Searching for Medical Coverage?

Searching for health insurance on your own can be a daunting task. Onestrategy is to turn to a professional organization or other associationthat offers health insurance among its benefits.

That can be a good alternative if the association is awell-established membership organization set up to offer a range ofbenefits and can negotiate group rates from insurance companies. But itcan backfire when the association is made up of loosely affiliatedmembers who join mainly to buy health insurance.

Many so-called discretionary associations offer few benefitsbesides health coverage. Insurance offered by these associations may bemarketed as group insurance, but it's really individual coverage anddoes not provide the protections of traditional group plans. Plus,associations often dangle enticing teaser rates that soon disappear,according to a recent report by Families USA, a consumer-advocacy groupin Washington.

"The issue here is that consumers think they're gettingsomething they're not," says Sonya Schwartz, co-author of the report.

If you buy insurance through an association and your premiumshead skyward, there may not be much you can do besides shop for anotherinsurer. But there are some steps you can take before you sign up.

First, contact your state insurance department. If the insureris a legitimate company, it will be licensed to do business in yourstate, says Sandy Praeger, the insurance commissioner for Kansas. Butlegitimate -- and licensed -- is no guarantee that you won't be misledor buffeted by steep rate hikes.

Second, get the policy and read it carefully. Some associationplans have big gaps in coverage, such as limits on hospitalizationbenefits that could leave you liable for huge bills. Many states have a"free look" period of, say, 10 days, during which you can review thepolicy and get a full refund of your premium if you cancel.Unfortunately, association plans may not be covered under suchconsumer-protection rules. Third, use an agent. "We have the knowledge, we're licensed bythe state, and we have to follow the law and know what we're selling,"says Jackie L. Spragins, an insurance agent in Wichita Falls, Tex., whois also a former president of the Texas Association of HealthUnderwriters. Consider discretionary-association-plan insurance only as alast resort. You may be able to afford an individual policy if, forexample, you accept a large deductible and skip prescription-drugcoverage. Source: Deseret News(Salt Lake City). Powered by Yellowbrix, Inc.
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