1. Why Are Your Rates So Affordable?
a. 5% of the population is responsible for 50% of all claims and healthcare costs in the US. Our plan is so much more affordable because that 5% of the population with those costly chronic conditions are not eligible for our plan. The people who are eligible and who do qualify to be on our health indemnity plan file less claims and so our health indemnity plan doesn’t have to pay as many claims. That means we can use your premium payments to give you better benefits at a lower rate.
b. Also, your health premium is based on your age, smoking status, where you live and your health. The healthier you are, the lower your premium. (Like a good driver discount)
2. How Do I Find Out If I Qualify For This Plan?
a. One of our agents will ask you a series of health questions during your application submission process. You do not have to have any lab work or physicals done to qualify.
3. Is This Real Insurance?
a. Yes, this is a health indemnity plan. It is not ACA compliant. Because we don’t insure everyone the government does not give us the same ACA status as some of the private insurance companies like Cigna, Blue Cross Blue Shield, Aetna, Human and United Health Care.
b. Our health indemnity plans are approved by each state’s department of insurance and we are regulated by, and strictly follow each state’s guidelines.
4. If The Plan Is Not ACA Compliant Do I Have To Pay A Penalty For Not Having ACA Insurance?
a. No, the current presidential administration eliminated the individual mandate and penalty with an executive order.
5. If This Plan Is Not ACA Compliant Can I Still Offer It To My Employees.
a. Yes, if you have less than 50 employees you are not required to offer an ACA compliant plan.
b. If you have more than 50 employees you can still offer this plan coupled with one of our other solutions to keep you compliant with all regulations. Please contact us and we will explain how we help employers with 50 or more employees.
6. Is This An HMO Or PPO?
a. This plan utilizes the largest and first ever established PPO network in the United States. The name of the PPO network is MultiPlan PHCS and we use both their MultiPlan network and MultiPlan Limited.
7. Do I Have To Pay My Bills First And Then File My Own Claims To Get Reimbursed?
a. No. If you go to doctors and facilities in our network you simply give them your insurance card, like most any other insurance, and your doctors will file your claims. Our company will pay doctors for covered claims and any money that is left over gets sent directly to you in the form of what is called an excess indemnity check.
b. But the best part about our plan is you have the option to control your own healthcare dollars!
8. How Can Your Insurance Company Afford To Give People More Money Than Their Claims Actually Cost?
a. If you have a daily hospital benefit of $3000 per day and your hospital bill is $2500 then you have what is called an EXCESS INDEMNINTY BENEFIT. That excess benefit is yours by law and the insurance company has to pay it to you. That means the left-over benefit of $500 would be sent to you.
b. Ask your agent to see how one of our clients actually received checks in the mail totaling almost $59,000 on top of having his medical bills paid.
9. Is My Doctor In Network?
a. Your agent can help you look to see if your doctor is in network, but we do use the largest PPO network in the nation with over 882,000 access points in all 50 states.
10. How Do I Know If This Is Enough Coverage For Me?
a. Your agent will ask you questions to help you determine the right level of coverage for you.
b. In the year 2017 only 194 people filed health insurance claims that exceeded $1 million. The average person does not need the unlimited benefits that companies like Cigna, Blue Cross Blue Shield, Aetna, Human and United Health Care offer. That is another reason why they charge so much.
11. How Much Are The Rate Increases Each Year?
a. We’ve never had more than a 1.9% rate increase.
12. Do I Have To Renew Or Re-Qualify Every Year?
a. Your policy is automatically renewed every year with no effort on your part regardless of your claims history or health status changes up to $5 million.
13. What Is My Max Out Of Pocket?
a. We don’t have a max out of pocket.
b. You have a max annual benefit of $250,000, $500,000 or $1,000,000.
14. Why Should I Purchase Insurance Through Revolt Healthcare Alliance?
a. Because we provide the best benefits at the best price and our agents actually care about you. Our agents will be there before, during and after a health event to help you understand and use your benefits.