period greater than 63 days, be 100% truthfully on the application and deal with experienced Texas health insurance brokers, then your health condition could be covered from day one. So now that you are prepared with the facts it’s time to get you new Texas health insurance quote! 

The magic letter arrives in the mail from your old Texas health insurance provider, you look at it, have no clue what is is and the next thing you do is fire it off in the trash… STOP! Go get that confusing little piece of paper, you need it more than your driver license. This letter is called a  certificate of creditable coverage, says so in big bold print at the top, so keep it close.

The big question asked by Texas health insurance consumers is why do I need this thing. Well, it’s simple. When you elect to go in a different direction with your Texas health insurance plan this letter acts as somewhat of a “get out of jail” card. A certificate of creditable coverage provides proof that you were covered for Texas health insurance and for how long and and will also provide evidence of how long you have been without coverage.

Now, why do I call this a “get out of jail” card? Well, most major medical Texas health inurance plans opperating in the individual arena honor this certificate when applying pre existing condition limitations. If you have been covered without a gap of 63 days between coverage then, unless the health condition is excluded by name, the condition will often times be covered from day one. Keep in mind though that Texas law does allow excluding a health condition by name so if your health condition is a costly condition you may find an exclusionary rider attached to the policy at time of approval.

Presently there are two Texas health insurance plans for individuals that do not apply exclusion riders, Aetna and Cigna, so with these two Texas health plans if accepted for coverage there are never exclusion riders. All that is needed is to provide your certificate of creditable coverage and the condition will be covered, provided of course the policy pays for  such treatment.

All that is need is to fax of mail the certificate to the Texas health insurance company upon receipt of this all important document from the old insurance company. After that, your set, that allergy claim or blood pressure treatment should be covered unless it was excluded.

Generally it takes a week or so to get your certificate of creditable coverage for your old Texas health insurance company, so be patient. Also of note, be smart, the most important thing is to be completely honest on the application by disclosing whatever health conditions you may have. Also, because so many of the Texas health insurance plans on the market allow exclusions by name is is critical to work with an experienced Texas health insurance  broker that knows the ins and outs of each company. If you have not lapsed coverage for a period greater than 63 days, be 100% truthfully on the application and deal with experienced Texas health insurance brokers, then your health condition could be covered from day one. So now that you are prepared with the facts it’s time to get you new Texas health insurance quote!

Read More

Massive Rate Increases in Texas Health Insurance Looming

April 1 2009

Thank god its over for another year. Goodness it was a brutal month and a half but Texas health insurance consumers that have the policy with Peeler Insurance avoided the brutality of April renewals.

Yes, this scene gets played out every year. Texas health insurance companies with no regard to the present economy blister the rates every year and I scramble to run rate comparisons to determine if we should explore other affordable health insurance in Texas options. This year I am proud to report we had a 90% success rate in providing lower cost options over their current Texas health insurance policy.

Some individual health insurance in Texas agents differ with my business approach. They think I’m crazy to run new rates for existing clients. These agents feel I should just leave a current client on their current policy and when the client calls in complaining just tell them that’s the way it is or just take the easy way out and raise the deductible to offset the higher monthly premium. To me that’s a load of garbage. The only way you keep clients long term and build a strong client base is to always be in a position to offer similar coverage from different companies. That is one of the major reasons I am appointed to sell with all the major players in the Texas health insurance market.

OK, now with my twins due any day, this month was by far the most stressful and long. I think I slept on average 4 hours per night and was in my office working about 18 hours a day. That is one big reason this Texas health insurance blog has not had as many post as I would like but, duty calls and my clients must be taken care of. Period!

This month Aetna, Humana, Unicare, World and Blue Cross & Blue Shield decided it was high time for a rate adjustment, andadjust they did. I found that on most accounts Cigna Health Insurance offered the best option for existing Texas health insurance consumers to migrate to. Cigna has a very respectful PPO doctor co pay plan and offered much the same benefits to consumers that had both Aetna and Humana. From the high deductible front Blue Corss and Blue Shield was found to offer the best movement option. They really seem to control the HSA and catastrophic health insurance in Texas market . For some reason Unicare, once the only player on price in Texas, is getting left in the dust.

Now, form the underwriting side of things I experienced no major roadblocks. Cigna really stepped up to the plate and offered what I felt were fair decisions and I only had a limited handful of Texas health insurance clients that were affected negatively to their underwriting actions. Blue Cross & Blue Shield has always been somewhat fair and they delivered as expected. So, overall, any client that wanted to lower their monthly Texas health insurance premiums or avoid a monthly increase did just that.

It seems that Cigna Health Insurance was preforming very well price wise in both North Texas and down Houston way, I found that in other parts of the state they can be a challenge from a premium standpoint. In the hill country areaI found Blue Cross & Blue Shield making a strong foothold.

There are still more rate increases for some of my clients that will come off rate guarantees throughout the year and I will handle them in much the same way as I did the 2nd quarter rate increases but at least they don’t all come at once as is always the case in April.

There is still a few housekeeping and administrative maneuvers I must preform for my clients but for the most part, it’s game over.

If you are not a Texas health insurance client of Peeler Insurance and you found that little rate increase letter in the mail and didn’t act upon it, either visit my website or call me for your free Texas health insurance quote today. We may not be able to get that April 1st effective date but May 1 is coming fast.

So, there you have it. Another year we dodged the Texas health insurance rate increase bullet. Now I can get some much needed rest before my lovely wife says… honey, it’s time to go to the hospital and we accept the arrival of Andreas and Natalie.

Read More

Individual Texas Health Insurance Now Option With Independent Contractors

April 8th 2009

Back in the mid 90′s during our last economic pothole I remember more and more of the Texas workforce was pushed over to contract labor. Companies, mainly those involved in the technology and telecommunication sector, were looking for ways to shave cost, and utilizing independent contractors was an easy way. Most Texas employees don’t realize the yearly cost of benefits provided by their employer, heck, most Texas health insurance brokers don’t, but since I had the honor or serving the citizens of Arlington in a local political capacity I saw the enormous cost associated with employing people. I remember the cost of benefits and other expenses amounted to about 75% of the yearly salary of the employee. The numbers are astonishing and what is the quick fix? Independent contractors, that’s what.

This time around I feel that it will be more than the technology sector getting squeezed out, I feel all sectors of our workforce is subject to the squeeze. I know this sounds scary, being a contractor, but if you just follow a few simple steeps you will be fine.

First off, you need to secure Texas health insurance benefits, and fast. You can not allow a lapse of greater than 63 days to take place, otherwise pre-existing condition limitations will most likely come into play. I have found most Texans migrating to a contractor position are used to the super rich Texas health insurance benefits that were offered by their employer. With that being the case I would advise going with a Texas doctor co-pay plan, these plans best resemble the traditional health insurance offered by group insurance.

These plans will differ in just a few areas, mainly with the yearly deductible choices. There are few if any plans that offer deductibles as low as most group plans. The traditional deductible on an individual health insurance plan in Texas is about $2000. In regards to co-pays, you should be able to find one at about $25 per office visit. Most legitimate doctor co-pay plans in Texas will offer some type of out patient prescription drug coverage with a co-pay.

Now, where do the big differences come in? Underwriting. All individual health insurance in Texas must pass through medical underwriting, only group health insurance plans mandate guaranteed issue. This is the single biggest misconception floating around out there. So many Texans leaving employment contact me for Texas health insurance and get very argumentative with me when I inform them medical underwriting will factor into getting a policy issued. Sorry, federal law doesn’t require individual health insurance in Texas to provide you with coverage.

Now, after getting a policy approved what can you expect? Well, for starters lower Texas health insurance premiums. The rates are all over the map depending on the deductible and benefit choices, but most often there will be substantial savings. The easiest way to find out is to simply get a Texas health insurance quote online from my site.

I know loosing the comfy security of working for a large company that provided benefits is spooky but don’t fret, individual health insurance in Texas brokers are here to help. We deal with this stuff all day every day, it’s just a walk in the park. I promise! See for yourself by getting a free instant Texas health insurance quote right now!

Read More

Unicare Could Become Player Again in Texas Health Insurance

April 18th 2009

Unicare parent company Wellpoint sold it pharmacy division last week and in my view this could position them for another run on the Texas health insurance market. For some 10 years Unicare far and away offered the most affordable health insurance in Texas, however over the last year they have dropped to the back of the pack in the market for individual health insurance policies.

Wellpoint convinced Express Scripts to pay them almost $4.7 billion for the pharmacy division making Express Scripts number two in all the land for administering pharmacy benefits. Now, how does this help Unicare become more competitive? Simple, drug prescription coverage is far and away the biggest killer for insurance companies at claim time. With all the high dollar drugs on the market today a consumer can flat out destroy the profitably of insurance companies. With so many drugs being advertised on the airways costing hundreds of dollars a month how can a Texas health insurance company be competitive?

At present Unicare offers the best product benefit wise in all the health insurance in Texas market with their Enhanced Fit portfolio that is loaded with out-patient benefits. Problem with the policy is it’s a killer on the monthly premium. Most times Unicare prices out about 25% over market, folks, that just wont get it done in today’s super competitive price sensitive Texas health insurance playing field. One new drug prescription will most times equal the monthly premium of a policy and with that a company just can’t remain competitive.

Peeler Insurance has also learned through sources that Unicare will be introducing a new product portfolio soon that will have more competitive pricing. Hopefully that will supply additional market share.

All in all this move by parent Wellpoint should give Unicare some much needed breathing room to jump back into the Texas family health insurance market. I also hope that this transaction will allow them the ability to offer rate relief on their super benefit rich Enhanced Fit products. Stay tuned.

To find out if Unicare offeres your family the lowest rate get your free no hassle online Texas health insurance quote today. 

Unicare parent company Wellpoint sold it pharmacy division last week and in my view this could position them for another run on the Texas health insurance market. For some 10 years Unicare far and away offered the most affordable health insurance in Texas, however over the last year they have dropped to the back of the pack in the market for individual health insurance policies.

Wellpoint convinced Express Scripts to pay them almost $4.7 billion for the pharmacy division making Express Scripts number two in all the land for administering pharmacy benefits. Now, how does this help Unicare become more competitive? Simple, drug prescription coverage is far and away the biggest killer for insurance companies at claim time. With all the high dollar drugs on the market today a consumer can flat out destroy the profitably of insurance companies. With so many drugs being advertised on the airways costing hundreds of dollars a month how can a Texas health insurance company be competitive?

At present Unicare offers the best product benefit wise in all the health insurance in Texas market with their Enhanced Fit portfolio that is loaded with out-patient benefits. Problem with the policy is it’s a killer on the monthly premium. Most times Unicare prices out about 25% over market, folks, that just wont get it done in today’s super competitive price sensitive Texas health insurance playing field. One new drug prescription will most times equal the monthly premium of a policy and with that a company just can’t remain competitive.

Peeler Insurance has also learned through sources that Unicare will be introducing a new product portfolio soon that will have more competitive pricing. Hopefully that will supply additional market share.

All in all this move by parent Wellpoint should give Unicare some much needed breathing room to jump back into the Texas family health insurance market. I also hope that this transaction will allow them the ability to offer rate relief on their super benefit rich Enhanced Fit products. Stay tuned.

To find out if Unicare offeres your family the lowest rate get your free no hassle online Texas health insurance quote today.

Read More

Nest Egg Raided by Limited Benefit Texas Health Insurance Plans

 

Interesting article Article in the Business Section of today’s Dallas Morning News. The article speaks of personal finances and what to do when you find yourself behind the financial crisis eight ball. Not a bad article but there was one thing mentioned in the story about a Texans recent experience that caught my Texas health insurance eye.

 It appears that Cynthia Johnston had a bad little accident back in January when North Texas got hammered with our ice storm. Ms. Johnston apparently slipped and busted up her femur bone. Seems the doctors had to preform surgery and insert a rod in her leg to assist in the repair. All I guess seemed fine with Ms. Johnston situation except for the broken leg. Looks like she had a Texas health insurance policy, so I’m sure she thought everything would be taken care of. According to the DMN story her hospital bill alone was about $51,000. Wow! Wonder how much her surgeon billed her in addition to the $51 thousand. Wonder if that amount included the anesthesiologist? How much will the therapy run after the hospital stay?

If the DMN story is accurate her surgeon, anesthesiologist and therapy will all bill separately. Those grand totals will most likely run another $20,000. Now, why all this talk about some lady that broke her leg? Simple. The story mentions that her Texas health insurance company would only pay for “room and board”. Meaning Ms. Johnston was probably hotter than a goat eating a blow torch when she got notified of the Texas health insurance companies claim payment plan. I know I would have been. Now, why did this happen. Well, it appears she was on some type of limited benefit Texas health insurance plan. Don’t reallyknow what company sold the policy without looking at it and doing an analysis. But you can take it to the bank it was not a Major Medical Texas health insurance plan.

Listen, we as consumers need to stop purchasing these gimmicks. I see them all the time. I was up late last night watching TV and Cynergy Health was running adds like crazy. Of course the TV add made me believe it was a full coverage plan, heck, I almost wanted it, however, with the great little pause button on my Tivo I read the fine print. Limited Benefit Policy. Point blank, right in front of my eyes, everyone should be able to see it, right? Well, you can if you pause the TV right before the advertisement ends, hop up off the couch, get 1 foot away and have a 55 inch HD plasma like I do, then you will see it.

Just like in the commercial, the facts are sometimes hidden by both Texas health insurance agents and Texas health insurance companies. You as a consumer have a responsibility in this battle, one is to do your homework on each policy or find a respectable experienced health insurance in Texas broker that just has to much at stake to write these mickey mouse policies. I promise you one thing, I will never, ever promote one of these policies. Ever! I am just to scared of them. At the present time I don’t even allow these policies to be quoted on my client driven website at Peeler Insurance. I also know for a fact that I am one of the few Texas health insurance agencies that will not allow a client to review these plans that are not a PPO Doctor Co Pay Plan without personally speaking to me. I don’t think I have one client on these type of Texas health insurance plans. I would prefer the client just go to another broker, at least I don’t wake up at night in a cold sweat worrying if I will get sued the next day.

These Limited Benefit plans will always get action in a depressed economy due to their somewhat lower pricing, and that’s unfortunate. They look great at time of sell, but have one claim and you could be facing financial destruction the likes you have never seen. Is it really worth saving $10 or $20 a month for these limits? I heard this once when I served in politics. You can put a pig in a dress, bottom line, it’s still a pig!

If Texas health insurance consumers are looking for quality Major Medical PPO Doctor Co Pay, Catastrophic or High Deductible HSA plans, then Peeler Insurance is for you. Take a look by getting your Texas health insurance quote, but do so knowing this, i only promote and sell what we call full coverage policies where in Ms. Johnston’s case there would have been a reasonable deductible and then the policy would pay up to about $3 or $5 million dollars. This would have been an easy case for her and her retirement nest egg would be salvaged.

Read More

For Children Health Insurance, Unicare Best in Texas

May 8th, 2009

As a Texas health insurance broker I have at my fingertips rates from all the major health insurance companies. Going back about three years Unicare Life and Health was known as the 800 pound gorilla in the Texas health insurance pond and most often their rates slid in as the lowest of all the health insurance plans. Oh, those were the days! Almost every year Unicare garnered the presteoigust top ranking in Fortune Magazine as the most admired health plan. MY how times have changed.

 Unicare always was the cheapest Texas health insurance policy, but even back in the day they had things that drove agents and brokers bananas. Underwriting was a joke, turning down applicant after applicant, and when you did get a policy through the underwriting needle they would place an exclusion rider on some minor health condition. But as a broker I always had to remember, their rates were most times 25% below market. That made them a company we as agents could not turn our backs on.

Well, times have changed. Now their rates are just too far out of reach for many Texans looking for affordable health insurance in Texas. What should be noted is they presently have a policy out called the Enhanced Fit plans that are sweet. Again though, it most times does not come close to being cost competitive in today’s hyper competitive Texas health insurance market. Here is the good news, there is one place Unicare destroys the competition on both benefits and most times price. Kids health insurance.

The Unicare Enhanced Fit product offers exceptional coverage for out patient procedure like x-rays and lab work, all paid with a co-pay. There are only a few Texas health insurance companies that pay out-patient expenses with a co-pay, most apply these charges to the yearly deductible. Also, Unicare provides preventive care benefits for kids up to age 18. Wow! Most individual health insurance plans in Texas only provide that benefit up to age 6 to comply with state mandates; Unicare is exceeding that requirement by 12 years. For emergency room treatment the Enhanced Fit product only requires a $100 co-pay, unlike so many that hammer the Texas consumer with deductible AND a co-pay. Of course, there is no pre set limit on the number of yearly doctor visits and Unicare also has no pre set maximums on their out patient prescription drugs, it’s up the plan maximum of $5 million.

From a price standpoint Unicare is still too expensive for the entire family but their children health insurance in Texas rates are not that bad. Still a little higher, but all things considered they fit in nicely. See for yourself by getting a free kids health insurance quote.

This Unicare product is exactly what I would put my kids on if I did not have group coverage. If my wife ever left her job the first place I would turn is to Unicare for our kids. 

So, if you are only looking for coverage on the little ones in your family, get a Texas health insurance quote. I know you will be happy from a benefit standpoint and you will also find the price ain’t all that bad.

Read More

Best Dallas Texas Health Insurance Options

May 14th, 2009

When it comes to which health insurance companies in Dallas stand above the crowd in regards to price and benefit package you will find Cigna, Blue Cross and Blue Shield and World Insurance Company slugging it out. This is a stark change when just 2 years ago the competitive players were Aetna, Unicare and Humana.

I thought it would be a good idea to briefly discuss what exactly Texas health insurance consumers can expect when they run Texas health insurance quotes from my website. When visiting my website you will be flooded with hundreds of options that offer your traditional PPO Doctor Co Pay plans. When reviewing the thing you will notice that when comparing “apples to apples” Cigna will most often times crush the competition with Blue Cross & Blue Shield and World Insurance Company in second and third.

OK, to set this up I used your typical family looking for health insurance in Dallas Texas. Family of four with mom and dad being in their 40′s. We used a standard deductible of $2500 and loaded the policy with all the bells and whistles like drug prescription coverage, preventive care benefits and full doctor visit co pays. After all that Cigna came in at about $500 a month with Blue Cross and World about 50 bucks a month higher. See! Cigna Wins!

Cigna, Blue Cross & Blue Shield and World are all excellent rated health insurance companies companies in Dallas. I would have no problem providing these companies to my family so whomever you choose you should be happy. If it was me I would choose Cigna just simply based on price. Money talks, period. And at 50 bucks a month that will buy allot of of baby formula. We just had twins in case you didn’t know.

Health insurance in Dallas has never had the competitive environment it has now. There are more active players fighting for business, better coverage options to consumers of health insurance in Dallas Texas than ever before. Now is the time to get your Dallas health insurance quote and see for yourself.

Read More

Free Health Insurance Quote in Texas May Not Mean Free

May 19th, 2009

Hundreds of thousands of Texans search the Internet weekly looking for competitive insurance quotes. Regardless if it’s health insurance, auto, homeowners of life insurance, the Internet has become the “go to” joint to gather information. You folks already know this point, but  bet you didn’t expect the bombardment of calls and emails after you entered in your semi private date like name, address and phone number. How do you avoid this? Well, I will tell ya!

When you get that little letter from your Texas health insurance company informing you that in 30 days they will whack your premiums up 30% I’m sure at first light you do some sort of Google Search for insurance. Millions and millions of results show up here in the great state of Texas. You start clicking, find some site that you can understand and plug all your personal data in. Right? But it’s what happens next that chaps the rear off Texas health insurance consumers. You can no more than close out the web page and the phone starts ringing. People from “boiler rooms” located all over the country and probably none located in your state or area start hammering the dog out of you. One right after the other… for 2 weeks. Then that private email box that you have protected from spam for years starts getting email form every online pharmacy and weight loss program in the world. And the health insurance community does it’s fair share of peppering you with email for months.

OK, Why? First off when requesting a quote online from “lead generating” sites the info is sold to about 7 agents. It never fails that one of those ”agents” is another lead generation site and the info is resold to about 10 more agents. Sorry Texans, that’s just the way it works. And I feel the same as you, it stinks to high heaven. Now, how do we avoid this mess?

Do this, before entering in any information to get a quote look the Texas health insurance site over. Look to see if they are local or located here in Texas, if not, or you can’t figure it out then they are not local they are probably a lead generator. If the free health insurance quote in Texas site does not appear to be an agency site by listing the agent or brokers name and address then again, it’s a lead generator and the calls will never stop. Also, the site should be very, very specific about things. Lead generators will most often be vague and you can’t figure out who or what you are dealing with.

Sites like Peeler Insurance, which is owned and operated by me, have zero incentive to farm out your information. We are the agent or broker. We don’t want to compete against our self by selling the info. Also, most times sites that offer Texas health insurance quotes and that are controlled by brokers for their own business growth are from local agents, like me. Born and raised Texan!

Another point is that when visiting an agent or broker controlled website rates will be generated on the spot, immediately for you to review, without being bugged to death. Lead generator sites most times withhold this information and the “boiler room” agents attempt to hammer a policy down your throat.

So, next time you are looking for Texas health insurance quotes please be careful and before entering any data into the request form make sure they are a local, independent Texas health insurance agent.

To be sure you are dealing with a local Texas health insurance broker that will NEVER sell the information off to some shady dude, you should  get your free Texas family health insurance quote today!

Read More

Who Offers Lowest Cost Dallas Health Insurance?

May 31st, 2009

There are more Dallas health insurance option at the present time than ever in my over 16 years in the Texas health insurance business. As a native to the Dallas Metroplex this is and always will be my primary market base, I feel I have a complete choke hold of the options available in this, the North Texas health insurance market. We have virtually every major player fighting for market share here and in this article I will spell out the top players based on price in 3 major Dallas health insurance groups. The always popular Doctor Co Pay Plans, High Deductible HSA Plans, and the resurgence of the Catastrophic Health Insurance plans.

Doctor Co Pay Plans
Far and away the most popular plans on the Dallas health insurance scene are the little sister to group coverage offered by employers known as the Doctor Co Pay plans. These plans offer co pays before a yearly deductible for things like routine doctor visits, preventive care and normal sickness visits. They also offer co pays for prescription drugs. Anything outside the normal doctor visit will generally apply to a yearly deductible. Several policies also offer lab and x rays with your co pay.

Based on consumers utilizing my quoting software and quotes provided by myself for Dallas Texas health insurance consumers that have called me direct the most affordable health insurance in Dallas is Cigna. Most times Cigna is 25% cheaper than the competition. After direct meetings with Cigna executives I was informed that the Dallas/Ft. Worth Metropolitan area is a major “target market” for them. This is validated with the expansion of a huge new service center being constructed in Frisco.

High Deductible HSA Plans
High Deductible HSA  plans introduced back in 2003 have s-l-o-w-l-y attempted to take foothold here in North Texas. At their introduction they were actually more expensive that the Doctor Co Pay plans. Things have changed and prices have either fallen or not escalated to the point of Co Pay plans and now they do offer lower premiums but there are striking differences between the two. For starters there is only one deductible and out of pocket for the entire family. This does allow Dallas Texas health insurance consumers to better gauge their potential yearly expense outlay. Also keep in mind they offer no co pays for routine doctor visits and drug prescriptions, those services apply to the deductible. The neet thing about High Deductible HSA plans in Texas is they offer some decent tax advantages over traditional Dallas Tx health insurance.

The most cost effective High Deductible HSAplan in Dallas? Blue Cross & Blue Shield of Texas, by a mile. Most times no one even comes close. I have noticed they slide in at about 25 to 30 % cheaper than the others. Another biggie for the folks at Blue Cross is the rate increases that they are assessing on their business, this year they are hitting consumers in the LOW SINGLE DIGITS! Most consumers that have the Blue Cross HSA plans are keeping their powder dry when rate increases happen basically due to the fact that their rate are still lowest in Dallas after a year. Several of my clients only got clipped at about $4 a month. That should make us all happy.

Catastrophic Health Insurance
When the economy started going south back at the end of last year I was forced to dust off the old mainstay from the 1980′s. The old Catastrophic Health Insurance policies are a simple enough policy to understand, you meet your deductible and the policy starts paying at a clip of about 80%. Oh, there is a maximum out of pocket a family will experience but it will be much higher than the High Deductible HSA plans. For the most part all services apply to the deductible and there is generally two or three deductibles per family. Some policies like Blue Cross offer drug prescription coverage separate from the big major medical deductible, so that’s nice but for the most part everything applies to the deductible. Also note that they differ from the High Deductible HSA plans in that they don’t offer the cool tax advantages found in the HSA.

The winner based on cost for the Catastrophic Health Insurance plans in Dallas again goes to Blue Cross and Blue Shield of Texas. Again they just cant be touched in the Dallas health insurance market for these type of policies. Coverage is nice as well offering extremely high limits that every family needs. These plans are a great choice for the low budget consumer looking for affordable Dallas health insurance.

Ok, so there you go. Now keep in mind every family is different in North Texas, rates are always predicated on age, size, zip code and health history but overall these plans should come out just as I indicated. feel free to see for yourself by getting your Dallas health insurance quote today! You will see the same trend I did.

Read More

How Do We Get Affordable Health Insurance in Texas? Limit Doctors Pay.

June 7th, 2009 

OK, lets hop right into a sticky little subject, limiting your local doctors and hospitals billing amounts. Yep, light me up, call me a socialist. Do whatever you please, I could care less. But the bottom line, doctors, hospitals and pharmaceutical companies are the MAIN reason Texas health insurance premiums are breaking records in regards to yearly increases. Affordable health insurance in Texas could be at every consumers doorstep with a little consistency in billing. Let me explain.

My wife and I were blessed just last month with the arrival of our twins, with that we are now receiving medical bills and explanation of benefit(EOB) forms out the gazoo. I have spent hours combing over the bills and EOB’s with much enjoyment. OK, no enjoyment. I hate it just like you do but did it all the same. Here is what I am finding out, on average the Texas health insurance company, in this case Aetna, is paying right at 60% of what the doctor is actually billing the insurance company.

Billing to date reflects a total cost from conception to release from the hospital of $44,614. The actualy negoiated cost after PPO discounts sliped in at $26,645, right at 60 cents on the dollar of actuall billed amount. This is crazy.

Health insurance companies in Texas receive a discount on services from the health care providers when they are in their network of facilities. This has been going on since I became a health insurance in Texas broker. My problem is why do doctors and hospitals feel the need to charge the higher amount in the first place.

Now, ask yourself this question. Who pays the base rate, in this case the 45 grand? If I get a discount who doesn’t? If no one pays the base rate as some doctors claim why have it there in the first place? Now, here is the answer the all the questions, unsuspecting, naive consumers pay it, that’s who. Doctors are ripping off Texans right and left and the practice must be stopped. Lets just go to a set schedule using the mindset of how Medicare does it, however the amounts should be bumped up due to the low schedule Medicare uses. This system will work.

By instituting a federal law to regulate medical billing as I have discussed here it what you achieve, first you will no longer need PPO plans, all charges will be set with very minor modifications like geographical billing trends. Doctors and other providers like drug companies have been a runaway mine train with medical billing for years steadly ripping off Texans day after day. Simply put, control the spending and you will control Texas health insurance premiums. It is nothing more than common economics.

According to a report released by Wellpoint Health 87 cents of every dollar goes to pay medical expenses. 87 cents! To me that number is astronomicaly high. Also according to their report their profits come in at about 3% of every dollar. Marketing, provider support and consumer support at 4 cents of every dollar. Other addmin cost and goverment payments are at 6 cents. So overall if you think about it the 87% of every dollar being paid to doctors, hospitals and drug companies is more than adaquate. So the problem lies in what your doctors are charging you, bottom line, lower medical claims you will lower premiums and the end result will be affordable health insurance in Texas.

Read More

Where have I been?

 July 27th, 2009

If you have followed this blog I’m sure you notice I have not posted in a while. It’s not that I am not still writing, I am, it’s just I am submitting to other articles sites. I will start posting soon, could be this week since I have found someone to assist me in the article submission. See-Ya

Read More

Unicare Exits Texas Health Insurance Market

October 28th, 2009

Today there is some bad news as it relates to consumers of Texas health insurance. Unicare, part of Wellpoint Health, one of the largest managed care companies in the country has decided to cease operations in Texas. According to the broker release this departure affects both the individual and group health insurance market effective Janurary 1st 2010.

Based on communications I have had with both Unicare and Blue Cross and Blue Shield of Texas there is no reason to panic as Blue Cross of Texas will absorb the currently active policies into their block of business meaning no consumer currently holding a Unicare policy will be without coverage.

There will be a transition period for current Unicare policy holders to accept the migration to a similar plan and rates with Blue Cross starting November 1st, 2009. Here at Peeler Insurance we are currently in aggressive contact with all our Unicare policy holders in an effort to assist in this transition. We expect this to be a very smooth process and should be compleated by the middle of November.

Also, late this afternoon Blue Cross released the breakdown of affected Unicare policy holders as it relates to monthly premium. The premiums remained almost the same as the consumers are currently paying and it appears on policies where deductibles did not match Blue Cross offered the lower deductibles. here is an example: some  Unicare policies have deductibles of $2000 and $3000 where blue Cross does not offer those deductibles, they went with the next lowest deductible in their offer.

This news comes as a shock to all members of the health insurance community. For the lack of a better term, we were “blind-sided” by this action. Just late last week I was in contact with a Unicare executive who had invited me to a sales similar so they were caught off-guard as well.

For years Unicare offered the lowest premiums on coverage for Texas health insurance consumers, only in the last 2 years had they changed their offerings to a more rich in benefit policy as well as adjusting rates. I can only assume that continued years of low premiums finely caught up with them. This all ties into the current health care reform battle going on in congress and the supporters of the ‘public option” plan should understand and see that if health insurance companies are forced to compete with an option that has an unfair advantage of setting payment schedules to doctors and hospitals(medicare like) and insurance companies attempt to compete you will cripple and destroy ever insurance company in the United States. Let this event serve as the first bullet over the bow of the American free enterprise system as it relates to the protection of you and your family’s health coverage and choice. Unicare did exactly what every health insurance company will be forced to do after the passage of the current plans endorsed by the democrats, compete with extremely low premiums in an attempt to “buy” business like Unicare did back in the ’90 and early 2000′s. Wake up America!

I support reform as much as anyone, I just support the right reform. I have an offical position on the reform debate here.

If you are a current Unicare policy holder and i’m not your agent of record, please, call me to help you through this or get a current Texas Health Insurance Quote. I will give you the same commitment to service that I have provided my clients for the past 16 years.

So to sum it all up, I feel this transition will be very smooth and easy. I know each and every Unicare client that has Peeler Insurance as their agent of record will be handled with “kid gloves”. My only focus is to insure the transition is snap.

God Speed Unicare!

Here is the release provided to the agents today:

October 28, 2009  

Dear Broker:

UniCare has made a difficult strategic decision to exit commercial health insurance markets in Texas. Following a transition period, UniCare will no longer provide health benefits in Texas. 

While UniCare continues to be financially secure, competitive pressures have made it increasingly difficult for us to maintain our high standards for excellent customer service and affordable, quality benefits that you expect from us. 

UniCare is pleased to collaborate with Blue Cross and Blue Shield of Texas (BCBSTX), which will offer guaranteed replacement coverage to UniCare’s existing employer groups and individual policyholders. We believe that BCBSTX is best positioned to offer quality products, a high level of benefits and the superior customer service that our customers have come to expect. In addition, like UniCare, BCBSTX is a statewide plan that includes a comprehensive network of physicians and hospitals to choose from. 

For UniCare customers who elect to transition their benefits to BCBSTX, UniCare will pay all claims for covered services rendered on or before December 31, 2009. BCBSTX will pay all claims for covered services from the time and date specified in their offer letter. There will be no break in coverage. 

For UniCare customers who do not choose to transition their benefits to BCBSTX, UniCare will offer to renew their policy but only for a term ending on June 1, 2010. If the customers’ renewal date falls after June 1, 2010, UniCare will terminate coverage effective June 1, 2010 if permitted to do so by the terms of the policy, or otherwise continue to provide coverage up to the renewal date. 

BCBSTX will be in contact with you soon to discuss an offer to transition your customers’ health benefits. In the meantime, if you have questions regarding UniCare’s decision, please use the below contact information:

  • For questions regarding Large Group, contact your UniCare Account Manager or BCBSTX Sales Representative
  • For questions regarding Small Group and Individual, contact your UniCare Agent Support team at 877-864-2468

If your customers also have dental, vision, group life or disability coverage through UniCare, the BCBSTX offer will also include that coverage. 

Until UniCare has completed its exit from the market, we will continue to process claims as we do today and honor the commission structure that is in place. 

We have enjoyed a productive working relationship with you and want to help make this transition as seamless as possible. BCBSTX looks forward to the opportunity to work with you to provide your customers with the same level of quality health care benefits and service that they received with UniCare. 

Sincerely,

Lawrence G. Schreiber 
Vice President and General Manager 
UniCare

Attachment: Go here to view Frequently Asked Questions

Read More

The 2010 State of Texas Health Insurance Address

January 30th, 2010

Well, like last year about this time when I gave the 2009 State of Texas health Insurance “Address’ I will stick with tradition and “deliver” my 2010 State of the State Address as it relates to health coverage.

We have had a tough year, not from the amount of production but from the overall uncertainty and turmoil associated with the health care environment caused by President Obama and his democratic associates. Consumers of Texas health insurance were cheated this year in rate increases caused by both the fact that virtually NO new products were introduced by companies and the massive amounts of money that had to be spent on lobbying efforts to fend off the takeover of 20% of the economy, health care.

Now, where are we going? Health care reform is dead. Period. This plan, so strongly endorsed by the democrats and so strongly disliked by the voters will never, ever come back. The election of Scott Brown in Massachusetts completely moved the needle back to the side of the people and for that we should be grateful. Will we have reform in a different version soon? Yes, I hope so and I have proposed several options of solid, efficient Texas Health Care Reform that the boys in Washington should carry out. Will they? Probably not, there will be small non game changing reform that will only allow the democrats to “save face” and declare they passed reform, much like President Clinton claimed back in the ’90′s.

Health care reform efforts killed normal operations in the Texas medical insurance market. Since our website: Peelerinsurance.com ranks on page one for all the major search engines I have the ability to show some trending I noticed as it relates to the reform efforts. During the dog and pony show we witnessed in the media for the last 9 months searches dropped in some cases by 50% and actual request for rates dropped a total of 75% however searches for health care reform matters was up about 400%. Bottom line, no one was buying new coverage, every one was waiting for their “Free Insurance”, sorry that ain’t gonna happen. I was lucky that I have a large client base that never left, they stayed put on the texas Medical Insurance plan they currently have, but I did notice several raised their deductibles to off set rate increases. Also, I noticed every time President Obama spoke to the nation about health care searches would completely dry up for several days, remember change was ‘a coming, at least thats what the american public thought.

Since the election in  Massachusetts a few weeks ago spelling the end to reform searches have shot up, back to normal levels. The phone is ringing off the hook again with Texas health insurance consumers. Families now know their will be no free insurance.

Another problem last year was because of the uncertanity of the overall Texas health Insurance market no major companies introduced new plan design, that has never happened in my almost 18 years in the business. When the market is selling two year old policies you get extremely high loss ratios in those policies resulting in extremely high new business rates. I hate this happened but what do you expect when the insurance companies did not know if they would be in business tomorrow and under what regulations they would be under. developing new policy designs cost a ton of money and I can see where the carriers did not feel the need to do te research and developement.  

Already companies are hinting at new plan designs are in the works and for that I’m happy and one major insurance company has sent out a memo they will sunset some of their plans, all in an effort I think to introduce new policies. This will be a major step forward for the upcoming year, I think rates will retreat back to more manageable levels.

We lost a major heavyweight in the market at the end of last year, Unicare Life and Health of Texas pulled out of the health insurance market in Texas. This was a devastating blow to the texas Health Insurance consumer as we need more competition, not less. Why did they leave? Well, my thoughts on the matter have been well documented but again I think it all relates to health care reform and the effect it had on the companies last year.

Where do we go from here? We stay the course, wait for things to settle down and insurance companies will introduce new, more competitive plans that serve the needs of Texans. It’s been a tough year for consumers with the uncertanity of both the economy and reform efforts but from all indications thing are getting back to normal in the insurance industry. Lets just hope that the powers in Washington get out-of-the-way, and keep their hands off the greatest health care system in the world. You democrats have caused so much fear in the minds of Texas Health Insurance consumers by not trying to reform health care, but to just flat take over 20% of the economy. We want reform, not a takeover…Do better next time, OK?

Read More

American National Insurance Company Exits Texas Individual Market

April 19th, 2010

A few days ago American National Insurance company announced they are discontinuing the marketing of Texas Health Insurance… Well,they are starting to fall like snowflakes on a mountain top. We told you this would happen, no one believed us. Well, it’s happening, and doing so at an alarming rate. That makes four companies that have vanished since the health care reform battle broke out. How many more to follow? Who knows, but we told you this would happen. Let’s set up the American National Insurance of Texas exit:

From the Press release: “American National Insurance Company’s subsidiaries, American National life Insurance Company of Texas and Standard Life and Accident Insurance Company will discontinue the sale of Individual Medical Insurance effective June 30th, 2010. American National will continue to serve the Medicare Supplement and large group markets as well as other supplementary products.” According to the press release the reason for the exit is the passage of the healthcare reform legislation.

Ok, so what now? Well American National Life Insurance of Texas and their parent American National Insurance Company have been around forever. Back when I was a kid my parents purchased one of their widely popular children life insurance policies on me. That was almost 50 years ago. Everyone over 60 knows of these guys, it’s sad to see them leave… But why? Why not stay?

American National sold very few what I consider full Texas Major Medical Insurance policies. Most of their offerings had limits, limits to the degree that I would not offer their products. Their pricing on their better products was just not competitive in this tough Texas Health Insurance market. The products that were low-cost simply, in my opinion, were not quality coverage. Back in the day American National Life Insurance Company of Texas had some quality stuff, and I marketed it heavily but not for the last 5  years. 

It seems their target market was more aligned with the captive agent, those who only sell for one company. They also were more focused on paper applications, meaning an agent had to physically visit the Texas Health Insurance consumer. Those days are over, most of the bigger players in this business do online applications and the consumer never sees the agent.

The healthcare reform law jammed through Washington spells out very clearly the fate of insurance policies that have limits and it appears ANLIC found its products to be non conforming so rather than conform they ejected. They won’t be the only one to have their product portfolio destroyed by the new insurance law. Out of all the provisions in the new legislation this is one I support. I feel consumers look to agents for guidance on which policy to purchase for their family and all to often agents are provided with a oppertunity to supply a consumer a policy that fails on the quality end of the spectrum. We should eliminate all the Texas limited benefit health insurance policies and the hospital surgical expense policies. Overall consumers will be better off because half the time the consumer doesn’t have a clue what their policy will cover, it’s hard enough to provide adequate coverage from what is considered major medical policies and insuring a client in a limited benefit policy just makes it that much more difficult for folks to understand.

As an independent broker I am tired of competing against policies that I know are limited in coverage, however because what another agent told them they just flat-out don’t believe me when I tell them the coverage they are considering falls short of their coverage goals, or the price of these limited policies is so much cheaper that the consumer elects to gamble with their personal bankroll. So for this reason I am glad that these limited policies are being eliminated, as well as the agents that make their living marketing limited benefit products. Nothing against American National, I think the world of them, I just didn’t like the direction they had chosen to go with some of their products.

If you are a current policy holder of American National Life Insurance Company of Texas now would be a good time to shop for new Texas Health Insurance Quotes. As a broker representing all of the major players in the market we can provide you quotes instantly from companies like Aetna, Blue Cross and Blue Shield of Texas, Cigna. United HealthCare and Humana just to name a few. I recommend you review your options quickly as who knows what happens next.

If you are a current policyholder of ANLIC don’t panic, there was no mention in the press release of the elimination of current policyholders, but that could be an option, we just don’t know yet. I hope not. I’m sure there will be more to come from American National Life Insurance Company of Texas very soon as well as other companies following their move. Stay Tuned!!

Read More

Texas Health Insurance Premiums Expected to Skyrocket! Why?

May 13th, 2010

Since March 28th 2010 Texas Health Insurance brokers and consumers have been waiting for the other shoe to drop after Obama signed the federal Patient Protection and Affordable Care Act (PPACA), known as health care reform, ObamaCare or health insurance reform.. whatever the word of the day is. The shoe I have been waiting to drop is what will happen to monthly premiums as it relates to the individual market. Hints of information are starting to trickle in that by all indications premiums are going to climb at a much faster pace than pre PPACA due to new federal mandates that go into effect this year.

Obama is requiring several new mandates to start pre 2014, the much hyped start date of the mandated coverage previsions of the new law. Mandates like children becoming guaranteed issue with no pre-existing conditions, kids allowed to continue on parents policy until age 26 regardless of status in most cases, elimination of lifetime caps and soon the elimination of yearly caps on policies are some of the major provisions that are causing Texas Health Insurance companies to blister the rates. Get used to it, period.

Want to blame someone for your next rate increase, this time you can’t blame us, the hard-working insurance professionals. I suggest you place that big fat bullseye on the man at the top, Obama. But wait, it ain’t over till the fat lady sings as I remember Dandy Don Meredith singing on Monday Night Football back in my younger days. You think premiums will escalate now? Check out what is going to transpire in 2014. The Kaiser Family Foundation has developed a nifty premium calculator to help determine your probable cost post 2014. I promise you this, if you make more than $70,000 a year for a family of four you will shocked to death with the increased premiums you will probably pay. The foundation is using information provided from the PPACA law as well as information gathered from the CBO to determine probable premiums. User beware.

Read More

American Medical Security Pulls Texas Health Insurance Plug

May 14, 2010

American Medical Security (AMS), a division of United HealthCare, announced this week they were throwing in the towel and will issue NO new business effective May 1st 2010. Thank you ObamaCare. This makes what? Four companies now that have vanished the Texas Health Insurance scene since the passage of ObamaCare? Yes, and still counting…

American Medical Security was never a major player, I don’t think we submitted an AMS application in well over 3 years, but still we lost another one. Before long there will be only a handful of companies offering Texas Health Insurance Plans and that my friends means one thing, higher monthly premiums for good hardworking consumers.

If you are a current American Medical Security policyholder I suggest you contact your trusted broker and review new plan options as what most often happens when companies stop the flow of new business we see rates climb at faster than the normal rate due to no new healthy consumers in the system. Now is the time to make your exit! Call us, we have the experience in dealing with these withdrawals and will gladly find you a product that fits your needs.

Read More

United HealthCare Eliminates Exclusion Riders on Texas Health Insurance!

May 18th, 2010

Wow! It’s starting.. And hopefully this one is good for Texas Health Insurance consumers that have children with pre-existing conditions. Effective yesterday United HealthCare Insurance AKA Golden Rule or United Health One escalated a provision in ObamaCare that mandates coverage for children regardless of medical history.

Some of the provisions of the UHC position indicate that they do reserve the right to hammer the rates based on health status or deny approval but if the kiddos are approved they will be covered without exclusion riders. UHC also made a procedural move a few day back by indicating they would no longer offer child only applications therefore in order to get the new benefit an adult must also be covered on a policy.

United HealthCare, a national name in the insurance market, offers some excellent benefits for Texas Health Insurance consumers with plans that cover doctor co-pays, preventive care as well as excellent drug prescription benefits. They also offer high deductible HSA compatible policies that work well for families willing to eliminate doctor co-pays.

Here is what we don’t know yet: What will the final outcome be as it relates to price? Who knows, they just implemented this procedural change yesterday. But after a few weeks the agent community should know after we have submitted a few to see how underwriting will approach this issue.

Overall, this could be a great change for Texas Health Insurance consumers. If you are one of the thousands of families struggling to find coverage for your kids, call me today.

Read More

Blue Cross Blue Shield of Texas Excels With Policy Offerings

 

Blue Cross Blue Shield of Texas, far and away the most popular health insurance company in Texas just keep plugging along with excellent product offerings, but there are a few areas they just flat out dominate. The High Deductible HSA market and the Catastrophic market are their mainstays.

Just to refresh a few memories high deductible HSA plans were introduced during the Bush years back in 2003. The concept is there is a single family deductible and out-of-pocket, not a per person deductible. HSA plans also do not offer co-pays for non preventive benefits, the family deductible must be met first. There is also tax advantages like paying for medical expenses with pre tax dollars but that’s not what this story is about, this is more about Blue Cross Blue Shield of Texas rate structure and why they destroy the competition by in some cases as much as $150 a month over their competitors.

I have no clue why their rates are cheaper, who knows maybe better actuaries that actually know what they are doing, maybe a thought process that more volume at a lower price will generate more profit due to more members. Whatever it is “thank you’ Blue Cross Blue Shield of Texas for giving the consumers affordable options.

Their policies basically look no different from the next company, they offer about the same benefits that all HSA plan offer. Major Medical coverage up to $5 million per person, one deductible per family and maximum out or pockets selections of $6, 7 and 10 thousand a year for family coverage. Of course there is out-patient prescription drug coverage and wellness care after the deductible is met so im my view “not bad”.

Lets look at this example. Take an example  I have been working on for a family in Corpus Christie, they are late 40′s early 50′s with one kid. Blue Cross Blue Shield of Texas comes in for an HSA plan at 490 when every one else I quoted was 50 to 150 a month more. Very easy decision in my view when most every doctor and hospital accepts the strong name ID they bring to the table.

Again, take a look at Blue Cross Blue Shield of Texas before you make that next health insurance move, you might be as shocked as some of the consumers I am speaking with have been.

Read More

American Community Mutual Insurance Company Exits!

  June 17th, 2010

Yesterday American Community Mutual Insurance Company was placed into  rehabilitation.

They keep dropping like flies. Is this what we wanted when the health care reform debate started over a year ago? That makes what? Five now that have vanished since the debate started. Well, American Community was never a product I choose to market due to certain provisions in their Texas Health Insurance policy I didn’t like. Guess I read that one right for a change.

Ok, so what’s about to happen: A Michigan Circuit Court placed American Community into rehab and a Transition Plan Agreement was approved to move all the American Community clients to Golden Rule Insurance Company, part of the United healthCare clan of companies. Not the fun starts for those clients.

I have been through this before with the exit of Unicare of Texas but for all the American Community of Texas policyholders I’m sure you are both scared and confused. Call me, I will help you. You don’t have much time though, August 15th 2010 is the date that Golden Rule takes over your plan. If it works like the Unicare exit there will be some administrative paperwork involved in the transition and you better act quickly on doing market research to determine if this is your best course of action by accepting the offer.

United HealthCare of Texas and Golden Rule have not always been the best option for Texas health Insurance consumers, sometimes, yes they work great but over the last few years they have not been the best option when you perform a benefit and cost analyst. Better options exist through both Cigna and Blue Cross Blue Shield of Texas. Things have changed in the last few months to place Golden Rule in a better position with their monthly premiums, more so in the south Texas area.

So, now what? I suggest you contact me  immediately upon receiving your packet from American Community or Golden Rule, don’t delay, they have deadlines in place that probably will be hard and fast, meaning no flexibility. They are offering current American Community clients to transition to Golden Rule regardless of medical history so consumers with non insurable health conditions should be safe but again, your decision to accept the offer will most likely be required in writing and will be required before the deadline. one thing we don’t know yet, what will Golden Rule charge monthly for your coverage.

bottom line, contact a Texas Health Insurance agent ASAP!

Read More

Texas Health Insurance for Children is Changing.. Fast!

June 30th, 2010

The internet is hoping with claims and statements regarding children getting coverage on individual Texas Health Insurance policies, determining what is fact is whats difficult. Just today I had to call one of my largest suppliers to determine if a statement made by another agent was truth or falsehood, he posted something stating that Blue Cross Blue Shield of Texas would no longer offer coverage for child only policies. Child only meaning no parent was on the policy. Well, the claim turned out to be false, seems his account rep is a few marbles short of a full bag and gave false information, but this is not the first time a company rep has spread false information.

Ok, why all the confusion? Well, soon.. very soon actually children will be guaranteed issue as per the new ObamaCare law and as companies gear up for the radical change they are all making procedural moves to handle the blow to their bottom line. Insuring children with no regard to health status can and will drive premiums up, it’s just simple math. Higher premiums as a result of this new mandate will be coming soon and we can blame ObamaCare(sorry Obama, I did not attend your meeting this week where you ordered insurance companies not to blame you for the increases).

Some things that have happened are this: First, United HealthCare of Texas, also known as Golden Rule insurance company pulled the plug just a few days back on child only policies. No more policies will be accepted for kids unless a parent is included on the policy. By all accounts this move is related to the soon to be mandate of kids approved regardless of health status. A consumer can still get their kiddos covered, provided one parent comes along for the ride on the policy. Also, Blue Cross Blue Shield of Texas DID cease writing children under the age of one year old. The BCBS move is no big deal as their premiums on newborns was excessively high.

There is also scuttlebutt that Blue Cross Blue Shield of Tx will soon exit all child only coverage, keep in mind this is just me putting the pieces together from emails and conversations I have been a part of from company reps.

I feel the short-term future will lay out like this: All companies will exit the child only market, it’s only a matter of time and that my friends will hurt the consumers looking to protect their most cherished responsibility. This future move will require adults to be included on a policy before a company will entertain offering coverage to kids, this action will drive up monthly premiums since an adult is now added. The end result will be less young kids will have Texas Health Insurance coverage causing more and more families to visit the emergency rooms for treatment or to self treat their kids at home. Those parents that find their dependants needing more complex medical treatment will then find bankruptcy staring them in the face to pay the large medical bills their kids have incurred.

Back in the day when I dabbled in politics as an offical of one of our local communities i always asked myself this question before a vote: what is the unintended consequences of this new law or program? Well, it’s to bad our current group of elected officials didn’t ask this question before they voted.

Thank you ObamaCare for placing a big target on the backs of thousands of good hard-working parents trying to protect their family.

Read More

Blue Cross Blue Shield of Texas Changes Child Only Policy

July 25th, 2010 

Well, I was hearing rumblings a week or so back and now that “rumor” has become reality; Blue Cross Blue Shield of Texas will STOP offering coverage to children under 19 on a stand alone basis. They will still offer kiddie coverage if a parent or guardian comes along for coverage, but no longer will they offer any of their widely popular Major Medical insurance in Texas.

Blue Cross Blue Shield of Texas is simply following the lead of other companies that have pulled this stunt, United HealthCare comes to mind as they exited the child only market about a month ago. One interesting point is BCBS will introduce new plans for the child only market sometime in the future known as “Blue Pathway”, the plan was just filed with the state department of insurance.

Two things about the filling with the insurance department. First, these fillings take time, lots of time, in my 18 years in this business I have seen it sometimes takes months and months to get approval from TDI all because of legal wording in the insurance contract. Lawyers go back and forth over minor details until one side gives in and this process could take up to a year, don’t know so no one should think the new Blue Pathways will be on “store shelves” any time soon. I have also seen new policies just flat die at compliance, never to be seen again.  Also, Blue Cross Blue Shield of Texas has made a decision to ONLY market this product direct, meaning your local, helpful and knowledge broker has been cut out of the loop. Why? Simple, BCBS has said in the past their major distribution channel is the broker community and by eliminating us from the picture drastically cuts down on the number of applications they will receive. Thats the goal folks. In my opinion they just flat-out don’t want the business, who would? Its guaranteed issue without a coverage mandate.

Don’t have a clue what Blue Pathways will look like but I can only guess it will not be as rich in benefits as some of their current offerings, if it was why not just use their current portfolio to offer guaranteed coverage on kids? Makes no sence unless the benefits will be reduced… or the monthly premium is jacked up to federal deficit levels, you just wait and see, that is if there is anything to see, may never get out of TDI compliance.

Should we be mad at Blue Cross Blue Shield of Texas, or any other Texas Health Insurance company for doing this? No, I don’t think so, it’s not their fault. Insurance companies are not in the business of selling policies to consumers as they sit in the emergency room and that’s how this provision of health care reform is written. There is no mandate that kids must be covered AND there is no pre-existing condition waiting period so in theory a family could wait till little Johnny needs that heart transplant and call up their local broker or insurance company and under law they must sell him a policy, that is if they offer child only coverage AND he would get the policy the insurance company offers to kids.

So, what do I feel will happen? Parents looking for child only coverage will find only one or two options, and those options will NOT be affordable. Rates that today are $75, $150 a month for one child could be $500 to $1000 a month, who knows. I do know how insurance companies work and that leads me to believe the rates will be large.

Ok, who should we blame for this? What caused this mess.. Simple, next time you get mad about the next rate increase, or the fact you can’t afford little Johnny’s coverage call Obama and his gang, this has his name written all over it. Why? Insurance companies are not in the business of providing charity, they are a business and must remain profitable, if not they go belly up, jobs are lost and the economy dwindles even more. Forcing Texas health Insurance companies to cover sick kids as they are on the way to the hospital is just flat dumb. Offering them coverage is an automatic massive claim with little premium dollars in return. Remember, Mr. Obama required no federal mandate requiring coverage, so any child can get a policy at any time, even on the way to treatment for a major health condition.

As we sit today there are still companies offering child only coverage so don’t panic… yet. if you are looking for coverage for you kids, call us, there are still options.

Read More

Cigna Health Insurance in Texas Suspends Quoting Until Futher Notice

July 28th, 2010

Effective August 1st, 2010 Cigna Health PlanTexas will suspend ALL new individual quoting until such a time as the Texas Department of Insurance (TDI) approves their new health care reform compliant modifications to their policies. As I have said in the past, getting approved by TDI sometimes takes months and months to do, so who knows how long this could take. This does not appear to be a new policy filling, just a modification so this could be a quick process.. But you never know. Cigna will inform me when they are back in the Texas Health Insurance market.

Here is the excert of the email discussing this process:
Beginning 8/1/2010, the ability to generate quotes for CIGNA Individual & Family Plans with effective dates of 10/1/2010
and
10/15/2010 will be temporarily unavailable while we update our systems and plans. We expect quoting to be available
mid-late August, contingent upon state approvals. Some states may require longer than others to reinstate. As states
become available, we will provide updates via email and the News You Can Use section of CIGNAforBrokers.com. Please
note that Small Group quoting will not be impacted.

Stay tuned!!

Read More

Texas Health Insurance Health Care Reform Update: Preventive Care

August 5th, 2010

Insurance companies are beggining to release what the new preventive care update will include, more on it later but Texas Health Insurance policies that are not grandfathered will be getting better. Here is an update on what BCBS will be doing.

Preventive Health Benefits under PPACA Outlined
Blue Cross and Blue Shield of Texas (BCBSTX) benefit coding experts, medical directors and customer service leaders have carefully reviewed the recently released Interim Final Rule for preventive health benefits under the Patient Protection and Affordable Care Act of 2010 (PPACA). These benefits will be paid without any cost-sharing (deductibles, copays or coinsurance) when using network providers (100 percent coverage not applicable when using out-of-network providers). Using a combination of procedure codes (which providers use to indicate the services they render) and diagnostic codes for individual patients, we have determined what updates are needed to our claims adjudication systems to comply with PPACA.

At a high level, the following categories of benefits will be preventive and will be paid at 100 percent:

Health education/counseling services

Immunizations

Preventive care

Routine bone density test

Routine breast exam

Routine colonoscopy

Routine colorectal cancer screening – lab

Routine digital rectal exam

Routine gynecological exam

Certain routine lab procedures

Routine mammogram

Routine Pap smear

Routine physical

Routine prostate test

Smoking cessation

Well baby care