United American Insurance Company Proudly Serving Americans Since 1947 UAUHFX Agent Training.
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Transcript of United American Insurance Company Proudly Serving Americans Since 1947 UAUHFX Agent Training.
What United American Stands For…
Stability — Meeting the life and health insurance needs of the public for over half a century
Financial Strength
Quality Protection — Insurance coverage to protect you and your family now as well as in years to come
Superior Service — One-on-one personal service for the life of your policy, backed by Home Office support staff
That’s our way… the United American way.
• A+ “Superior” financial strength rating from A.M. Best*
• AA “Very Strong” claims paying ability rating from Standard & Poor’s*
*ratings as of 6/04, 8/04 respectively
What are the headlines saying?
Healthcare costs still rising faster than the economy!
&
More people uninsured!
Sources: Health Affairs, June 2003AHIP, “2004 Elections: Medicare, the Uninsured, and Rising Costs Take Center Stage in Health Care Debate”, January/February 2004
Americans Face a Healthcare Crisis!
Healthcare costs continue to advance much faster than the rest of the U.S. economy:• 8.5% increase in 2001• 9.3% increase in 2002• 7.7% increase in 2003
Sources: Health Affairs, June 2004National Coalition on Health Care, “Facts on Health Insurance Cost,” 2003Centers for Medicare & Medicaid Services
Costs are slowing but still far exceed the rate of general inflation!
The Cost of Health Care
Insurance premiums have risen at a rate even greater than the rate of health- care inflation.
According to experts, “Consumers can expect to pay more for greater access to health- care.”
Source: Health Insurance Association of America, Chartbook on Health Care Cost Trends, 2003.
Increased Consumer Demand
18%
Government Mandates & Regulations
18%
Rising Provider Expenses
22%
Drugs, Medical Devices & Other
Medical Advances27%
Other6%Litigation & Risk
Management9%
Factors Driving Rising Costs in Healthcare
Persons Without Health Insurance
Rising costs in healthcare are pushing up health insurance premiums and forcing Americans into the ranks of the uninsured.
1992 — 34.1 million
1996 — 40.9 million
2002 — 41.2 million
2003 — 43.6 million
2004 — 45 millionIt becomes a problem if you are
a member of the uninsured!Source: United States Department of Commerce News, September 30, 2003
United American Insurance CardIn order to receive non-emergency or post-stabilization treatment, consumers must demonstrate an ability to pay …
This is when your United American health insurance cardis most valuable!
Name: PAULA C. HOLDER
Policy PolicyNumber 57300876888 Effective 01-25-03
The problem becomes finding affordable health insurance.
Where Do the Largest Medical Expenses Occur?
Hospital Confinement
Surgical Expenses
Emergency Room Charges
Source: Strunk, Bradley, and Ginsburg, Paul, Tracking Health Care Costs: Spending Slowdown Stalls in First Half of 2004, Dec. 2004
Hospital Confinement vs. Doctor’s Office Bills
• Odds are 1 in 7 that you or a family member will have a hospital stay this year.*
• Average hospital confinement includes room/board, surgical, miscellaneous and emergency expenses.
• $3,972 was the average national daily hospital charge in 2003.**
Sources: * U.S. Department of Labor; ** Current Trends in Health Care and Dental Costs Utilization, 2004 Edition;
As compared to the larger medical expenses above,the average cost of a doctor office visit in 2003 was relatively low. It was only $83!**
Therefore, the most important areas to cover are:
Hospital Confinement
Surgical Expenses
Emergency Room Charges
• Guaranteed renewable individual policies, not collectively renewable
• Issue age pricing, not attained age pricing
• No pre-authorization
• Excellent industry ratings & claims paying abilities
• No associations or association dues
• Use anywhere in the USA
• Local Home Office and Agent support
• No lifetime maximums
• Freedom to choose doctors and providers – no networks!
Choosing a Healthcare Insurance Policy
Important things to consider!
It’s YOUR health!
YOU choose your healthcare providers.
WHO? WHAT? WHEN? WHERE?
These are questions that YOU answer!
With United American, you are in control of your health care — no gatekeepers, no primary care physicians, no pre-certification, no worries about using out-of-network providers which could run up huge co-payment obligations.
UA’s Freedom of Choice
That’s our way… the United American way!
United American’sFLEXguard
Health Insurance Policy
Are you looking for an Affordable Health Insurance Policy that makes good sense?
FLEXguard Features
Policy Form GSP2. This policy has some limitations and exclusions. Plans and benefits vary by state.
Issue Ages: 0-63 Coverage for Individuals and
Families Guaranteed Renewable as long as
premiums are paid on time CHOICE OF BENEFIT AMOUNT –
$100,000; $75,000; or $50,000 PORTABLE COVERAGE – individual
policy goes where you do FLEXIBILITY – policy serves as basic
or supplemental insurance NO LIFETIME MAXIMUMS
DOWNLOADSAMPLE BROCHURE
FLEXguard Policy Features & Benefits
Policy Form GSP2. This policy has some limitations and exclusions. Benefits are paid based on actual, incurred expenses.
Benefit AmountMaximum Benefit Per Injury or Sickness $100,000 $75,000 $50,000Daily Hospital Expense Benefit
(after $500 deductible)*
For days 1-10 policy pays incurred expenses 80% up to $4,000 per day
80% up to $3,000 per day
80% up to $2,000 per day
For the next 30 days policy pays incurred expenses 80% up to $2,000 per day
80% up to $1,500 per day
80% up to $1,000 per day
Daily Hospital Expense Benefit Daily and Maximum Benefits are increased $1,000 each day for up to 10 days in the ICU
Hospital Admission BenefitIf you or your insured family member is hospitalized, the policy will pay an admission benefit.
$100 per hospital stay – benefit is not tied to incurred expenses – it can be used as you see fit.
Outpatient (Non-Surgical) Benefit • outpatient hospital expenses • diagnostic imaging such as x-rays, MRIs, etc.,• radiation treatment such as for cancer.
80% up to $500
for any one injury or sickness
80% up to $400
for any one injury or sickness
80% up to $300
for any one injury or sickness
* For inpatient and outpatient surgeries
FLEXguard Policy Features & Benefits
Policy Form GSP2. This policy has some limitations and exclusions. Benefits are paid based on actual, incurred expenses.
Benefit AmountSurgical Expense Benefit Up to $10,000 Up to $7,500 Up to $7,500
+ up to 20% of surgical benefit for Assistant Surgeon+ up to 25% of surgical benefit for Anesthesiologist
Physician ChargesINPATIENT: One doctor visit each day during an inpatient hospital stay.
80% of the doctor’s fee, up to $50 per day Maximum of $2,000
for any one injury or sickness
Physician ChargesOUTPATIENT: Doctor visits at a doctor’s office, clinic, or your home plus one physical exam each year. Benefit can be doubled.
80% up to $25 per visit 80% up to $50 for one physical exam per year
$250 maximum per yearNOTE: you may choose to double the
benefit amount as shown below
Registered Nurse Benefit 80% up to $100 per 8-hour shiftUp to three(3) shifts per day for no more than 90 days
for any one injury or sickness
Ambulance Benefit 80% up to $200for any one injury or sickness
Return of Premium BenefitDouble premiums refunded
FLEXguard Policy Features & Benefits
*Optional benefits will not continue if the policy terminates. Policy Form GSP2. This policy has some limitations and exclusions. Benefits are paid based on actual, incurred expenses.
OPTIONAL BENEFITS* Benefit AmountAdditional Physician Charges Benefit
Policy pays incurred expenses for ambulance service to or from a hospital.
80% up to $50 per visit80% up to $100 for one physical exam per year
$500 maximum per year
Critical Illness Benefit (including Cancer)Applicants must qualify for this optional benefit rider See the Agent Manual for rulesAge 18-63Rider Form R-CILS2
One-time cash benefit of up to $50,000 for first diagnosis of critical illness including: • heart attack• stroke• end stage renal failure• major organ transplant • complete paralysis of two or more limbs• third degree burns to 20% or more of the body• loss of two limbs• total loss of eyesight. • first diagnosis of cancer• The benefits for this rider will reduce by half at age 65.
Accident BenefitApplicants must qualify for this optional benefit rider See the Agent Manual for rulesChoice of $10,000 or $20,000 benefit amountAge 18-63Rider Form R-CILS2
Policy pays ONE of the following accident benefits: • accidental death benefit • a lump sum amount for specified injuries • a weekly hospital stay benefit (up to $500) for up to 25 weeks• or a first aid medical care benefit (up to $80)
UA Partners® Program
• Dental • Vision • Hearing• Chiropractic • Prescription Drug • Vitamins & Nutritional Supplements• 24-Hour Nurse HelpLine• Travel Assist*
Our optional health discount services program includes:
UA Partners is not a health insurance policy. Members will receive discounts on medical services when they go to certain healthcare providers who are contracted with the plan. Members are solely responsible for payment of all healthcare services. No portion of any provider’s fee will be reimbursed or otherwise paid by the plan. This plan is administered by Best Benefits, Inc. 8420 Bryn Mawr, Suite 700, Chicago, IL 60631, www.FindBestBenefits.com.* Availability may vary by state.
Nationwide discount health services program with savings for:
Chiropractic
Dental
Eye Care
Hearing Aids
Prescriptions
Mail OrderPharmacy
0% 10% 20% 30% 40% 50%
Up to 40%
Up to 50%
Up to 50%
Up to 20%
Up to 30%
Save More $$
UA Partners® Program
Why United American?
• Providing quality health protection since 1947• Excellent ratings with A.M. Best and Standard & Poor’s• Fast policy issue (4-6 weeks)• Local office• Personal support (always speak with a live person, either Home Office
staff or Agent)• Individual qualification (not a group plan)• Guaranteed renewable policies, as long as premiums are paid on time• Issue age pricing• No associations or association dues• Freedom of Choice• UA Partners helps drive down the cost of health care services