Moni
Active member
1. DOES YOUR PLAN COVER YOU ON AND OFF THE JOB?
Many health insurance plans have specific exclusions that eliminate your benefits for anything that could have covered under workers compensation or similar laws.
2. ARE YOU WRITING IT OFF?
Independent contractors (1099's),home based business owners, professionals and other self employed people generally are not taking advantages of the tax laws available to them.
3.INTERNAL LIMITS
All true insurance plans use some form of internal controls to determine how much they will pay out for a particular procedure or service. There are two basic method
-Scheduled Benefits
Many plans, some of which are specifically marketed to self employed and independent people, have a clear schedule of what they will pay per doctor office visit, hospital stay, or even limits on what will pay for testing per 24 hours period. This structure is usually associated with "Indemnity Plans". If you are presented with one of these plans, be sure to see the schedule of benefits, in writing.
-Usual and Customary
Usual and Customary refers to the rate pay out for a doctor office visit, procedure or hospital stay that based on what the majority of physicians and facilities charge for that particular service in that particular geographical or comparable area. Usual and Customary charges represent the the highest level of coverage on most major medical plans.
Many health insurance plans have specific exclusions that eliminate your benefits for anything that could have covered under workers compensation or similar laws.
2. ARE YOU WRITING IT OFF?
Independent contractors (1099's),home based business owners, professionals and other self employed people generally are not taking advantages of the tax laws available to them.
3.INTERNAL LIMITS
All true insurance plans use some form of internal controls to determine how much they will pay out for a particular procedure or service. There are two basic method
-Scheduled Benefits
Many plans, some of which are specifically marketed to self employed and independent people, have a clear schedule of what they will pay per doctor office visit, hospital stay, or even limits on what will pay for testing per 24 hours period. This structure is usually associated with "Indemnity Plans". If you are presented with one of these plans, be sure to see the schedule of benefits, in writing.
-Usual and Customary
Usual and Customary refers to the rate pay out for a doctor office visit, procedure or hospital stay that based on what the majority of physicians and facilities charge for that particular service in that particular geographical or comparable area. Usual and Customary charges represent the the highest level of coverage on most major medical plans.
