SUPPLEMENTAL HEALTH Critical Illness Plans Overview Contact Daniela - - PowerPoint PPT Presentation

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SUPPLEMENTAL HEALTH Critical Illness Plans Overview Contact Daniela - - PowerPoint PPT Presentation

Jul 15, 2023 402 likes •567 views

SUPPLEMENTAL HEALTH Critical Illness Plans Overview Contact Daniela Levi with any questions 469-635-6787 Daniela@TheBrokerageInc.com WHY DO MY CLIENTS NEED A CI PLAN? 77% of all cancers are diagnosed in people 55 or older Heart attacks

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SUPPLEMENTAL HEALTH Critical Illness Plans Overview

Contact Daniela Levi with any questions 469-635-6787 Daniela@TheBrokerageInc.com

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WHY DO MY CLIENTS NEED A CI PLAN?

 77% of all cancers are diagnosed in people 55 or older  Heart attacks are the number one cause of death for men and women in the USA  Survival rates have increased drastically in the past 10 years  66% of people diagnosed with cancer survive 5 years or more after being diagnosed  86% of hospitalized heart attack patients survive  3 in 5 bankruptcies are due to medical bills  27% of cancer survivors report suffering financial problems such as

  • bankruptcy. Another 37% report modifying work plans such as

delaying retirement  61% of cancer treatment costs are not covered by health insurance (Loss of income, Transportation, mortgage and rent, bills, medical deductibles and co-pays

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YOUR CLIENTS ON MEDICARE

AETNA MEDICARE ADVANTAGE HMO DALLAS

 $4,100 Annual Max Out-of-Pocket (in network only)

 Client pays 100% of medical expenses out-of-network such as M.D. Anderson Cancer Center

 AETNA MA PPO DALLAS

 $6,000 Annual Max Out-of-Pocket (in network only)  $350 ambulance copay  Client pays 20% copay for chemo/radiation  $295 per day (days 1-6) Inpatient Hospital Care

 $10,000 Annual Max Out-of-Pocket (out of network)

 45% coinsurance for doctor and specialist visits  45% copay for chemo/radiation  45% copay cost per stay inpatient hospital care

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YOUR CLIENTS WITH AN ACA PLAN

 BCBS- Blue Advantage Silver HMO 102 & 102 Plus

 $6,850 Annual Max Out-of-Pocket (in network only)  Client pays 100% of medical expenses if out-of-network such as M.D. Anderson

 BS&W- My Plan 5000 PPO

 $6,000 Annual Max Out-of-Pocket (in network only)

 20% coinsurance on diagnostic tests and imaging  50% coinsurance on brand and specialty drugs  20% coinsurance on outpatient surgery

 $12,000 Annual Max Out-of-Pocket (out of network)

 50% coinsurance on any service or drug

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TYPES OF CRITICAL ILLNESS PLANS

COVERAGE OPTIONS  Cancer only  Heart Attack/Stroke only  Critical Illness

 Cancer, Heart Disease, Coma, Paralysis, Renal Failure

PAYMENT OPTIONS  Indemnity Plans -Lump sum benefit only  Actual Expense Reimbursement Plans  Indemnity with additional daily or actual reimbursement benefits plans

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CIGNA PLANS

Cash Advantage CI Flexible Choice Cancer/Heart

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CIGNA

FLEXIBLE CHOICE CANCER AND HEART

 Issue Ages: 18-99  Choose Lump Sum Benefits ($5,000- $100,000  Options: Cancer only, Heart Attack/Stroke only, Both Cancer and Heart  Riders: recurrence benefit, hospital indemnity benefit, ICU  Monthly Premiums Starting at $3.50

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CIGNA

CASH ADVANTAGE CRITICAL ILLNESS

 Issue Ages: 18-59  Choose Lump Sum Benefits ($10,000- $50,000)  Cancer, Heart, AND Critical Conditions  Riders: hospital indemnity benefit, AD&D  Monthly Premiums Starting at $7.00

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STANDARD LIFE AND ACCIDENT PLAN

Critical Illness Plan

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SLAICO

CRITICAL ILLNESS INSURANCE

 Issue Ages: 18-74  Choose Lump Sum Benefits ($5,000- $500,000)  Fully underwritten and simplified issue  Cancer, Heart, AND Critical Conditions  Recurrence benefit included  Riders: mortgage protection rider  Monthly Premiums Starting at $2.50

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AETNA PLANS

Protection Series- Cancer Heart Attack/Stroke Plans

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AETNA

PROTECTION SERIES CANCER AND HEART

 Issue Ages: 18-89  Choose Lump Sum Benefits ($5,000- $75,000)  Cancer only, Cancer AND Heart  Riders: ICU  Monthly Premiums Starting at $3.32

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COMPARING PLANS

CIGNA, AETNA, AND STANDARD LIFE AND ACCIDENT

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BENEFIT SCHEDULE COMPARISON

CIGNA CASH CIGNA FLEX SLAICO AETNA

Cancer 100% 100% 100% 100% Carcinoma in Situ 25% 25% 25%

  • Organ transplant

100% 100% 100% Stroke 100% 100% 100% 100% Heart Attack 100% 100% 100% 100% Artery Bypass 25% 25% 25%

  • Aortic Surgery

25% 25% 25%

  • Heart Valve

25% 25% 25%

  • Angioplasty

100% 10% 25%

  • Recurrence benefit
  • Yes

Yes

  • Coma

100%

  • 100%
  • Paralysis

100%

  • 100%
  • Renal Failure

100%

  • 100%
  • Major Burns

100%

  • Deafness/Blindness

100%

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MONTHLY PREMIUM COMPARISON: Cancer & Heart Base

5,000 50,000 100,000 Cigna Flex 18-39 $7.25 $72.50 $145.00 Cigna Cash 18-24 N/A $10,000 = $7.00 $228 N/A SLAICO 18-24 $2.55 $7.50 $16.00 Aetna 18-24 N/A $10,000 = $7.48 $37.42 N/A Cigna Flex 65-69 $32.75 $327.00 $655.00 Cigna Cash 57-59 N/A $10,000 = $278.40 $1,200 N/A SLAICO 65-69 $20.30 N/A 60-64 = $154.00 N/A 60-64 = $205.00 Aetna 65-69 N/A $10,000 = $48.75 $243.00 N/A