Showing posts with label health discount card. Show all posts
Showing posts with label health discount card. Show all posts

Wednesday, November 18, 2009

Did you know you are buying three products when you buy health insurance n USA?

Many people don't realize but they are really buying 3 products when they buy health insurance:
  • Discount Card - Whether we realize it or not, the list prices offered by most service providers are 2 to 10 times the negotiated price an insurance company pays to the service provider for the service. The challenge is if a procedure is not covered by your insurance company (or if you are uninsured), you end up paying list price. I can understand 10% to 20% price differential based on volume and other benefits of working with an insurance company but a 10x price difference in my opinion is completely broken.
  • Pre-Pay - You might be delighted to know that your insurance plan pays 100% for your annual exam but the reality is either you or your employer is pre-paying for it as part of the premium irrespective of whether you use it or not. Does it make sense to pre-pay for a service particularly if there is no refund if you don't use the service?
  • Insurance - Insurance part of the plan covers for un-expected illness and injury.
Obvisouly, combining the three products into one product makes it a very complex product. My company is trying to simplify this for potentially buyers (consumers and small businesses) and help them quickly select the right health insurance plan.