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 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
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
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
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
CIGNA PLANS Cash Advantage CI Flexible Choice Cancer/Heart
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
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
STANDARD LIFE AND ACCIDENT PLAN Critical Illness Plan
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
AETNA PLANS Protection Series- Cancer Heart Attack/Stroke Plans
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
COMPARING PLANS CIGNA, AETNA, AND STANDARD LIFE AND ACCIDENT
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% - - -
MONTHLY PREMIUM COMPARISON: Cancer & Heart Base 5,000 50,000 100,000 Cigna Flex $7.25 $72.50 $145.00 18-39 Cigna Cash N/A $228 N/A 18-24 $10,000 = $7.00 SLAICO $2.55 $7.50 $16.00 18-24 Aetna N/A $37.42 N/A 18-24 $10,000 = $7.48 Cigna Flex $32.75 $327.00 $655.00 65-69 Cigna Cash N/A $1,200 N/A 57-59 $10,000 = $278.40 SLAICO $20.30 N/A N/A 65-69 60-64 = $154.00 60-64 = $205.00 Aetna N/A $243.00 N/A 65-69 $10,000 = $48.75
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