Rethink Healthcare Together Ep 03

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Episode Transcript

(00:09):
Hi, It's Brian Thomas here withJohn Rouman from Cover Sincey for another edition
of Rethink Healthcare Together. John,it's always good to see you, and
I don't want to rehash everything wetalked about in the last show, but
to the extent some people are justtuning in. We're talking about medical insurance
and a different way to look atmedical insurance and obtain medical insurance. We're
not talking about going through Obamacare.We're not talking about going through your employer.

(00:30):
You know where one size is supposedto fit all. It's crazy,
it's costly, there's a ton ofout of pocket up front. You also
have deductibles and copays, which areyou know, can be really overwhelming for
some folks. You've got a betterway to do it, and you have
been successfully saving your clients thirty tosixty percent off the Obamacare policy or off

(00:50):
their employer policy. And I wasjust mind boggling to learn how you do
that last time, because it's like, why would anybody do it differently?
Why would anybody stick with Obamacare orgo with an employer plan with limited options
when you have what I would sayliterally unlimited options. Working with a broker,
you are working for your clients,not for insurance companies is really odd

(01:14):
boils down well absolutely. I meanthe big thing that you get to look
at is there's a lot of insuranceoptions out there. And you know what
I always tell clients when I firsttalk to them is, you know,
not every plan that you can justbuy off the shelf, take it and
go home and be completely happy.It's all about really customizing what you have,
and and a lot of times that'slayering coverage. You know, not

(01:34):
every insurance company does things specifically perfectly. You know, they're going to leave
holes and gaps and different things intheir plans just to put you into a
situation where hey, I don't haveto cover that as the insurance company,
or I can limit this exposure hereto us because we're not going to pay
as much on a claim. Sowhat we're able to regularly see, especially
when you're looking at the Affordable CareAct or you know, really any of

(01:56):
these high expensive, deductible and majormedical insurance plan is you know, how
can I customize that? How canI build you a plan maybe with a
couple of different insurance companies and justkind of take out and piecemeal it together.
I mean it's it's kind of crazythat we're both car guys. We
were just talking about that when theshow started. But imagine going to a
car dealership and going, hey,I love the Ford engine, but I
want the Chevy chassis and I wanta Dodge interior. I can literally build

(02:21):
that for a client and build youthe custs and truck the way you like
it. And that's what we dowith health insurance plans. Yeah, and
you described that last week, andI thought it was more one of the
more intriguing elements of it. Youcan get you work with north of one
hundred, maybe close to two hundreddifferent insurance companies. You can get one
company to, you know, docertain aspects of the coverage, but that
one company may have some upfront outof pocket problems that your customer might not

(02:47):
like. But you can get adifferent insurance company to deal with that missing
if I can use that term looselymissing component that you have with the other
policy. So together they create onefull package of metal insurance for your client.
Well, I also look at thingsa little differently too on court,
kind of like a long term andthen short term option, right, So

(03:08):
you know, when you look athealth insurance. It's kind of saying,
well, I want something that's guaranteed, renewable. I want something that when
I develop a condition later on,they're not going to drop me or kick
me off or turn around and going, hey, we don't qualify anymore.
Hey guess what are our plans nolonger offered in your county? So now
you got to go find something else. That puts you in a really bad
spot. So when we build aplan for a client, we kind of

(03:29):
call it like a foundation plan,like building a house, Right, you
have to build a really good foundation. So the first goal is to build
them something with really first dollar coverage, something that's going to pay their bills
before they pay anything, which isI know, a unique concept. I
don't understand this. Right insurance comesby copase inductibles. That just means you
pay right, I know. Soit's it's kind of a if you think
about what is a cocinaductible, it'slike it's a prohibitive, right, it's

(03:52):
prohibiting you from actually being able touse your health care. That's that's terrible.
Like you shouldn't be making like Isaid last week, because like you
shouldn't be making conscious of business onyour healthcare because I might have to owe
something. So when you what youbasically do is you build a plan.
This first dollar coverage that's guaranteed renewableto Medicare, so you never leave that.
And that's really the thing that's goingto give you access to every doctor
and hospital the United States. That'sgoing to give you access to you know,

(04:15):
not to worry about preexisting conditions becauseyou already have it. That's your
foundation. And then you know,we kind of look at what's the roof?
Really a roof's kind of a majormedical plan. I mean, let's
be honest. I mean I justchanged my roof of my house right at
a leak, change the roof,right, So what we can do is
we can adjust that and change thatwhenever you want. Because what is that
really covering? That's covering some highbill, right, I mean most people

(04:36):
don't have more than ten thousand dollarsin expenses even for a family a year.
So really, if you have anine thousand or ninety five hundred dollars
aductable, you're never getting any benefitfrom your insurance company. Right, You're
paying premium and then you're paying toplay and you're never actually not actually paying
anything. Yeah, it's so youknow, sometimes I ask yourself, like,
what's the point of this insurance policy. I'm not getting anything from it.

(05:00):
It's such a mind boggling experience because, like I said, I've been
doing this for now almost twenty years, and you know, we go back
two thousand and five, two thousandand four when I first started, right,
I mean, the plans were lower, reductibles, lower copays, like
everybody had an affordable plan. Butwe live in a day and age where
insurance premiums are just astronomicals. I'venever seen these prices before. I mean

(05:23):
there are three four times more expensivewhen I first started, and deductibles are
ten times higher. So it's you'repaying more and getting less. You're paying
more and getting less. And butthat's you know what most people think.
That's where I have to get healthinsurance. And you know, we're lucky,
Bryan, to live in a stateand the surrounding states that actually our

(05:43):
departments of insurance accept the alternative plansto be here. I mean, not
everybody has access to that. Yougo up to the northeast and you go
way out west, I mean youcan't. I mean it's literally it's ACA
Obamacare or nothing. I mean,And that's that's mind boggling. When I
got these clients that call me andgo, hey, I heard, I
heard what you're talking about. CanI you? Can you help me?

(06:04):
I'm like, you want to moveout of you know, Washington, Yeah,
get out of there when you comeYeah, And so like I just
kind of going back to like ourstate, I mean, you know here
in Ohio, Kentucky, Indiana,I mean our surrounding states here. I
mean, we have so many alternatives. But then again, you have to
be careful, right just because thedepartments of insurance open the floodgates and go,

(06:28):
hey, let's offer alternatives. Well, not every plan is the same.
We kind of talked about this before. It's like you got to pop
the hood of your plan, right, And I've always said the worst time
to find out how good your coverageis is when you have a big claim.
Oh yeah, that doctor walks backto you and goes, Brian,
they ain't gonna pay for this forhow you coming up with this chemobil like
and their plans out there. Thehabit's like literally pop the hood and you
got a hamster reheal. It's noteven ninin, you know. And that's

(06:50):
one of the things that we doa lot for our clients. I mean,
I'll have people just call us andgo, John, this is what
I have. I mean, doI even have a good plan. I'll
be like, yes, you staywhere you're at, like asolutely right.
You know, maybe we can doa little tweak on this and make it
a little better, but you know, stay where you're at. I'm not
going to remove you because I thinkyou have the best plan. Or I
find out that they do have ahamster will and I'll be honest with more

(07:11):
often than not they do, andthen we get to move into something else
that makes more sense because I don'twant them to be in that situation.
Well, in the relationship that youestablish, and I think I previously drawn
the parallel, but I think it'sfundamentally important to bring up. Is this.
It's like a financial planner relationship.You owe fiduciary obligation to your client.
You are working for them, sohonesty is a part of that.

(07:34):
And if they come to you andthey say, geez, I hear Brian
saying you can save me thirty tosixty percent, you pop the hood on
the plane and say no, actuallyI can't. In your case, you're
doing really well and you should bethankful that your employer policy is so rich
with benefits. Or alternatively, no, you can do that yourself a whole
lot better favor, get better coverageand for less money. And here's how

(07:57):
I manage that. It's a greatthing. And then going back to you
know, the roof maybe needs tobe replaced. Like a financial planner,
you sit down with your clients,maybe on an annual basis, or maybe
when they call you and they say, I got to change in my circumstance,
and that's when you revisit it everyyear. I mean, our goal
every year is to reach out toour client, either through an email,
text message, or if just aphone call, if I know we haven't

(08:18):
talked for a couple of years,just letting know, hey, it's a
good time to talk about your plan, and in worst case, maybe it's
just a good time to have anotherlittle conversation about how your plan works.
Because again, even though I mighthave had a conversation with you a year
ago or two years, most peopleforget. They kind of get back in
that situation where like, oh,I know I have insurance. I'm paying
for something I don't really know howit covers, and I don't really want

(08:39):
to use it because I don't wantto find out. And you know,
the way we build plans, Imean, we've talked about to sit with
your son. I mean I literallyhave ways that. I mean, I'm
not sitting here to tell you gomake money off your health insurance, but
the way I build your plans out, you can. And I designed that
way on purpose because you when yougo through something like cancer, you're laid
up in hospital because you had ahard attack. I mean, most of

(09:01):
my clients are small business owners.Most of them are self employed. We
don't have sick time, we don'thave vacation time. You know what we
get really bad. We can't findunemployment less. I guess it's COVID,
So I mean, we have noaccess to money. So it's like I
always say, like you're the horsethat pulls the cart every day that the
horses in the barn, the cartsstay still, it ain't going nowhere,

(09:22):
So how we do that? Imean, and most people don't carry disability
coverage, so it's like, well, I just worked for fifty years I'm
about to retire, but now Ijust got sick and I got to go
liquidate all my assets and all mysavings to go to get through this cancer
treatment that I'm going through because Ican't pay my mortgage, I'm not working.
So disability coverage is a component ofwhat you will do for your clients.
Yeah, we look at everything specificallyin that situation. Now, I've

(09:46):
sold disability insurance over the years.It's a tough market because you're also still
dealing with insurance companies that literally hirepeople to find out if you're still disabled
to kick you off. Hard toprove, so there's fraud out there.
There's a lot of understand their positionon that. They're absolutely on the insurance
side, but again it's also hardto prove. So you know, like

(10:09):
how would you claim disability? Imean you'd have to be I mean literally
unable to talk, you know,or laid up in the hospital somewhere otherwise,
Steven Tyler, I broke my vocalcords. Yeah, I mean that's
that's how it has to be.So you need to look at, like
what would make more sense in yoursituation, Well, getting you something that
pays seventy percent of your income.We're saying, listen, what's really going

(10:30):
to stop you from working. It'sgoing to be the cancer, it's going
to be a har attack, it'sgoing to be a stroke. So one
of the things we really look atis why not a critical illness policy.
Why not just something that triggers onan event, that's that the doctor can
write on a medical record and itgoes, yes, now he's gonna get
paid. And they're lump sum payouts. I mean, we're talking fifty hundred,
two hundred thousand dollars checks in yourhand, just because you got diagnosed

(10:52):
with the situation. I mean,that's how we get through things. And
that makes no sense, it reallydoes. And then since you brought up
my son, I just it wasthe most amazing thing, the revelation of
finding a quality provider that doesn't chargeas much. The way his policy works
as you set it up for veryvery affordable for a young man, but
by going to a provider and gettinga service, they've allocated a specific amount

(11:16):
and actually discussed upfront amounts. Soin his case, they said four hundred
dollars is what we will reimburse youfor your physical And since his physicianally charged
him with less than two hundred dollars. He got the difference in the form
of a check, which just sohappened to cover the nut on his insurance
policy premium for a little more.Though for the month was his mind was

(11:37):
blown on that. I mean it'syou know, I always say I'm an
expert in health insurance. I meanagain, I've been doing twenty years and
like you said, with hundreds ofinsurance companies, I know this market insigne
out. But what we found nowin today's market is you have to be
an educator in healthcare and you hadto be an expert in that. So
one of the things we really tryto stress to our clients is utilizing our

(11:58):
careter tea that's in our office thatcan actually help you shop things, because
not everybody is equipped to be ableto do something like that. But it's
again asking that question, you know, doc, great, how much does
this cost? But then knowing whatyour plan pays, and that's a beauty
behind a lot of like the indemnityplans that are out there, and making
sure you have a good one that'simperative that it's making sure that it's paying

(12:18):
more than what these doctors and placesare charging if that's your sole source of
coverage. So like exactly in hissituation, he chose a plan, and
you know, you can choose differentlevels. He chose a plan that paid
four hundred bucks for that event.Well, in our conversations it was there's
nobody here in this areas can chargemore than that, So you're really good.
Now, maybe if you live inCalifornia, where the prices are three

(12:39):
times more expensive, you know,we would probably have adjusted something a little
bit differently there Exactly different circumstances.Absolutely, one size doesn't fit all,
doesn't Here you are, this iswhere you live, This is how we
go. If you're elsewhere and youlive under different circumstances, we got different
directions, and we can manage thatagain with a couple of hundred insurance companies.
Of course, in your knowledge andexperience in the industry, that's going
to be an easy sell for you, and of course saving money, which

(13:01):
is really the important thing here.With better coverage. You mentioned today's market
are contrasting, you know, youmentioned two thousand and five ISU what the
rates and the deductibles were then versusnow, a dramatic difference. Are you
seeing any other changes in the healthinsurance market that you know, maybe the
folks listening you might be curious toknow about. Oh, I think,

(13:22):
I think really the biggest change inthe market is access to quality healthcare.
You know. The when I've gotin this business, we always tell people
I wouldn't put my worst enemy inHMO. So if you're looking at like
the marketplace, I mean, especiallyhere in our area, we have no
Ppo options. They are all HMOoptions. So what does that really mean

(13:43):
in your situation. Well, unlessyou're getting a huge tax credit and it's
very affordable for you, or you'reyou know, going and dealing with some
medical issues right now where maybe youcan't change, you know, that's probably
the best option for you. Imean, because I look at the plans
here, and you know, Ican write you an insurance company here in
Cincinnati, but you can't even goto DAT and use it like literally once

(14:05):
you get to where I live andlive in it, Like, let's the
cutoff, So you're talking about lessthan one hundred miles network. You can
throw a rock and hit out ofnetwork like yeah, and then and then
now right, so all insurance companieswill cover you what they for what they
deem as an emergency situation at anetwork. But I mean I deal with
clients all the time. I mean, we just had a client here recently

(14:26):
going and I mean she literally thoughtshe was having a hard attack, like
she's getting in she could barely breathe. They rush her from the ambulance to
the hospital. And of course she'sat a network right on her on her
ACA policy, and she calls usand she goes, well, the insurance
company is telling me they're not payinga claim. I was at a network.
I said, well, it's anemergency basis, And really, you
know, my thought from what I'mseeing now is like, the first thing

(14:48):
you're gonna do is just send thatto claim to the NILE. Well,
you're a network, we're not payingit. You know, they don't.
They don't. They're not going toreally go in and dig in. So
now we're helping her work through theprocess of dealing with the insurance company going
back and getting the record showing thathey, there was an ambulance charge.
I mean, they're going to takeyou to the local closest place to get
treatment. It's an emergency situation.So now we got to fight to the
insurance company to be half of theclient to get that claim covered as being

(15:09):
at a network in that situation.And you know, more often than that
we can do it. But thereare times that I've seen insurance companies go,
oh, no, you had bronchitisjust because you thought you couldn't brieve.
It's bronchitis. That's not an emergency. You shouldn't gone to the emergency.
We're not paying your bill. That'sa tough fight. It is a
tough fight, and quite often peopleneed a lawyer up when they do that
and fight a bad faith claim,and who among us can afford litigation costs?

(15:31):
But see, you know you justexplained something which I think is such
an important component of working with youat cover Sincy, which is parentetically online
at coversinci dot com where you canlearn more without why or I is that
you do that work for your clients. I mean, if it was me
and I'm under my employer policy andthey deny a claim, I got to

(15:54):
do all that paperwork. I gotto go remember and get the records,
and yeah, ain't nobody at theinsurance company is going to do this for
me. You're left talking on thephone with some jerk who doesn't want to
deal with you, who's in no, it's denied mode. How are you
going to overcome that hurdle? Well, if I got you guys, you
guys do it. I never wantedto be in that business, to be
honest with you, I bet itwas never something that I thought we would

(16:15):
ever have to do. But youknow, you start seeing it back from
the clients and they start calling youlike, hey, I'm having this issue.
I'm having this issue. So Iwas dealing on my own. And
then then you start realizing, asyou're representing thousands of clients, you have
to hire people to do that.And I personally train them. Now they're
better than I am. They theyknow the ins and outs and who to
contact at the insurance companies even betterthan I do. At this point.
One of the modern trends. Ithas been going on for a while,

(16:37):
and you know, this is theidea about alternative therapies the regular insurance companies.
Typical insurance companies are going to denyyou. It's not you know,
either medically necessary or it's not consideredthe standard of medicine to do something different
than what you know the MBA form. So says, if the then do

(17:00):
this. You know, no,if that's not written there, so no,
you can't have that service. Canyou get policies of insurance cover a
broader array of maybe alternative treatments.I mean some people like going to chiropractors.
There's usually limited benefits for chiropractors,for example. Oh absolutely, so
there's not even just chiropractice. Butlook at some of our better doctors sometimes

(17:21):
in the area. Right. Sothey didn't want to buy into the hospitals.
They want to get bought out.So what do they do. They
went into they open up their theycall them like boutique doctors. They open
up their own private practices and theysay, hey, Brian, pay me
a couple thousand dollars a year andyou get to spend a little extra time
with me. I'll give you thathalf an hour an hour, right,
not that ten minutes that you normallyget at the other doctors. So when
you're dealing with plans that don't specificallystate that you have to be a network,

(17:47):
like an indemnity insurance policy, they'retriggers that you saw a doctor.
They don't care where you went,as long as you saw a doctor.
They're going to pay out, youknow, whatever you choose as that payout.
I mean it could be from fiftybucks to two hundred and fifty dollars
or four hundred, depending upon theplan that you choose. Most doctors charge
one hundred, two hundred and fiftybucks. That's your actual charge. So
if you're buying one of those plans, you can go to a botigue doctor

(18:08):
and that's a trigger and they willpay that doctor bill even though no health
and don't he doesn't take insurance,he's not in network anybody, he's never
you're not gonna get have a copayfor that doctor. So you can literally
use one of those plans at thosephysicians. And the same goes for chiropractic,
right, yeah, so I dealwith clients that you know, tell
me John, you know, Igo once a week, you know,
I mean, well, most insurancecompanies maybe six twelve. You're lucky,

(18:30):
you know, and now they're allout of pocket. So you know,
even on the indemnity plans, andwe have plans that will pay a couple
hundred dollars for up to twenty visitsa year. Well, if a chiropractice
fifty bucks, that's four times twenty. That's eighty visits. So you know
that's eighty visits. You can usethis as your doctor visits. So it's

(18:51):
again it's all about you know,when I talk to a client, I
always say, listen. I wantyou to be honestly treat me like you
would your lawyer, like, shareme everything that's going on, all your
skeletons. I need to know what'sgoing went on, because then I can
diagnose your situation. I can makea recommendation based upon what you're telling me.
You know, if your guy's noteven us insurance, I'm not going
to go sell you the twenty doctorvisit plan or the unlimited plan. It
doesn't make any sense to you.We can do something more later. You

(19:12):
can always adjust it. You're notstuck. I can tweak it and see
that. That's the other unique thing. And it's worth reminding folks that in
spite of the fact that a lotof people already went through open enrollment.
I know, for example that myemployer I heard me it closed already.
You had that little window, andthat's it. You can't go back.
You can't change stuff once it's lockedin with you. Listeners can get in

(19:37):
touch with you anytime, any dayof the year and start the process rolling
and get covered. So there's noopen enrollment concept. And one of the
worst things I always hear is becausewe're in that timeframe right now where it's
open rollment, So everybody's if they'renot educated enough to go no, there's
other options, right, So whatdo they do. They're going to go
to the first thing they see blastedall over social media, in TV or

(20:00):
whatever it is, and they're gonnago on the marketplace. They're gonna buy
their health insurance plan through there orthrough like an employer, right, and
then they go, well, I'mgood for the year. They don't realize
like, we can literally change.You can change anytime that you want.
Now on your situation, it's different. You can only go in and out
of an open enrollment. But yeah, for the for the majority of my
clients that are buying it on theirown, you know, they can change
your plan anytime they want. Ialways tell them, listen, you stop

(20:21):
paying for health insurance, they stopcovering you next month, like, so
they don't care. You can getout of that plan. You can change
and make it change at any pointin time. So like auto insurance.
I can cancel my auto insurance coversand go with somebody else in a second.
You can now what I will tellyou first and foremost, do not
cancel anything to you talk about ohwell, yeah, you know, ready
a fire, not ready fire.Well, we run into those people all

(20:42):
the time. They'll get get reallydisgusted about their plan. They just cancel
it and then they call me andI'm like, well, you know,
you got some medical issues, likewe gotta go. We gotta probably go
a couple different options here, Soit's you do want to make sure you
carry that up until we find yousomething better. The website against Covers see
either with the y or I coversincydot com. And if you want to

(21:03):
call John and the team at CoversSincy, it's five one three eight hundred
call five one three eight hundred twotwo five five. Uh So got Ben
from Loveling. You get questions allthe time, and I wanted you to
bring up the illustration that Ben fromLove and provides because it's a nice little,
uh little springboard here for what itis you exactly do. John.

(21:25):
Yeah, and it's actually funny.We actually we see this a lot more
this time of year because you know, open enrollment. So people are like,
well, I can get on aninsurance plan. But you know,
Ben writes in goes, I don'thave any insurance right now, and I
just went to a doctor. Thisis kind of what happens, specially with
my younger demographic. They go,oh, you need surgery. My friend
told me that I can't get insurancebecause I have something wrong with me.
What can I do? Well?You know, and again there is a

(21:48):
market for things like the market youknow, the ACA Obamacare, right,
So the biggest thing there. Oneof the main reasons is so expensive,
right, is because they have totake anybody. So the actuarial behind that
is ridiculous. I mean, imaginebeing an insurance company and you have no
idea what's coming through your door everyyear, and that's why the price that's
my house is on fire. Ineed fire insurance average, And that's what

(22:08):
Obamacare is exactly. But in someonelike Ben's situation, I mean that's probably
what we would go through. Now. It also depends, right, I
mean I hear people that go,audy surgeon, it's gonna be hundreds of
thousands of dollars. I'm like,well, what do you have going on,
Well I got a hernia right,Well it can you can walk through
the wrong place. It could bethirty thousand dollars. But you know,
one of the things I have actuallywe pay for a tool that actually goes

(22:32):
nationally and gives me average pricing forall the different hospitals and where surgeons go.
So we actually use that for ourclients. It's it's a cheap tool,
but we pay for it, yeah, because it's a fantastic piece and
I can actually look around and Ican probably see that hey, I can
probably get you a hernia surgery throughcertain outpatient clinics for for four or five
grand. Well, I'm not goingto tell you to go buy a marketplace

(22:52):
plan, pay five hundred bucks amonth and have a nine thousand dollars reductible
and still pay the entire bill,Like go to this place. You can
go get it done cash, youknow. And that's that's the things that
we can advise people through depending upontheir situation. And that's a great service
too. I mean, you're you'renot steering people to you know, a
motel six to get their operation.You have quality providers at your disposal,

(23:14):
but you know exactly what they're goingto charge with that resource, that is
an invaluable benefit right there. Ihad decline in Maryland and he he needed
a I think a rotator cuff surgery, and you know, he was on
a plan, and you know hewas you know, i'd advise him taking
some extra coverages. No, no, I just want I just want the
foundation. I don't need the roof, right. So of course, in

(23:37):
his situation, he comes around andnow he needs a surgery. So he's
out in Maryland. They tell him, oh, this surgery is fifty thousand
dollars and he's like, oh mygod. He goes, my plan's going
to pay like fifteen because he wasjust on the indemnity side, right.
So that's one of the big thingsmaking sure that you have extra coverages.
You get to layer it right.So basically I told him was like,
listen, we can shop around foryou. I know a surgeon out in
Oklahoma. You can go get thissurgery done for about two grand and it's

(24:00):
one of the top surgeons in thecountry. I was like, we would
direct our clients there when they hadthat situation. I was like, your
plan's going to pay fifteen grand.I said, it's going to cover your
flight. It's going to cover thehotel while you're you know, recouping a
couple of days and you can comehome. And I said, you want
to pay anything if you do itthis way? He's like, well,
I'll get him next plane. Soul. What a great, great concept this

(24:22):
is. I'man sure people listening togoing I just can't believe this is real.
It's amazing. Now, what aboutcan you family coverage? I mean
you got couples or maybe whole families. Can they approach you about you know,
ensuring the entire the whole crew.Oh yeah, I mean that's that's
preferable anyway, when you do itthis way, you know, it's it's
very difficult when you know someone hasone major medical plan over here through her

(24:44):
work, and like I want togo get better coverage over here, and
then it's kind of like playing rushurall, like like who's got with and
who's got the better coverage? Likeyeah, So when we deal with it,
we look at the whole family dynamic. I mean, the best way
to do it, and especially pricingis family pricing. You know, there's
discounts tied into that that we canactually use. So it's it's building out
a package for the whole family.Uh. And then again, like I
said, looking at that situation,you know with kids, I got three.

(25:07):
I mean the first thing I boughtwas an accident policy. I mean,
two thirds of all claims are accidents, so I never have to worry
about it. I mean we talkedabout in a previous show. I'm I'm
never gonna make a decision that mykid broke his arm or not. I'm
just gonna go get checked. Imean, we'll get an next ray oo
cares it costs me nothing, peaceof mind. And briefly, it's worth
reminding listeners that you also help withuh Medicare yeah sucks and Medicare plans Yeah,

(25:33):
it's uh, you know we're inthat market right now. Again.
They love how they do the openrollments all before the holidays and during holidays,
but it's it's a Medicare open enrollmentright now for Medicare advantage, and
it is an opportunity for those thatmaybe don't have the education. As far
as you know, I see thethe the x NFL players pushing these plans

(25:55):
or market all over the place.But you have to look at two is
I mean the Medicare advantage. Iwould definitely say has become better over the
years, but it's still kind oflike you know, Obamacare for seniors,
right, because they're they're typically restricted, they're going to have more of a
network. Some people get into theHMO situation, they're the same boat.
Now there are PPO plans too,but you know, you know, when

(26:18):
I write my family, you know, and I have a lot of family
members on you know, over sixtyfive. You know, I always recommend
supplements. I I come from thementality of I would pay a little bit
more to know that I can getthe best treatment in the United States.
Yes, if I'm seventy seventy fiveyears old, I do not want to
go. Hey, I can onlyget cancer treatment here. I mean,
we got some great doctors in Cincinnati, but we don't have the best cancer

(26:41):
treatment hospital in the United States.You know, I'm gonna go down to
Houston. I want to go tothe best cancer hospital in the United States.
Like that's you need to have accessto that. So it's you know,
do we really want to make decisions? You know, for maybe one
hundred fifty bucks a month, that'sreally all these difference and costes to say
hey, I'm want to stuck hereor do I want to be able to

(27:02):
go to the best places, Anda lot of people go it's more of
a buy here, you know,pay now, pay later situation where you
know you can get the Medicare advantageplans for next to it what they call
like almost a zero premium. Right, there's a reason you have. You
still have thousands of dollars out ofpocket every year and that reduced network or
you can pay you know. Ijust had a client which is the oldest

(27:22):
client ever wrote He's I think hewas ninety and I got him approved of
the Medicare supplement. I was shocked. Guy was perfectly healthy, but he
came up from Florida, he wason a Medicare advantage plan, moved back
to Ohio and his daughter is inhealthcare and she's like, oh, we
don't want to be on this Medicareadvantage plan. We want to move him
to a Medicare supplement. I waslike, Okay, he's ninety, Like

(27:45):
what's going on? Like there's gotto be something like no, this guy's
relatively healthy and we literally got himapproved on a Medicare supplement and she was
like, no, it's more expensiveat his age. But you know,
she's like, now I know Inever have to worry about where he can
get treatment. Now something does happento them. I can go wherever I
want, any doctor, any hospital, United States. That's the difference.
Well, and that's the peace ofmind you get with insurance. I mean

(28:07):
some people think that you know,I'm healthy, I mean moving away from
seniors and you know, obviously thesignificant increase in health expenses as people get
older, but even younger people,you know, you get peace of mind
knowing that you are going to becovered. And we're talking about we're talking
about medical coverage here. As youillustrated earlier, the prices can be absolutely
insane. They'll bankrupt. People gobankrupt over medical bills. Yeah, actually

(28:30):
more people go bankrupt over medical billsthat had health insurance that didn't oh wow.
Yeah, and a lot of timesit's ten grand oh wow. That
is truly something attestment to why peopleneed to get in touch with a an
insurance broker like you, who isgoing to be in their corner looking for
the best possible benefits and also analyzingthe different types of coverageer out there.

(28:52):
One size doesn't fit all. Andyou know, you get the same people
and the same circumstances coming into you, but they ultimately end up with different
policies just because they want to bein a different place. You know,
like out of mind, a littleout of pocket up front. If it's
gonna save me money, that's fine. You can do that. You know,
I don't want a dollar out ofmy pocket, and you can do
that as well. It's like gettinga good haircut, right, some some
sizing a little bit longer, sometimessome sizing you a little bit shorter.

(29:15):
Right. You got to be ableto customize that base upon each persons situation.
Hy John, It's been another amazingconversation. I mean that you have
kept my attention. I have beenso intrigued and the listeners been so intrigued
on health insurance. It's just you'veproven there's a different way to skin a
cat, any better way again.Reach John on the team of cover since
he five one three eight hundred twotwo five five. That's five one three

(29:36):
eight hundred call. We'll go directlyto the website Coversinc dot com. Next
week we're going to talk about employersand small business coverage because you can do
that too, John, Yeah,I mean it's it's a very exciting show.
Next week we're really gonna talk toemployers about the mentality of why even
providing group benefits to your employees mightbe a negative benefit for him. Ooh,

(29:57):
we call that a teaser, John. Until next this week, it's
been great talking with you. ThanksBrian, thank you.