40962-G-1011 COPAY SELECT SM VALUE WITH SUPPLEMENTAL ACCIDENT RIDER Copay Select SM Value provides pricing flexibility. Value Packaging allows for significant cost savings.
40962-G-1011 COPAY SELECT SM VALUE WITH SUPPLEMENTAL ACCIDENT RIDER Copay Select SM Value provides pricing flexibility. Value Packaging allows for significant.
Dec 25, 2015
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40962-G-1011
COPAY SELECTSM VALUE WITH SUPPLEMENTAL ACCIDENT RIDER
Copay SelectSM Value provides pricing flexibility. Value Packaging allows for significant cost savings.
40962-G-1011
Copay SelectSM Value
What is a common deciding factor when purchasing a health insurance plan?
Plan DesignNetworkName Recognition
Price
40962-G-1011
Copay SelectSM Value
Copay SelectSM ValueAllows for Pricing Flexibility
What is Copay SelectSM Value4 Doctor Office Visit Copays$15 Generic Rx Copay Card70/30% Coinsurance
24% Savings
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Price Flexibility
Deductible & Coinsurance Sample Rate
$5,000, 80%; unlimited $35 DOC & 4-tier Rx copay $331.53
$7,500, 80%; unlimited $35 DOC & 4-tier Rx copay $282.08
$10,000, 80%; unlimited $35 DOC & 4-tier Rx copay $241.41
Husband & Wife Age 35 with one child, age 10, Preferred I rate, Orlando FL 32891
$5,000, 70%; 4 $35 DOC & Generic Rx coverage $250.94
$7,500, 70%; 4 $35 DOC & Generic Rx coverage $213.51
$10,000, 70%; 4 $35 DOC & Generic Rx coverage $182.72
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4 Doctor Visit Copays
Why 4 Doctor Office Visit Copays?Two doctor office visits on average is 2 per member*Additional doctor office visits covered, subject to deductible and coinsurance
*All plans except Saver plans in a twelve month period ending September, 2010
Preventive care visits are
covered and do not count
toward office visits!
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Generic RX Coverage?
Nearly 80% of FDA-approved
drugs have generic
counterparts.1
75% of total prescriptions dispensed are
generic.2
Information from HHS.IMS Health Website, April 2010
Why $15 Generic Rx Copay?
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70/30% Coinsurance
Why 70/30% Coinsurance?Reduces premiumSame copay applies
Significant provider discounts can reduce the likelihood of meeting a calendar year deductible
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Copay SelectSM Value
Why ?Lower PremiumSame Preventive Care BenefitDeductible Credit applies
24% Savings
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Copay SelectSM Value vs. Competitor 1*Copay SelectSM Value provides flexibility
Copay SelectSMValue$5,000 Deductible $35 Copay (4)70% Coinsurance
Competitor 1$5,000 Deductible $40 Copay 80% Coinsurance
Monthly Premium $254 $312
Specialist Dr. Visit Copay $35 $60
Deductible Credit?Yes No
Emergency Room Copay $100** $700
*Preferred I rate , husband and wife age 35 with 1 child. Zip 32891. Rate as of 10/01/2011**Applies for Illness if not admitted. Deductible and Coinsurance apply.
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Copay SelectSM Value
When?To bring your client back from “no”When your lead product does not meet your client’s budgetNeed a lower price point to allow for Supplemental Coverage
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Supplemental Accident Coverage
Helps reduce out of pocket expensesBenefits range from $500-$10,000Benefits are per person, per accident
Applies to: Deductible
Coinsurance & Copays
Gives clients confidence in choosing higher deductibles
Helps you generate more income
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12
Supplemental Accident
Client Example, $5,000 Benefit
Copay SelectSM Value $5,000 Deductible, 70% Coinsurance, 4
DOC, Generic Rx copay
Supplemental Accident satisfies covered out-of-pocket expenses related
to accidents up to benefit maximum.
Copay SelectSM
Plan pays 70% for covered
expenses once deductible is
met.
$5,000 Deductible
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It’s Easy on E-StoreJust Three Easy Steps in E-Store to Save!
Choose “Copay Select”
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It’s Easy on E-StoreJust Three Easy Steps in E-Store to Save!
Step 1: Choose 70/30 in the
Coinsurance drop-down menu.
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It’s Easy on E-StoreJust Three Easy Steps in E-Store to Save!
Step 2: Choose Generic Only Rx
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It’s Easy on E-StoreJust Three Easy Steps in E-Store to Save!
Step 3: Choose 4-Office Visit
Copays
That’s it!
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Less Premium can provide MORE
More -
More Coverage -
More Coverage-
More Coverage-Compensation
Supplemental Accident
Term Life
Dental and Vision
35% More in previous example
E-Store makes quoting easy!
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Thank You!
Choices You Want. Coverage you Need.®
Justin ClementsNational Key Broker Account Executive
Copyright © 2011 Golden Rule Insurance Company, the underwriter of these plans marketed under the UnitedHealthOne brand. UnitedHealthOne is a brand name used for products underwritten and/or administered by the following Insurance Companies: American Medical Security Life, Golden Rule, PacifiCare Life and Health, UnitedHealthcare. The brand name may also be used for PacifiCare Life Assurance Company products. Plans are medically underwritten. Not for Consumer Use 40962-G-1011
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