Rethink Healthcare Together Ep 02

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Episode Transcript

(00:03):
Hie. Find Thomas here with JohnRoman from cover since you can find John
online at cover sincey with Yori dotcom. John is a insurance broker and
he works for you in getting medicalcoverage and affordable medical coverage, which is
the distinction with working with a brokerand just going out and getting your Obamacare
plan or just signing up for whateveryour employment, whatever your employer is offering.

(00:24):
During open Rollman, John Rolman,it's always a pleasure talking with you.
Good to have you back. Absolutely, Ryan, It's always a pleasure
being here with you. It's rethinkhealthcare together with John Rollman, and as
we talked about in the first episode, and I want you to revisit just
the parameters of what an insurance brokerdoes compared to what people are left to
in their own devices out in thejungle that is medical insurance market, whether

(00:46):
it's Obamacare or the employer plan.You're working for your client, not for
an insurance company. Absolutely, sowe basically tell you we don't work for
the insurance companies. We work foryou. And that's exactly our stance on
how we help our clients. Becauseas a broker, being able to write
you know now nearly one hundred differentinsurance companies. I don't work directly for

(01:07):
them. I'm not employed by them. You know, I have I have
to do right by them, makingsure I'm not doing anything illegal. But
at the end of the day,you know, you're my clients, you
know, so when I if Itake you on and I represent you,
I'm going to make sure that wespend the time to really analyze your your
personal situation, your family situation,making sure that the plan that we build

(01:30):
out is exactly what you need.We'll have short term goals, we'll have
long term goals, just like agood financial planner will do. And but
we're gonna cut out the fat.You know, if there's things that you
don't need in your plan, whyam I going to put you in that?
Why am I going to sell yousomething you don't need. We talked
about maternity coverage last time we spuck. It's like, if you're a single
guy, uh, not married,not planning on getting pregnant, you don't

(01:53):
need to pay for maternity coverage.Absolutely, And but again there's people out
there to do so that's the situation. We're gonna make sure you have the
coverage for it, and show youhow to minimize those out of pocket expenses.
You know, you can go andsay, hey, I'm pregnant,
I'm gonna go and get on aplan. I need to have maternity coverage.
You buy the wrong plan, youcan be out nine grand. You

(02:14):
can literally buy a marketplace plan now, and I think there's a plan we
were looking at in the area thatyou're gonna pay less than fifteen hundred bucks
for that child. So again,making sure that even if you're on the
marketplace, I mean, if yougo to healthcare dot gov, they don't
have agents that typically work there.Most of them are navigators. So all
they're gonna do is and put yoursituation, your income, your data birth

(02:35):
and go, hey, this isthe cheapest plan do you want that.
They're not gonna can't advise you.They can't sit down with you and analyze
your situation and make a recommendation.The word coverage, that was a really
critical point to talk about here becausethe word coverage it's a bit elusive.
It depends on what you mean bycoverag You know, if you get reimbursed
like four hundred dollars a day foryour hospitals today, that's coverage. But

(02:57):
it doesn't mean jack squat contextual becausethat's not even covered the bill for board.
No. I mean, that's it'sone of the actually worst terms in
our industry because I heard all thetime from clients. You know, they'll
go, well, the agent toldme I'm covered for that. I was
like, well, I mean youcan be outside in a blizzard and you're
tidy whiteies. I mean you're technicallycovered, just not very well, you
know. And that's what you haveto be afraid of is when somebody says,

(03:20):
oh, you're covered for that,well ask them at what amount?
Like what is it actually going topay for that? Because you're absolutely right,
Brian. I mean, one ofthe things that we see coming through
our office all the time are theseplans that you know, people like,
hey, I got a private plan. I went out there and bought it.
Great. You know, I'm noton Obamacare. I didn't want to
do that. But they never poppedthe hood. They never open up their

(03:40):
contract and read exactly what it says. It just took the word of the
agent going well, if I havecancer, is it covered. Yeah,
it's covered at a thousand bucks amonth. You know, that's not even
going to cover one round of chemo. Yeah, Brian Thomas diagnosed with cancer.
In my treatment protocol involved a drugthat is retail thirteen thousand dollars a

(04:04):
bag, and trust me, Igot a lot of bags over the course
of my treatment. So that Imean that you gurde your loins. I
mean, who among us can reallyafford that kind of I mean it break
the bank. Oh, I mean, it's one of the weird things that
we hear a lot when we talkto clients, is you know, I'm
good, I already have health insurance, I'm taken care of, and they
never really look at it. It'skind of like would you buy a car,

(04:28):
and especially a use one, andnever pop the hood and take a
look and see what kind of engineyou have? I mean, that's like
one of the first thing, especiallyas a guy, It's like the first
thing I'm gonna look at. Yeah, let me see the engine. What
does this look like? I mean, can you imagine opening up and you
don't even see a six cylinder andeight cylinder? You see a hamster wheel.
I mean, it's a good pointof insurance because this opening the hood

(04:48):
thing, that's what you specialize indoing for your clients. And how I
guess I have to ask you,because you're going to be spending a lot
of time with them, how difficultis it to explain these various options once
you open the hood. You're openingthe hood on this policy, you're opening
hood on that policy. They're differentcosts or different coverage levels. There's more
upfront covers, there's less upfront covers. It's gonna take some time. Well,

(05:10):
I mean really it kind of boilsdown to what I call the four
buckets for health insurance. Right,So every plan whatever's out there, falls
into four separate buckets. Right,So the first bucket is probably what most
people see, your major medical bucket. Now, for most individuals that are
out there right now and they're notgetting it through an employer, that probably
that's going to look like the marketplace, right, it's gonna be the ACA.

(05:32):
That's your true form of Like whenI got into business nineteen years ago,
that was what we were selling majormedical plans. So that's your true
option for major medical But again,you have to look at that situation and
work with a good broker because there'sa lot of pitfalls. Like we talked
last show, nineteen thousand dollars fora family out of pocket going in for
twenty twenty four. Most of theseplans are HMOs. I mean, if

(05:54):
you really look at your network,you might not have any access to care
outside of one hundred miles from yourhome. I couldn't even imagine that.
I mean, I drove one hundredmiles just from my daughter's dance recital my
long ago. Right a network.Now we under coverage. Right, So
that's your major medical bucket. Now, the next bucket you'll hear a lot
in today's market is short term medical. Right. So short term medical is

(06:15):
something that I've always sold. Itwas we called it a bridge plan.
It was really designed like, hey, I'm going on COBRA. I got
another job of starting in ninety days. I don't want to pay two grand
a month for COBRA on my previousemployer. Is there an option? So
what you see a lot of theinsurance companies do. Now. These plans
extend anywhere from twelve months some statessix months, all the way up to

(06:36):
like in Kentucky you can do thirtysix months of coverage. Now they're whittled
down. There's some exposure there.They're not minimum essential coverage. They might
have waiting periods on things like herniasand adnoids. They probably won't cover your
feet, so they have some limitationstied into them. But you'll see a
big push today's market, a lotof insurance come. We'll start pushing these

(07:00):
short term medical plans, but they'regetting they're out there. But the big
thing on their catastrophic coverage. Soyou're gonna be very very similar to a
major medical plan. You'll have yourdeductible, you'll have your co insurance,
you'll have your maxim out of pocket. They'll typically ensure you for a few
million dollars, which is very goodif you're looking for a catastrophic component,
but you have to be aware ofthe limitations and they're not guaranteed renewable.

(07:24):
So if you do a twelve monthpolicy, in that twelve months you got
for make a diagnosed with cancer,well what happens, Well, now the
only person is going to take youafter that plan's over is the marketplace.
So now you've just gone back tomaybe the one thing you were trying to
avoid the get go, and thatwill be the Affordable Affordable Care Act.
Yeah, so your third bucket iswhat we call indemnity insurance. Which is

(07:46):
kind of the basis of the plan. We actually have your son on.
So it's a fixed benefit. They'llsay limited benefit, but really the limits
because they define the amount of coverageyou're actually getting. Now, you'd be
very careful here. This is kindof going back to the pop the hood
piece, right. I mean thereare some great four six cylinder plans that
there's eight cylinder plans, and thereare a lot of hamster wheels. And

(08:07):
this is where that whole covered termreally actually comes from. Because if you're
at a situation and that agent goes, well, yeah, I need to
get memory. What happens if Iget an memor or what happens I have
surgery? Well you're covered for that. Well technically you are, but there's
a there's a limit. And Isee these plans all the time to pay
three five hundred, maybe seven hundreddollars a day when you're in the hospital.
Let's be real, the room andboards twenty two hundred. That's kind

(08:31):
of the starting price around here beforethe treatment. That's just the bed,
that's not the ivy. Good luckto fifty dollars time in all right,
So I mean that's what you haveto look at so again it's making sure
that you work with an unbiased brokerbecause most the people that actually sell those
what I consider hamster wheel plans,they're agents. They work for the insurance.

(08:52):
That's right, That's that's your point. Yes, that's why it brokeer
is in fiduciary obligation to the clientsitting in the room. That's why you
go through all these and that's andyou know, I let me guess in
your history of doing this, you'realmost twenty years in this market. You've
had people that really want the hamsterwheel plan. They think they do.

(09:13):
They think they do, they thinkthat's what they need. Because again,
how many of us are really sittingthere all the time looking at Hey,
what's the what's the hospital building?A broken leg over here at the hospital.
I mean, most people have noclue, you know, I mean
most people have no idea what adoctor actually charges. Because most of us,
I'm including myself in that, Idon't really run to the doctor very

(09:35):
often. You know, I'll sufferthrough it. I'll go maybe every couple
of years and get my physical,you know, and get my blood work
done. But that's that's what wereally use our insurance for. You know,
the worst time to find out howgood your insurance is when you're sick,
when you're in the hospital and thedoctor walks up to you and goes,
you're planning covering this? Oh,what are we going to do?
And then we have that phone calllast week? Oh no kidding, Yeah,

(09:58):
client called in. Oh she wasa wasn't a client that now she
is? But she called in andyou know, she's undergoing cancer treatment and
she found out she was a hamsterwheelplan. And how she found out was
she went to go get an MRIat a hospital and they were going to
charge I guess like five six grandfor it, and she realized her plans
a three hundred dollars and she's like, I don't understand what what kind of
plan do I have? And Igo, well, you might be lucky

(10:20):
if you have to get Kiba thosP maybe two grand a month. And
I mean, like you said,I mean, that's not even going to
cover ten percent of some of thoseIV treatments, not even close by the
times here with John Roman have coveredsince you can get a cover since he
dot com learn more or call themup five one three eight hundred two two
five five that's five one, three, eight hundred call a plus with a
better business speer, and for obviouslygood reasons, you get more than just

(10:41):
the insurance. And as we talkedabout in the last segment, you get
your team. So once you havegot coverage for your client, you guys
will help navigate problems with claims issues. You'll explain things someone gets an eob
the explanation of benefit that they don'tunderstand. And that's me like every time
I get one, you have ateam to work with them to the extent

(11:03):
there's claims on there that don't lookright. You'll investigate that you've seen errors
before. I know that's all thetime, shocking that my medical insurance we
might commit an error. I mean, it's it's it's I think it's like
the system's almost designed to do thatfrom what I'm seeing. I mean,
we'll see id C eleven, arewe the codes that they use now,

(11:24):
there's like there's other thousands of themnow, the older ones that are the
CPT codes that are out there.I mean you see them all across the
board. But it's you know,for a layman, I have no clue,
you know, if I wasn't reallyup to date on what those things
need. Sure. I mean,you know, one of the things we
run into all the time, whichis even funnier, is you know,
people start getting bills from the providerand like, oh, my insurance sucks.

(11:46):
I don't understand, like why aren'tthey paying anything? Well, then
we just boil it down like theynever even build the insurance company. Yeah,
the insurance company has no clue.That was me cataract surgery, and
I kept getting these bills and Ithought that was covered. They kept getting
bills kept and goes rut him acheck for it was like fifteen hundred two
grand, you know, three fourweeks roll by and lo and behold,

(12:07):
there's a check. They reimbursing methe money that I paid them because it
was in fact covered. It wasjust in some you know, laying in
some claims department somewhere just hadn't beenprocessed yet. And that's what really irks
me is because people will get billseven though it's still in process. This
is where you come in. Ohyeah, So, I mean basically that
situation when we're working with a client, they see that they haven't out of

(12:30):
pocket expense. I'm like, ifthis doesn't look right, you call us
and then we'll take the next step. And it's not spent yourself three hours
trying to go through the prompts andsome insurance company to try to find a
claims person. I literally have thehotline. Yes, let us double down
on that, John, let usemphasize that somebody right now is listening,
going you know what, damn it. I just spent three hours on the

(12:52):
phone yesterday with my insurance company.I mean, if I was covered through
John and the team cover since hethey would do that work for me,
That in and of itself is worthbank right there, my friend, Oh
absolutely, I mean, we'll evenhave a client's signed a hip or release
form for us so we can contactthe insurance companies on our behalf. We're
a little good to bat for them. I mean, we can hold their
eobs, we can look at allthe claim processing, we analyze it,

(13:16):
make sure it matches up for you. Because I felt for a long time
that was a big need I was. I mean, and really, I
mean, honestly, I'm a littleselfish because it came down to something that
we ran into. I'm like,I'm tired of dealing with this and I
know how to deal with it,and I'm getting bills and why is this
not being paid for my family?Yeah, I mean just find out like,
well, the insurance companies never evenbuild them, never even sent the

(13:37):
bill, like, oh we wehad your old insurance on hand, didn't
We never updated it, so Imean I would have never known that.
So and I was like, listen, we have way too many clients that
are dealing with this. I'm tiredof them having to contact the insurance companies,
like, we will do this inhouse. So we hired a bunch
of people. I personally train them. They're actually better than at this point

(13:58):
than I am, because they're theydo it all day, every day and
they are the go between. Andlet's be honest, I hope you never
have to call them, right,I hope you don't. I literally sell
something. I hope you never haveto use. Well, we know you're
going to, and you're going toYou're gonna use it one day in the
future. And when I tell aclient, it's like, listen, you
might forget ninety percent of what Ishowed you today, but I want you
to feel comfortable that the package thatwe put together is going to protect your

(14:20):
family and in the worst case situation, all you gotta do is pick up
the phone calls. It's a greatservice. And again that's that's to me.
It's I would pay extra for that. You know. It's like,
do you guys also help people dealwith a cell phones and cable companies as
well? You know, because tryingto get a hold of any of those
jerks it takes forever. It soundslike somebody need to have a business like

(14:41):
that. I guess your next milliondollars has been made now. I know
you have this really neat thing becausepeople are out there. Well, I've
got all these questions, all thesequestions. It's not a call on show,
but you have an email address thatpeople can ask you questions. It's
simple, en up, ask Johnat coversinci dot com. I you your
questions all the time, that youwill answer questions even from people who are

(15:03):
not ensured by you or rather throughyou. Oh yeah, I mean it's
we're an open door. I meanmy big thing is, you know,
I've always said I never came throughthis business as being a sales guy.
You know. I came through Iwas like, hey, how can I
help someone that's always been my mindset. So it's not even a situation.
If I'm not going to try toram a product down your throat, that

(15:24):
doesn't make sense. If you cameto me in your situation, I'm like,
Brian, I mean, listen,your plan's really good. You might
just have to rethink it a littledifferent. Yeah, and I can show
you some piffles, but my recommendations. You say, where you're at When
we do that all the time,I mean, not every case is somewhere
that you guys have to move,you know, but if you are in
that situation, we're going to helpyou go through that well, you know.

(15:45):
And the good thing about it isit's the service you offer. You're
honest about if someone's in a goodplace or not. You don't want you
to just get them off of thatinsurance just so they're working through you.
But you can go through their policy, you can go through the other options
that are available and say, hey, you know what it's you know it's
it's it's like getting your car lookedat. Nope, there's nothing wrong.

(16:07):
You can head on down the road. I mean, that's just a beautiful
thing. I had a guy literallycalled me last week and he went through
his situation. They were on anold group plan, old group of two
which don't even exist, same forhim and his wife. And I guess
the agent that he was using foris like, I would just want to
work with you. He goes,I don't want to. I can't.
This guy won't answer the phone.I can't get a hold of them.
I'm trying to figure out if Ican do anything, and I don't want

(16:30):
to work with him anymore. I'mlike, listen. I was like,
he's a couple of years from Medicare, and I go, your wife's going
through some stuff. You have theperfect plan for you, guys. I
was like, but if you everfeel like you need advice, call us.
I said, Eventually, you'll you'llneed to become a Medicare soon.
I'll help you with that process.I was like, I just can't help
you right now because you're in thebest spot. Yeah. And we talked

(16:51):
about the Medicare advantage of Medicare subpolicies in the last program too. That
is something right in your wheelhouse.And I was blown away to learn how
many of those products are out there. I don't know how you personally keep
track of him, and he quitebecause it's the only thing I know.
Wow, fair enough expertise in agiven subject matter, I understand that,
or rather to be an expert ina few things than jack of all.
I guess right. Well, Imean going back to this the questions that

(17:12):
you've gotten over the past, andthis is an illustrative one. Jill from
Cincinnati was just kind of wondering ifyou explain what Jill was asking about and
how you were able to help herout. Yeah, so she basically told
us, you know, my husbandhas great benefits through his job. We
are in our open enrollment, whichI'm sure a lot of you guys are
right now. Yeah, and thecost of the plan for the family is
almost fourteen hundred dollars a month.We like our coverage, but we're struggling

(17:36):
to find a way to play payfor this plan. We were told because
he has an option for a group, we can't find anything that's more affordable
than this. Do we have options? So this is a this is not
a completely unique situation, but thisis something that has been addressed actually by
our government. I think we believeit was last year. So one of
the things is the affordability piece oninsure urns, so it was this year

(18:02):
it's nine point one two percent ofyour income. So if your health playing
costs more than nine two percent ofyour health care, it's actually considered unaffordable.
I believe twenty twenty four it goesdown to eight point three nine percent,
so they actually reduced it. Soif your family income, well that's
the trick. So it is familyincome. But remember it has to be

(18:22):
on the portion that your employer isnot paying for. So you know,
Jill, the first thing I wouldtell you to do is you're going through
open enrollment. What you want tofind out is what is the cost for
the health insurance just for my husband, Because most employers have to pay at
least fifty percent of the employees benefits. But here's a kicker, and we're
seeing this a lot over since basicallythe marketplace started when they raised rates on

(18:45):
everybody. A lot of employers don'tpay anything or very little for the spouses
and the children. So she mightbe paying full price for the rest of
the family. So what we woulddo is we look at the full price
of the the rest of the family, subtract out her husband's premium, and
let's say it's twelve hundred bucks amonth for the family. Well, if

(19:07):
you're making fifty grand sixty grand,I mean basically, if that's more than
eight point thirty nine percent of yourincome, you actually qualify for a tax
credit. So I can actually helpyou go in the marketplace and you might
get a huge discount on your healthinsurance. But again beware, I mean
it may you mentioned you do likeyour healthcare, so we'll have to have
that conversation, right and we mightneed a gap it with someone else.

(19:30):
We might have to add something tothat. But again in these situations,
we could probably find something more affordable. But again, make sure you check
the pricing, do that income pieceand see if that's where you're at.
And if that is the case,give us a call. We'd love to
be able to show you what youralternative options are. And speaking of that
little gap you mentioned in the lastsegment, that was something I learned.
I always say I learned something everyday. There are insurance companies out there

(19:52):
that will ensure that gap, absolutely, and there's a lot of different plans
and they're all unique to every situation. I mean, one of the biggest
pieces for gap and then this ison anybody that has health insurance because everybody
has high deductibles, right, sure. So I talked about my son last
week and we'd mentioned when he brokehis arm, and that's what it was.
I mean, I was making afinancial decision on if he broke his
arm or not, saying like,is this going to cost me something?

(20:15):
I'm like, no, I actuallyhave an accident policy. Walk it off.
Well, there's the point. Iactually had an accent in policy.
Deductible was fifty bucks. It didn'tmake a difference that the bill is five
grand, ten grand, or fiftythousand dollars. My secondary coverage, it
would only have cost me fifty bucks. And that's when I was like,
it just kicked into my head,like, no, we're just gonna go
to the EMERGENCYOM. I don't carebecause at the end of the day,
if it's a sprain or a break, I'm still paying exactly the same thing.

(20:36):
So there are little policies that youcan add on. They are not
that expensive to any type of healthinsurance plan. And the number one plan
out there is an accident in policy. I'm not talking about AFLAC. You
know something that's going to give youtwo hundred bucks if you break in a
bone or or plans like that.I'm talking about what it's called an accident
medical expense. So it works likesecondary insurance policy, and we designed them

(21:00):
to cover whatever you're out of pocketlimit is. So let's say you're out
of pocket limits nine grand, Iwould write you a planet would cover that
entire nine grand with a small reductible, and they basically supplement you're out of
pocket expense and they'll cover that entiredeductible. So think about it this way.
You got kids, right, Mykid used to be a competition cheer
and one of the girls is aflyer and they're like tossing her in the

(21:22):
air. I'm like, one daythey're going to drop that girl. Yeah,
and she breaks her leg and hermom literally talks to me, goes,
oh my god, we have anHSA. It's got an eight thousand
dollars out of pocket. She goes, yeah, you're right. If she
falls and breaks a leg, I'mon in five grand. I was like,
well, for not much money amonth, we can add a little
plan to that and you'll never eventhink about it. She's like, oh,
sign me up today. So accentsare almost two thirds of all hospital

(21:42):
claims. Yeah, so if Iwas a better idea, I did not
know that statistic. But you know, if you just ask me what percentage
are acting like, Well, that'show you end up in the hospitals an
accident. And this is what Ikind of got back to on the last
show, is like, you haveto stop making financial decisions about our healthcare.
You know, we should be ableto get the treatment that we need.

(22:02):
We should and second guess the typeof treatment even the doctor recommends us
being able to do because we're scaredof the exposure that we have financially,
you know. And that's what Italk about layering coverage. You know,
when I layer a plan, it'slike a really good financial planner. I
mean, to be honestly, there'sno off the shelf product that you can
buy that you're ever gonna be happywith, you know, and you have

(22:25):
to customize it. And a lotof times that might be two three,
four, five different insurance politicists workingtogether. I call it like kevlar,
right, And I get the ideaabout that the you know, I was
just thinking like a bouquet, youknow, it's you know, there's this
part is covered by that particular companyand there's that one and all together creates
this bouquet of flowers and you've gota complete package. So is is are

(22:48):
your insurance that have you know,multiple different providers covering all these different gaps
and holes? And is it confusingwhen when you get paperwork? I mean,
why am I getting a bill fromthis company? And I know you
have a team that'll explain all this. That's the best thing I think I've
learned from you is you handle allof the issues that people might crop up.
But in terms of that is whatis the tail end? When when

(23:11):
I'm getting bills and I'm getting invoicesand things like that, is in any
way, shape or form confusing Well, in a lot of cases, it
can be a little bit, especiallyif we had a conversation a year ago
and a year later, like Iremember, like you told me who his
name was? Right, I knowI have really good coverage, but I
don't really remember all the intricacy.And that's you're absolutely right. That's when

(23:33):
you call into our care team andI always say, listen, do it
before you actually have something done,because we can advise you through it.
So, especially if its elective,like let us know prior, but in
most cases it's just having extra insurancecard. So kind of going back to
like what we mentioned with like Medicare, right, I mean everybody knows if
I'm on Part A and B andMedicare, I need to hit something else.
It's a supplement or advantage plan,something to help pick up all the

(23:55):
holes in the government plan. Right. So the same thing with like the
marketplace. There's a lot of holegoals. So in a lot of cases,
when you go to the doctor,it's just handing I tell them,
listen, here's your primary insurance.You're right at number one on the card.
So when you fill your intake formatyour doctor, you're gonna put down
as your primary insurance, and here'syour secondary coverage, and put number two
and then write that down as yoursecondary coverage. So the doctor your provider

(24:17):
will build both insurance companies, thefirst one typically being your catastroph or your
major medical plan, right, andthen your second one will be something that
gives you first dollar coverage so you'renot getting nickeled in dime. So that's
how we literally package plans together.So you have this plan that pays from
dollar one to like dollar fifty thousand, and you have this other plan that
pays from like dollar ten thousand tomillions, and they both work together.

(24:40):
And of course the overage, thegap over top of it is where we
can put money in your pocket.That's amazing. Really, that's how you
you know, when I'm speaking onyour behalf, or of course is like
cover more coverage upfront, you know, for less money. It's because you're
working with all these different companies andputting this layer, these layers all together.
Ah jeez, I love that.What other kind of questions you get

(25:03):
when people reach out to you andmaybe confused or have an individual circumstance.
I'm just trying to give some peoplean additional context. Yeah, yeah,
so I got this was from Ashleyfrom in Roe. She goes, I
am healthy with two school age children. I plan through work really doesn't cost
me much, but every time Igo to the doctor, we keep getting
all kinds of bills in the mail. It looks like they're never paying for

(25:26):
anything. Yeah, I feel likethis plan doesn't work at all for me.
Then I sign up for the wrongplan. This happens a lot,
I mean, especially if you're lookingat a high deductible health plan. Or
maybe like an HSA plan and yougot kids and you're not realizing, hey,
well now i'm getting Now, Ihave no coverage until I pay out
thousands of dollars every year. Andlet's be real, most of us never
meet that, right. We're probablyalways on the hook for a couple grand

(25:48):
a year. Insurance companies know that. So that's why you got a cheaper
plan. Maybe this is through yourwork. Look and see if you're an
open rollment, look and see ifthere's other options. Maybe something that has
copays for doctor visits might work foryou. Now some companies you might have
one option, and this is wherewe could actually help you buy looking at

(26:10):
some gap plans that are not thatexpensive to add on there for you that
makes more sense, you know,don't again, if you have two kids,
two young kids, I mean,you're probably in a situation you start
overthinking things like, oh, that'sside iss afection, that's not so bad.
I'll I'll just keep them home fromschool today rather than go take them
to the doctor and getting treatment.Don't make that decision. No, don't

(26:30):
make that decision. And also,as we talked about last time, ask
how much it costs up front?I mean I think every time you and
I talk, we need to justemphasize that. Ask you know, how
much is that going to cost me? Let's nobody does that in medical insurance.
I know we kind of beat adead horse on that realm, but
yeah, go back to the images, and Brian, I'm gonna take it
a step further. Please, don'tjust ask how much it costs. Ask

(26:52):
what the cash price is. Ohyeah, the provider rate versus the the
off the street rate. Good pointon that one. We were just talking
to a client a few months agoand they were going in for an electric
procedure and for whatever reason, thefacility was winning a charge in like fifteen
thousand dollars for this like yeah wallprocedure. Well we found out like fourteen

(27:15):
grand of it was literally facility.A thousand was actually the surgeon. Oh
my, so well, you know, and I used the illustration of that
cancer treatment I was getting that.I am cancer free in November three years.
I'm happy about it. My treatmentprotocol work. But during while I
was getting it, thirteen grand abag was the build charge. The reimbursed
rate that covered the whole thing wascloser to five thousand dollars. Still,

(27:38):
outrageous, but not thirteen If Ididn't have insurance at the time, it
would build me thirteen grand. Yeahyeah, I mean I could have haggled
with him, maybe, like say, hey about you, how about you
give me a little provider rate onthis one they didn't have, they wouldn't
have to do that good luck,good luck tagle because they gotta pay for
that chemotherapy treatment up front. Somost of the time, if you don't

(28:00):
have insurance, they don't treat you. That's not like they're gonna get to
bill you. They're gonna go,okay, we need forty grand up front
before you set this treatment. See, that's why you need John Roman.
But you know, kind of goingback to here's the funny part about that
bill. So fourteen thousand was thefacility fee. I told him, listen,
you're gonna call back. I waslike, why I want you to
ask you, I don't have insurance, what's the cash rate? Within fifteen

(28:23):
minutes, that bill went to threegrand. See, most people don't know
that this is even an available option. That's why you need John Roman.
Cover Sincy with Y or I coverSincy dot com. Don't care what state
you're in. John can take careof you and manage your medical insurance,
putting more coverage up front. Ashe's illustrated over and over again, UH,

(28:44):
lower premium, better coverage, anda whole team to help you navigate
all the challenges that go along withmedical insurance. If you have any questions
for John, maybe we'll feature yourquestion on the show. Ask John at
coversincy dot com. Go ahead andfire off an email if you've got a
specific circumstance, and of course givethem a call if you want to get
some insurance. It's five one threeeight hundred two two five five five one

(29:06):
three eight hundred call give them ashout today, John. It's always a
pleasure, man. It's just Ilearned something every time I talk to you,
and I just medical insurance doesn't soundnearly as bad as people perceive it
when we talk to you. Well, I hope there is a me in
every industry, So do I.Until we speak again, my friends,
stay well. Thanks Bro,