assurant health product portfolio
DESCRIPTION
Assurant Health\'s Core Product Portfolio.TRANSCRIPT
Assurant Health Core Product Portfolio
Advantage Agent
Individual MedicalPlans in our portfolio
• MaxPlan• CoreMed• RightStart• One Deductible• SaveRight• Affordable Health Access
*Limited Benefit Plan
Special Features• Patient Care• *TelaDoc• Healthy Discount• *One Decreasing Deductible• Suite Solutions
*available with select plans
Advantage Agent
Quality is the FrameworkAll major medical plans in the Assurant Health portfolio begin with a quality framework of: Security. Convenience. Cost savings.
All plans include:• Worldwide coverage, 24 hours-a-day• Initial 12-month rate guarantee• Your choice of doctors and hospitals• No referrals necessary to see a specialist• Single deductible for accidents• No limits on Intensive Care Unit (ICU)• Ground and air ambulance • Transplant coverage• Preventive Services• HealthyDiscount• Patient Care
Advantage Agent
Patient CareExperienced national leader in independent health care advocacy
servicesProvides a point of contact who serves as:
• An Advocate — working with insureds to answer questions, help reduce frustration and confusion, and better understand their health care benefits
• A resource — providing cost and quality information to better inform insureds
• A problem solver — working with health care entities to work through issues — thus taking customers out of the middle
Advantage Agent
*TelaDoc doesn’t replace a primary care physician— but when a physician isn’t available, TelaDoc is there.
Advantage Agent
TelaDoc—ConvenientAccess 24 hours a day, 365 days a yearClients call toll free or go onlineMedical records stored securely
and available online
• Client can update• Client can share with
their doctorAvailable for patients
12 years and older
Advantage Agent
TelaDoc—Cost-effectiveWith MaxPlan
SM and CoreMed
SM Plans
• Three FREE consultations per person each year• $35 fees for additional consultations are covered subject to deductible and
coinsurance• Pay securely by credit card, debit card, or
electronic payment
With OneDeductible Plans• $35 consultation fees are covered subject to deductible and coinsurance
• Pay securely by credit card, debit card, or electronic payment
All terms, limits, and conditions of the Assurant Health
contract apply.
Advantage Agent
How it worksTelaDoc Physicians:Provide diagnosisRecommend treatmentPrescribe short-term medication*Examples of common conditions physicians consult
and treat:• Sinusitis/respiratory infections• Urinary tract infections• Allergies
Answer medical questions When appropriate, prescribe
convenience (limited-quantity) refills*
*TelaDoc does not prescribe DEA-controlled substances.
Advantage Agent
How it worksConsultation process*—a TelaDoc physician: Reviews medical record Calls client—typically within an hour Recommends treatment or refers client to primary care physician Updates medical record Prescribes a short-term medication, if appropriate
• TelaDoc calls the prescription in to client’s pharmacy* Prior to contacting TelaDoc, client fills out medical history disclosure.
Advantage Agent
TelaDoc
Assurant Health is the first national IM carrier to offer plans with TelaDoc Medical Services
Available with MaxPlan, CoreMed, and OneDeductible plans
Available with new business effective September 1, 2008, and later
Not available on plan designs with an Office Visit Copay option
Not available in CT, FL, GA, ID, KY, MN, MT, NH, NV, OK, OR, SC, or TN
Advantage Agent
Healthy Discount
Advantage Agent
Suite SolutionsOverview
• Cash benefits that help pay out-of-pocket expenses• Available through membership in Health
Advocates Alliance
Who is it for?
• Clients who have a high deductible• Clients concerned about accidents
(typically clients with children)
Client Benefit
• “Gap” coverage provides security and savings• Portable• Easy
Suite Solutions
Advantage Agent
Product OptionsSecureSolution
• Accident Medical Expense Benefit• Accidental Death and Dismemberment Benefit• Weekly Accident Indemnity Benefit
SelectSolution
• Accident Medical Expense Benefit
• Critical Illness Expense Benefit
• Accidental Death and Dismemberment Benefit
• Weekly Accident Indemnity Benefit
• Identity Network Child Safety Services
• Identity Theft Benefit
• Discounts on dental, vision and more
Suite Solutions
Advantage Agent
Individual Major Medical Plans
Advantage Agent
MaxPlanSM
Value Proposition: • Maximum protection to achieve security
and predictability • Most extensive benefits • Many options
Who is it for?MaxPlan is ideal for clients who:
• understand the value of protecting both their health and their assets
• want no limits on how often they see their doctor – always at a set price
• are highly concerned about havingan adequate level of protection
MaxPlanSM
Advantage Agent
MaxPlanSM HighlightsDoctor office visit copay optionUnlimited visits at $35 /visit
Preventive services Eligible from 1st day of coverage $1,000 per person/calendar year (no limits on Mammograms, Pap tests & PSA)
Generic prescription drugs Convenient $15 copay on generics with no deductible, no limit
Brand name prescription drugs$500 deductible$25 copay and 20% coinsurance
Family deductibleOnly 2X individual deductible
Lifetime maximumUp to $15 million *state variations apply*
MaxPlanSM
Deductibles $500, $1,000, $1,500, $2,500, $3,500, $5,000, $10,000, $15,000 or $25,000 (Family deductible maximum is two times the deductible and is met collectively by two or more persons)
Plan Structures 100/0, 80/20, 70/30, 50/50
Out-Of-Pocket Maximum $0 to $7,500 depending on coinsurance
Lifetime Benefit Maximum
$3 million or $15 million
24 and 36 Month Rate Guarantee
Available with $2,500 or higher deductibles
MaxPlanSM Details
MaxPlanSM
Advantage Agent
CoreMedSM
Value Proposition: • Broad coverage at the best value• No inside limits• The plan clients ask for
• Most flexible• Most requested• Most sold
Who is it for?• Excellent for people who want to control
premiums without sacrificing benefits• Appeals to a wide range of individuals
and families
CoreMedSM
Advantage Agent
CoreMedSM Highlights
Office visit copay option Four visits/person/year − just $35 per visit
Preventive services $500/person/year-6 month wait
Generic prescription drugs Convenient $15 copay on generics withno deductible, no limit
Brand name prescription drugs$500 deductible$25 copay and 50% coinsurance
Family deductibleOnly 2X individual deductible
CoreMedSM
Deductible Options $500, $1,000, $1,500, $2,000, $3,500, $5,000, $10,000 or $25,000(Family deductible maximum is two times the deductible and is met collectively by two or more persons)
Plan Structures 100/80, 80/20, 70/30, 50/50
Out-Of-Pocket Maximum
$0 to $7,500 depending on coinsurance
Lifetime Benefit Maximum
$2 million or $15 million
Facility Fees • Outpatient: $0 or $200/outpatient surgery• Inpatient: $0, $200 or $750 per day for the first
three days
24 and 36 Month Rate Guarantee*
Available with $2,000 or higher deductibles
CoreMedSM Details
See brochure
for complete
details
See brochure
for complete
details
CoreMedSM
15% cheaper than $1000 deductible!
15% cheaper than $1000 deductible!
*not available in KS, MN, MS, NM, ND or OR
50% to $4000 Out-Of-Pocket =
16% Savings!
50% to $4000 Out-Of-Pocket =
16% Savings!
Advantage Agent
RightStartSM
Value Proposition:• Basic benefits plus added protection
against serious illnesses and injuries• Most affordable plan
Who is it for?• Uninsured individuals and families• Individuals and families considering
dropping current coverage because of price
• Prospective clients with limited budgets
RightStartSM
Advantage Agent
RightStartSM Highlights
Doctor office visit copay option2 visits at $25/visit
Generic prescription drugsConvenient $15 copay on generics with no deductible, optional limit up to Annual Maximum amount
Brand name prescription drugs $500 deductible$25 copay with 50% coinsurance
RightStart benefitMany combinations to keep premium within budget
• Annual maximum• Outpatient services maximum • Prescription drug maximum
Also available as a non-PPO plan
RightStartSM
Deductible $500, $ , $2,000 or $3,000 (Family deductible maximum is three times the deductible and is met collectively by three or more persons)
Plan Structures 75/25, 50/50
Out-Of-Pocket Maximum $2,500 with 50/50 plan$4,500 with 75/25 plan
Outpatient Services Maximum
$2,500, $5,000
Annual Maximum $50,000, $100,000 or $250,000
Lifetime Benefit Maximum $2 million
24 and 36 Month Rate Guarantee*
Available with $2,000 or higher deductibles
Optional Cancer Benefit $25,000 increase in outpatient services State Availability varies
RightStartSM Details
See brochure for complete
details
See brochure for complete
details
RightStartSM
Advantage Agent
OneDeductible- available with or without an HSA
Value Proposition: • Convenient: One common deductible for ALL
covered expenses – even prescriptions – for everybody on the plan
• Simple: Easiest-to-understand plan • Extensive Benefits: Most robust HSA plan• Smart Financial Choice: Higher deductible and
lower premiums than conventional plans
Who is it for?• People who view health insurance as a financial
decision as well as a healthcare decision• Those willing to fund their everyday expenses,
but who want extensive catastrophic coverage• People who value the tax savings associated
with an HSA
OneDeductible
Advantage Agent
OneDeductible HighlightsSimple − One deductible for all family members
Preventive services• $1,000 annual preventive services benefit• Optional first-dollar preventive services benefit
• $500/person/year after 12 months
Lifetime maximum benefit• Up to $15 million
HSA account administration options• HSA Tools- now free for all clients, online enrollment• HSA Fundamentals
One Decreasing Deductible• 10% deductible credit 2Xs per year- January 1st, July 1st
• Available with deductibles of $2850 ind/$5700 family & higher• Deductible can decrease as low as $1500 ind/$3000 family
Deductibles Individual plan:$1,200, $1,600, $2,100, $2,850,$3,750 or $5,000 Family plan: $2,400, $3,200, $4,200, $5,700, $7,500 or $10,000
Plan Structures 100/0, 80/20, 50/50
Out-Of-Pocket Maximum $0 to $2,500 depending on coinsurance
Lifetime Benefit Maximum
$3 million or $15 million
24 and 36 Month Rate Guarantee*
Available with $2,100 deductible & higher
OneDeductible Details
See brochure for complete
details
See brochure for complete
details
OneDeductible
*not available in KS, MN, MS, NM, ND or OR
Advantage Agent
SaveRight-available with or without am HSA
Value Proposition: • Most economical HSA-qualified plan• Premium savings can be used to
help fund the HSA
Who is it for?• Those whose top priority is
premium savings• People willing to assume greater
risk but want catastrophic coverage• People who want the tax benefits of
an HSA plan and low premiums
SaveRight
Advantage Agent
SaveRight Highlights
Prescription drugs• Covered
Lifetime maximum• $2 million
HSA account administration• Comes with HSA Tools
Flexible options to keep premiums low• Outpatient services maximum
options available
Also available as a non-PPO plan
SaveRight
Deductible $2,300, $3,000 or $5,100(Family deductible maximum is two times the deductible and is met collectively by two or more persons)
Plan Structure 100/0, 75/25, 50/50
Out-Of-Pocket Maximum Options
$0 to $3,000 depending on coinsurance
Outpatient Services Maximum $15,000 or $25,000
Annual Maximum None
Lifetime Benefit Maximum $2 million
24 and 36 Month Rate Guarantee*
Available with all deductibles
SaveRight Details100% plan
now available with $3,000 deductible.
Saves more
than 10% vs. comparable
OneDeductible design!
100% plan now available with $3,000 deductible.
Saves more
than 10% vs. comparable
OneDeductible design!
See brochure for
complete details
See brochure for
complete details
SaveRight
*not available in KS, MN, MS, NM, ND or OR