Guaranteed Issue Health Insurance

Defined benefit plans are completely guaranteed issue and most are HIPAA qualified. They are cost effective alternatives for someone who cannot medically qualify for health insurance.

A defined benefit plan utilizes a defined payment schedule for a wide variety of medical expenses. For example, one of our plans pays $3,000 for the first day in the hospital and $1,000 a day thereafter. For a physician office visit, it pays $100. With the PPO discount, that will cover most office visit fees.

The office visit feature works just like a copay - but better. The office calls the number on your PPO card and gives the network your id and their provider number. The physician is paid directly. Very often you pay nothing at all.

These plan offer a surprising amount of coverage. They cover a number of office visits, checkups, labs and x-rays as well as a good portion of a hospital stay.

By utilizing the included PPO network arrangements, you get reasonable coverage for the majority of medical mishaps. The plans are very cost effective and HIPAA qualified.

Although, we try to protect ourselves from the worst possible catastrophes, most of us will never spend more than a day or two in a hospital. A defined benefit plan will provide coverage for the daily hospital fees and surgery as well as routine physician visits, physicals and lab fees.

The surgical schedule for the top tier plans pay 100% of Medicare rates for surgery with no maximum annual limit.

Important Note - HealthMax versus HealthMax Plus: There is now a new plan called the HealthMax Plus. It costs $349 a month versus the HealthMax at $305. In our opinion, the extra benefits are not worth the extra cost. It makes more money for agents but does very little for you. If you want to spend a little more to get meaningful extra benefits ($500 a day extra for the hospital and a $25,000 critical illness plan), buy the regular HealthMax at $305 and add the XTRA rider for $88. It is money better spent. If you are on a budget, I would rather see you buy the HealthSolutions at $248 and the XTRA rider for a total of $336. Still a better buy.

We offer three defined benefit plans.

Our favorite is the HealthMax plan. It has great benefits and if you have had continuous coverage for the last 12 months, there is no wait for pre-existing conditions. Plus, it is HIPAA qualified and counts as continuous coverage if you switch to another plan.

Why Do Charge Less Money for Better Benefits Than Other Plans?

The answer is very simple:

- We do not let our agents set their own prices to obtain absurd commissions
- We do not have 5 levels of management who need to get "a piece of the action"
- We price the plans appropriately

Compare our HealthMax plan which costs $305 a month to any other similar plan. The differences are significant. Plus, ours plans are the only plans that are HIPAA qualifed. This means they are real health insurance.

We found one company offering a plan at well over $325 a month that we routinely sell for $175. One of their agents told me that they receive nearly $100 a month in commission for the plan. So, they decided to rip-off the consumer and make a lot of money. We took the high road.

Who Should Consider a Defined Benefit Plan?

Since these plans are completely guaranteed issue, anyone who cannot medically qualify health insurance is a candidate. Furthermore, if you have had 12 months of prior coverage with no lapses of more than 63 days, pre-existing conditions will be covered. Otherwise, pre-existing conditions will be covered after 12 months.

Adding Additional Coverage

While these plans will cover the majority of medical issues, there are certainly situations that might require more coverage. You can accomplish this in a variety of ways:

Cancer Plan - This plan adds up to $50,000 a year in additional coverage for cancer treatment. Plus, you can get another one time lump sum of $25,000 on diagnosis.

Critical Illness - These plans pay out lump sums on diagnosis of cancer, heart attacks, organ transplants, etc. They do ask medical questions, but many of you will still be eligible.

Stacking - You can have more than one indemnity plan or even add an indemnity plan to our mini medical plan. The combined coverage is more expensive but can get you through a number of serious problems. Plus, this permits you to use guaranteed issue plans.

Indemnity or Defined Benefit plans are a great option for someone who must have health insurance and cannot obtain it due to medical problems.

Call us at 800-272-0512 (9 AM to 9 PM EST)