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Small Business Health Insurance Savings in Fall River, MA Note: This was written before the advent of Health Savings Accounts with offer better protection and much better savings potential BEFORE: They had a popular HMO with a regional network and had been paying $296/mo for an individual plan $570/mo for two people and $882 for a family but the rates were increasing to $341 for an individual; $657 for two people and $1018 for a family. The total for the group of 13 employees was going up to $7708/mo! The plan had a $15 office visit co-pay and a $50 E.R. co-pay and a $10/$20/$35 Rx co-pay. It also had a $250 hospital admission co-pay and a $150 outpatient surgery admission co-pay. Before discovering Health Plan Specialists, they were
considering downgraded their plan to one with
$25 office visit co-pays and a $500 hospital admission co-pay and a $250
outpatient surgery co-pay PLUS before the prescription Health Plan Specialists was able to show this group not only better coverage but for a LOT LESS COST. A PPO plan underwritten by John Alden Life Insurance Company, the largest provider of small group health insurance in the country, using the largest PPO in the country, Private Health Care Systems was proposed for all employees for a total of $5548 per month or an annual savings of OVER $26,000!. Included with the plan was a $20 office visit co-pay; a $15/$25/$50 Rx co-pay plan and rather than hospital admission co-pays as much as $500 PER INCIDENT the way their HMO plan had, this plan had simply one $500 annual deductible. CONCLUSION/BOTTOM LINE: Before, the group had a regional HMO with NO COVERAGE
outside the network and with the Health Plan Specialists proposal, they have
coverage ANYWHERE- both inside and outside the network with NO PRIMARY CARE
PHYSICIAN REQUIREMENTS like they had with their previous plan INCLUDING a
savings of over $26,000 per year! Health Plan Specialists [Next Savings
Profile]
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