Episode Transcript
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Speaker 1 (00:02):
Hi, It's Brian Thomas regularly hosted the Tibout Caresee Morning
show Money through Friday five am to nine am, but
on Sundays. At this time I get the pleasure of
sitting down with John Rowlman and the team from cover.
Since you talk about medical insurance generally speaking, and boy,
there is a lot to know about medical insurance. But
in the final analysis, as I always like to start
the program out with, recognize that John Roman and the
(00:23):
team had covered. Since you are working for you, they
have access to hundreds of different insurance companies, medical insurance companies,
dental and vision m as well as life and catastrophic coverage.
Would go on and on and on, but they're working
for you thousands of different policies, which allows he and
the team to put together a package of insurance that
will provide dollar one coverage for those medical claims, catastrophic
(00:45):
coverage as well as well as everything else you can
think of, tailored to where you are in the specific
period of life you are. You don't have kids, you
got kids, the kids have grown up and moved out.
Things change over the course of your life, and as
should your medical insurance, and it keeps the cost down,
amazing savings, truly amazing savings with better coverage. And there's
(01:07):
no obligation to you. Just reach out to them, have
them take a look at where you are, what you're paying,
what you're getting for that payment, and see if they
came out can't come up with a better solution, as
they do every single day. To reach them. It's five
one three eight hundred call a five one three eight
hundred two two five five online is a form you
can fill out on the website cover since dot Com
(01:28):
and I don't care if you're not in the greater
Cincinnati area. If you're in the United States, his team
can help you. John Roman, always a pleasure, my friend.
Good to see you. Good morning to you. Big beautiful Bill.
I hate the name. I'm on record one big beautiful Bill.
I don't even like saying it out loud. But it's
past and apparently it has a rather significant impact on
(01:50):
healthcare generally speaking. We're gonna talk about that today.
Speaker 2 (01:52):
No, absolutely, I mean in general, right, it's it's widespreading.
Speaker 1 (01:56):
Right.
Speaker 2 (01:56):
We see all kinds of effects that this bill is
going to have, good or bad.
Speaker 1 (02:01):
Right, I imagine there's both. There's both.
Speaker 2 (02:03):
There's both and you know, you know and and you know,
this has a direct effect for health insurance. We've seen
this when Trump was elected, you know, his previous term, right,
he went basically after the the mandate for health insurance. Right,
it's still there, most people think it's gone, but he
reduced it to zero percent. So there's there's technically penalty
(02:23):
for not having health insurance, but it doesn't cost you none.
That was the way for him to kind of get
around it. But you know, this is just you know,
more of an attack on the fundamental principles that were
you know, within the the Affordable Care Act law. And
this really affects you know, we're we're seeing numbers in
the five to six million range people that are actually
(02:46):
could be affected. I'm not talking about in the next decade.
I'm talking about by the end of this year. Oh right,
So this is this is going to affect if you
are on a marketplace plan right now, if you are
getting a tax credit, you absolutely need to listen to
this because this can die directly affect you and how
your health insurance is going to look and cost, you know,
by twenty twenty six, So really important to you know,
(03:09):
start analyzing your financials right now, what your projection is
going to be for next year. You know, as far
as income for your family, remember, if you're getting a
tax credit, this this absolutely affects you. You have to
start looking at you know, what's my family income? What
am I what are we going to be looking at
next year? And if a lot of people don't, you know,
understand what's going on. You know, there was a they
(03:31):
took the cap off tax credits during the American Rescue
Act right during COVID. So what they were able to
do is people over four hundred percent of the FPL
level were able to start getting tax credits and that
had never happened in the history of you know, health insurance.
As far as the tax credits go, right right, there
used to be a hard cutoff. So if you were
if you're married, you and your spouse, if you guys
(03:51):
made like sixty three thousand dollars a year, and we're
talking we don't know the official number right now going
in for twenty twenty six what the.
Speaker 1 (03:57):
Hard cut off is.
Speaker 2 (03:58):
But the hard cut off was you know, before COVID,
if you made sixty three thousand, husband and wife, let's
say you were fifty five. Right, you might be getting
six seven hundred dollars a month off your health insurance, right,
and you might have like, oh, this is great, it
makes them more affordable. Well, if you made sixty three
thousand and one dollars when you put out your taxes,
that entire five or six hundred bucks a month that
you were receiving was gone, and you ended up owning
(04:20):
the government back six grand at the end of the
year in taxes.
Speaker 1 (04:22):
Yeah, we've talked about that. I talked about it.
Speaker 2 (04:24):
I've been hinting on this.
Speaker 1 (04:26):
For Yeah, well, welcome to reality. Reality.
Speaker 2 (04:30):
I mean I was I told you about ninety five
percent sure. Well now I'm one hundred percent sure. So
you know this is you know, so again you know
I've been writing tax credited plans. You know, even for
some of your listeners. You know, there are people that
are retiring that maybe had higher incomes that were eighty
ninety grand in but they were in their sixties and
they still qualified for pretty sizeable tax credits for twenty
(04:50):
twenty five. Well, now those same individuals, those tax credits
are absolutely gone at the end of this year. So
in twenty twenty six, you can project to see that
your insurance premium and in some cases could go up
fifty sixty, one hundred percent off what you were paying
for twenty twenty four. So this is a huge implication.
It's widespreading. It's going to affect everyone in all fifty states,
(05:13):
you know, across the board. Has nothing to do with
your your allegiance as far as what states you're in
and how the states are dropping it. Remember the tax credit.
Most that money's coming for the federal government and it's
not going to be there at the end of this year.
Speaker 1 (05:26):
So what I suppose what market impact you think this
is going to have. Obviously it makes an Obamacare you know,
a marketplace plan less desirable if you're not going to
be able to get a tax credit for it.
Speaker 2 (05:38):
So you have to start thinking about multiple factors here. Right,
So the Fed's cutting off funding, right, so they were
subsidized plans. They're also helped subsidizing insurance companies. Right, So
they were like, hey, incentivizing to help offer insurance.
Speaker 1 (05:50):
Right.
Speaker 2 (05:50):
Well, you're seeing a lot of that being scaled back.
So now the insurance companies are going to be less
incentivized to offer greater coverage, right or more intensive coverage
in networks, right, so we'll probably see just like we
did with Medicare. This last year when the government made
big changes on the Medicare side, we saw a big
scale back on networks. A lot of carriers kind of
(06:12):
rolled back plans and it took them out that were,
you know, more benefit rich. Sure, so we'll start seeing that.
My assumption, we will definitely see that for twenty twenty six.
So you're gonna start looking at, hey, I have I
have a really good plan, my doctors and hospitals and
are all in it. Well, that may completely change. Even
if you could still qualify for a tax credit, you
might lose access to a lot of the providers that
(06:34):
you originally had. The other thing too, is the out
of pockets increasing to over ten grand Oh no for
twenty twenty six. So you're talking about losing money and
your insurance premium, but your your insurance rates are going
to go up because you know, the insurance companies aren't
being scentivized. So we're projecting probably premiums will escalate, the
tax credits will be going away, and on top of that,
(06:56):
we already know carriers like ETNA, like if you're on
you have no more plan at twenty twenty six. They're
completely pulling out of the market come January first, So
there's just widespread ramifications. And again they were pulling out
before this bill got passed, so we still don't know
the full ramifications of what we're going to start seeing
(07:16):
here the next few months. Other companies can be pulling out.
You know, we probably will start seeing issues with some
regional hospitals that were you know, we talked about I've
here everybody talking about like how this is affecting just
hospitals in generals and practitioners and how they might end
up getting less money. You might even start seeing some
(07:39):
scale back on you know, access to those regional areas
or potentially hospital closures, right, which can affect you wholeheartedly,
especially if you're on a marketplace plan that you know,
again you have to remember these are mostly regionally based
most states in the Union. These are H and MO plans,
right that are very limited networks. We're talking about about
(08:00):
like if you're here the Greater Cincinnati area, your network's
in Cincinnati, Like you can't really go to Dayton, You
probably can't go more than twenty miles in the Kentucky
and really have doctors and hospitals that will even accept
your plan because they're not a network. So if we
start seeing us a rollback in the network offering. You know,
when when the Affordable Care Act, the Obamacare plans first
(08:20):
came out, we were literally looking at plans Brian that
like covered one hospital. I remember a plan that was
in Dayton that had you know, we weren't even sure
of the extensive network, and we found that, like when
January one hit, had like twenty six doctors in their network.
Now I'm not saying that's what we're going to be
looking at here, but yeah, I mean that plan didn't
work very long. It didn't stay to the next year,
(08:41):
but it literally had twenty six doctors on it. So
anybody that we put on the plan, you know, they're
basically like, well, I have a doctor, I just can't
go because they're booked out for like fourteen months. So clearly,
so you know, again this is why it's it is
so important to really start analyzing it and seeing where
you're at. An FAA, you're at a higher income if
if you weren't getting a tax credit before the COVID
(09:04):
relief bills, you're not gonna get one now, right, And
it's just so important to probably even start those discussions
right now, because if you're gonna lose five or six
hundred bucks a month, you might not really benefit from
staying on a marketplace plan.
Speaker 1 (09:19):
Well that's see, that's where I thought you were going
to go absolutely ten grand out of pocket per person
per person right twenty found then you got this increased
premium taking the tax credit away. So the premium is
I mean, you're you're paying full freight on that and
on top of that, you got crappy networks which could
disappear and evaporate overnight. Why would anyone go down that road?
(09:43):
Because there are alternatives to it?
Speaker 2 (09:45):
There absolutely is, and you know we've we've we've sold
in this market. You know, when it makes financial sense
and you know, access sense for clients, we put them there.
But at the end of the day, a majority of
our clients aren't subjuicated to be on to the marketplace.
Speaker 1 (10:00):
Right.
Speaker 2 (10:01):
We do so many private options that have nothing to
do with your income. Go make as much or as
little as you want. Your income is not going to
affect the price of your health insurance, right, And that's
why it makes it so much more important right now
that if you know that you're in that situation, don't
wait because most of the private options that are out
there are let's be honest, they're health risk conscious, right.
(10:25):
So if you're relatively healthy am I talking about? You know,
you're not on blood pressure or class youraw meds, maybe
you're even type two diabetic, but you know, you know,
little overweight. I mean, you can still get a private
health plan, right, So now's the time to really go, hey,
do I really want to roll the dice over the
next six months and wait to see what my new
premium will because I'm telling you it's going to be
(10:46):
very expensive. And then what happens if your health history
changes in the next six months, and then you give
us a call and going, hey, John, my insurance premium
now for my wife and I were fifty five is
fourteen hundred a month. I can't afford that, but I
have a pending surgery in three months. You're gonna be
stuck where you're at. I'm not gonna be able to
do anything for you. So now's really a time to
(11:08):
give us a call and go, Hey, this is my situation,
this is my projection for twenty twenty six. This is
what I think where income is gonna be. And I'm
gonna tell you, like you probably shouldn't stay where you're at.
You can change your plan right now, don't. You're not
stuck on your marketplace plan, your Obamacare plan to the
end of the year, right you don't. You can leave
health insurance at any time. Health insurance is miraculous because if
(11:30):
you stop paying for it, they' stop covering you. It's
amazing how that works, it really is. And the benefit
of the private plans is there's no window. It's three
hundred and sixty five days a year. So I can
write you a plan literally if you were to call
and go, hey, this is not my plan not working
on the marketplace, or maybe I have another private plan
somewhere else, I can literally write you a plan to
start within the next week or two with a private
(11:51):
healthcare company. And these plans, I'm telling you right now,
are forty to sixty percent cheaper than the full price
marketplace plans, which right now we're hearing this is gonna
affect five to six million people across the United States
are losing tax credits by twenty twenty six. That is
a lot, yes, yeah, and then you can go into
(12:12):
the next stage. You know, we're starting to look at
I mean, one of the biggest things here is the
Medicaid roll back, right. Yeah, he's hitting that hard, right,
He's going right after that. It's you know, if you're
on Medicaid, you have to prove, like you know, you
have reasonable reason to be there based upon maybe really
bad health. But if you're just there on base upon income,
what's gonna happen? Now you gotta work, You got to
show hour.
Speaker 1 (12:32):
How about that? Yeah, I mean interesting concept. Interesting if
you're able bodied and you don't have any children to
speak of, and you are you know, uh, middle age
or twenty or thirty years old. Uh, you got caught
up in the Medicaid expansion and you got something that
you really shouldn't have gotten in the first place. You're
not gonna be a to get anymore unless you community
service twenty hours a week, or look for a job
(12:53):
or or or or get job training. Another plug for
the trades. There are a bunch of jobs out there
in the trades, and sure could use manpower in the trade.
So why not apply the twenty hours a week to
learn a trade and a career and then you're off
the system completely and you can complain about taxes.
Speaker 2 (13:09):
Then oh yeah, I mean, well, I mean it's I mean,
it's it's one or the other. Right, So let's say
you're even in that situation. Now you're forced to go
out there. Right now, your income goes up a little bit,
and you're of course now you're not Medicaid eligible, right,
you should still be marketplace eligible. So it's also good
to start having his conversations and at least find yourself
a good broker to start working with, because like, hey,
I'm probably gonna lose my Medicaid end of this year. Yeah,
(13:29):
what's my situation gonna look like? And we can start
talking about that and have a plan for you so
when that does come into effect, and I'm sure I could,
I can, I'll bet on this. I'm sure it's gonna
go away that way. At least have a plan and somebody,
you know, you're gonna go to go, Hey, my Medicaid
just ended, my income's still pretty low. What can I
qualify for?
Speaker 1 (13:48):
There you go and just still get the tax cres exactly.
Speaker 2 (13:50):
And you know, one of the things he's really hitting
is the government sponsored marketplace right where you're gonna be
able to call in and talk to these navigators, which
are not even brokers. They're not going to give you
any options, they can't recommend anything to you. They're just
going to tell you, Hey, this is the cost of
this plan.
Speaker 1 (14:07):
Do you want it?
Speaker 2 (14:08):
I'll enroll you right, instead of sitting down to somebody saying, well,
this is the cost of this plan. Well, your doctors
might not be in it, but this is affordable. But
if you want to go over here, maybe it's ten
fifteen percent more on a private plan, this might do
a lot better for you and have a lower out
of pocket so when you do use it, you're not
going bankrupt because you can't afford ten grand.
Speaker 1 (14:27):
Yeah, it's such an amazing out of pocket responsibility, it is,
I mean, just that, And that's what keeps people a
lot of people from even getting into this. We talked
to this about this before. I mean, it's why bother
I don't know ten grand that I can afford to
pay for medical bills before my coverage even kicks in,
And then are you really covered for any given service?
(14:47):
And that's always not always the case, as we've talked
about before. Holes in the bucket, holes in the bucket.
I mean, but I mean this is a gusher. I
mean twenty grand for family. I mean, let's be honest
with you. I mean, what's the what's the the average
income for a family? I mean it's forty grand nationally,
whatever it is, and it's it's not that high. Well,
here's a big thing that most people don't understand. They're like, well,
(15:10):
my income is still pretty low, and maybe you qualified
for what's called a CSR cost sharing reduction. Right.
Speaker 2 (15:17):
So one of the things the federal government did outside
of the tax credits is if your income was still
low enough, you had this cost share reduction which basically
minimized that out of pocket expense. So I would be
able to help people this year that Basically, normally, if
their income was a little bit higher, they would have
a ten you know, nine thousand dollars out of pocket
this year, right, But because they qualified for that cost
(15:37):
sharing reduction, I was able to get them plans of
like five hundred dollars reductible two grand out of pocket.
So that was a cost sharing response, which again helps
the lower income people that there's absolutely no way they're
going to pay ten grand right, guess what's gone that
you're kidding it's gone. So even those people that are
at lower income, they just got rid of the cost
(15:58):
sharing responsibility that the government was helping offset those costs.
Speaker 1 (16:02):
Welcome to ten thousand dollars.
Speaker 2 (16:03):
Welcome to ten thousand dollars. So you might be happy.
I'm wing a marketplace plan. I'm paying fifty bucks a month.
I was only you know, out fifteen hundred bucks if
I used my plan. Well, now goes a ten grand
for twenty twenty six, and your income has not changed,
and everything else has gone up in price, right, Brian,
I mean everything else is more expensive.
Speaker 1 (16:19):
So how including medical bills?
Speaker 2 (16:21):
Including medical bills? Right, and when you start seeing scalebacks,
right if if there's cuts being made from what we're seeing,
and everybody's screaming right now, like how's this going to
affect healthcare? You know, how's this going to affect the
doctors and the hospitals, And they're screaming about losing money
potentially in this bill and maybe having a shutdown different services. Right,
We're gonna start running into access issues, especially if you're
(16:44):
on these marketplace plans. But remember that is the private
plans that I help my clients get into mostly these plans.
They're national, Like you can go anywhere, right, I mean,
that's a beauty. You're not just stuck in Cincinnati, you know,
like if you literally want to go to Cleveland clinic
or going on the samee eve, you can go with
the plans or maybe it's John Hopkins right. The private
plans is what insurance was before the marketplace.
Speaker 1 (17:06):
You know.
Speaker 2 (17:06):
I always tell people like, you know, when you heard
Obama step up there and he goes, hey, listen, if
you like your plan, you get to keep it. You're
not gonna lose your doctors and hospitals. Well that was
a complete lie.
Speaker 1 (17:14):
Absolutely.
Speaker 2 (17:14):
That happened day one. Like as soon as that bill
got in and everyone got onto it, they're like, oh wait, wait,
hold on, my doctors are gone. Right, So you know,
I always kind of said like, hey, the marketplace is
kind of stabilized over the last you know, ten years,
it's gotten better, there's more access. Well, this is a
big shot across the bow of this ship, and they're
(17:35):
probably going to start really turning a different direction. And
I really feel like the access is going to be
hugely reduced for twenty twenty six, so again, it is
just so important to start really figuring out what you're
going to do for twenty twenty six. And I would
not wait, Well, the.
Speaker 1 (17:50):
Higher income earners, they're going to miss out on the
tax credit. Fine, they're the ones that are best able
and capable of affording in a different direction. You know,
they can handle another you know, two hundred bucks or
whatever a month and get better coverage through you or
something like that. But the effect on the lower income earners,
and I would think that, you know, Obamacare designed to
(18:11):
help those who you know, can need insurance but can
otherwise afford it. This is just gonna are these quote
unquote reforms designed to basically completely tank Obamacare because ten
grand a year, maybe twenty if you're married, that's an
impediment right out of the gate for a lot of
people who might be on an Obamacare policy.
Speaker 2 (18:30):
But I mean, here's the big thing, Brian at ten
grand that was happening before this bill got signed. This
was this bill was nothing to do with what's going
to happen for twenty twenty six. That was happening anyway, right,
So what is the ramifications now for twenty twenty seven?
Speaker 1 (18:44):
Right?
Speaker 2 (18:44):
And it's already going to twenty twenty six, and we're
scaling back a lot of these things. I mean, is
this going to go up even more significantly for twenty
twenty seven, you know, twelve grand?
Speaker 1 (18:53):
I imagine it would have to because fewer people participating
in the marketplace program? Right there?
Speaker 2 (19:00):
Absolutely is, I mean, And the biggest thing is that
the federal government has been funding this substantially for years.
I mean, we're talking with tens and tens of billions
of dollars of what they put into this, probably hundreds, right,
But the biggest thing here is once the government starts
scaling back, it's it's going to affect the plan. And
let's be honest with you, most of the people that
(19:22):
can get off are going to just like we used
to see what those plans people used to keep, we
call the grandfather plans that had plans before twenty ten.
I just talked to a client a couple of weeks ago.
They're like, I love my plan. You know, I kept
it because I didn't want to be on Obamacare. But
it's killing me because it's thirty five hundred bucks a month. Ooh.
And I'm like, why do you think it's thirty five
hundred bucks a month because well, I don't know, I've
(19:43):
just been on it too long. I was like, no,
because there's nobody there anymore.
Speaker 1 (19:46):
Yeah, the risk pool has got the risk pool.
Speaker 2 (19:48):
Everybody could leave left that when that premium went to
fifteen hundred and two grand. Everybody's left, and you stayed there.
So now you need to start looking at other options
because most people still again, the biggest marketing driver right
now has been the federal government. Anytime we've had Democrats
in the office. You literally see during November and December,
I see advertisements on TV. I hear it on the radio.
They're literally marketing their own program. Right. We're paying for
(20:12):
them to market to buy their plans. Right, that's your
tax dollars at work. But you know that doesn't happen
when we have Republicans that I don't see ads when
Trump's been in Right. So again, most people, we've been
kind of ingrained to think that the only place I
can buy health insurance is the marketplace. That's one hundred
percent wrong. I mean eighty percent of the options that
are out there today are not on the marketplace. And
(20:35):
these are really really good plans with coverages that you
know you were able to get pre Obamacare. They're actually
better today, the private plans than even when I was
selling them before Obamacare. Oh no, kidding, absolutely, because again
you know, number one, you know, we're more in custom
to paying more for health insurance now, right. I mean
(20:56):
I remember families, I can write a My family of
four back before Obamacare, you know, was like five hundred
bucks a month and we had like a twenty five
hundred dollars reductible. That same plan today is like twenty
four hundred dollars a month. You know, so the premiums
have definitely escalated, but you know, now we're able to
do something similar for like half that price on the
(21:16):
private on the private marketplace.
Speaker 1 (21:18):
I mean, that's.
Speaker 2 (21:18):
What's so crazy. And maybe you're in that situation where
we're like, hey, you know I'm at that lower income,
How am I going to be able to afford twenty grand?
I mean you're not. Let's be honest, You're just not
going to be able to afford twenty grand, right, not
after food.
Speaker 1 (21:31):
And housing now in electric bills.
Speaker 2 (21:33):
Even if you're paying fifty bucks a month for that
health plan, right, you have to start considering how much
more can I pay for health insurance maybe a little
bit more, maybe one hundred maybe a hundred and fifty
bucks more a month to reduce that ten grand because remember,
there are so many supplemental plans out there. That's that's
my bread and butter. What we do all day long
is I fill holes. And if you haven't listened to
this podcast before, this is the first time you listen
(21:55):
to it. That's literally what I do with every plan.
I build packages with multi layers of coverage that are
designed to cover the out of pocket expenses. Because true
cost of healthcare, at the end of the day, Brian,
is not just what you pay in premium.
Speaker 1 (22:07):
Right.
Speaker 2 (22:08):
You can't go, hey, I got a health plan. I'm
paying fifty bucks a month, I'm covered, right, You're not
ten thousand well and network restrictions, you can walk in
someplace and not be covered, right. So you have to
really analyze that. And that's why it's so important not
to be working with navigators to the marketplace, not be
working with people that work directly with insurance companies. I
(22:29):
get calls all the time from listeners that literally go, hey,
you know, I'm with XYZ insurance company. I call them
up and say Hey, I need to change my plan
or whatever, and they just offer me another plan through them.
That's almost bad. They that's that's what they can on
a business model. That is their business model. They're designed
to keep you within them. We make it a little better,
give you a little b lowered. Its one hundred fty dollars more. Okay,
you want that, great, You're still a ten thousand dollars
(22:50):
to pocket, right, But at the end of the day,
it's it's working with a good broker that represents a
lot of different insurance companies that can show you a
smart way to do health insurance, and artist way to
buy health insurance in today's market is not to buy
everything through one insurance company. I will tell you that
right now. I had a conversation with a major insurance
company that we represent, and I flat out told them.
I was like, you have such great products, but one
(23:11):
of your products you keep trying to get us a
bitch your clients that packages with your other product is garbage.
I only told them that, as the vice president of
the insurance company goes, yeah, it's not the greatest. I go,
why don't you guys do that? Like, why don't you
make that catastrophic plan better so that we just we
can write everything through you.
Speaker 1 (23:26):
He goes.
Speaker 2 (23:27):
We don't want all the risk. They don't. They don't
really want all the risk because they have very good plans,
but like their catastrophic again is not as great. So
I go, we're writing other companies and partnering your other
products with it. He goes, I would do the best that.
I would do that too. I kid you not, Brian,
I had the conversation just the other day. I would
(23:49):
do that too, because you need to do the best
thing for your client. It's exactly what we're gonna do.
So a lot of times we're writing packages, it's multiple
different carriers. So maybe you're on a marketplace plan. Let's
add something for you know, a couple of dollars. There
is a day that reduces that out of pocket from
ten grand. Because remember true cost health your insurance is
you're out of pocket every year for your family. So
if it's there's a family plans, twenty grand plus your premium.
(24:10):
So if your premium is one hundred bucks a month,
even on one hundred bucks a month, you're out what
twenty one two hundred dollars a year if you use
that plan. That's absolutely insane. That is not if you're
making forty or fifty grand a year, how you affording that?
Speaker 1 (24:22):
You can't know, you can't. No, there's not that much
disposable income laying around.
Speaker 2 (24:27):
Yeah, So I mean, just just some numbers. So you guys,
I mean I talked about premiums and stuff, but like
I was just one of the things that like really
hit home to me was like I looked at Texas.
Texas is by twenty thirty five is going to lose
thirty nine billion on Medicaid itself. Oh my word, thirty
nine billion. So what's gonna happen to people in Texas?
(24:47):
What's gonna happen to people here in high in Kentucky
when Medicaid rolls back? The Federals, not Viteal government's not
helping funding this. So even if you're at that level
and lower income, you're going to need to realize that
Medicaid's not going to really be there to help a
lot of the people that are making a little bit
more money anymore. And you're gonna scale back. You're gonna
have to probably look at a marketplace plan. Give us
a call, give a Burger call that can do something similar,
(25:08):
which is not many of them out there, But give
us a call so that we can come up with
a game plan that's not gonna break the bank, you
know when you go use it. That's the biggest thing
I can I can tell you because everybody goes. Everybody
calls all the time. He give me something cheap, John,
I want the cheapest thing you got because I'm really healthy. Oh,
I mean it's it's insurance, guys. It's yeah, I can
get you the cheap stuff when you're healthy, but it's
(25:30):
a matter of time before somebody's gonna happen.
Speaker 1 (25:32):
Well, right right. What you need to do is analyze
the realities of having to deal with the deductible and
the premium, and that by paying maybe a little bit
more a month, you avoid those holes you're going to
be stepping in. Invariably, even if you're healthy, you're gonna
end up having to pay that kind of money. So
avoid it up front, and then when you're sitting down
with folks, you can actually put some flesh on the
(25:54):
bones of the type of premiums we're talking about here.
I mean, we're on a theoretical level right now, we're
talking to a large audience with different needs and different
health you know, problems and stuff. But you think, Okay,
I got a marketplace policy. I want to get rid
of that massive out of pocket liability. You know, you
talk to John and the team. He can explain the
options that are available to you and then also point out,
well this the premium on this out of pocket liability
(26:17):
reducing policy is going to be X. So you got
some real numbers in front of you.
Speaker 2 (26:22):
Real number is another The other thing I did, Brian,
when I talk to clients, I go, you know, if
you have to hit your deductible and how this plan
will offset your costs, It'll take you twelve years of
break even. That means you need I just had a
client to the day we literally I told him. I
was like, if you if you do not go into
the hospital or hit you out of pocket or ever
surgery or something like that, it takes you twelve years
(26:44):
to justify the difference in premium. So can you not
tell me that you're not going to go in the
hospital your whole family, or go to the emergencyom because
we know you're going to hit ten grand in emergency room,
or or have a surgery for your family of four
or even just one person the next twelve years, a decade,
come on, I don't know, but he could say, no,
that's your break even point. So like if you're breaking
with twelve years by the little extra plan, because something's
(27:06):
gonna happen, and it absolutely always does. And I'll tell
you right now. Every time I advise people to do
that and they take the options that I recommend, I
usually get a phone call a couple of years later
he goes, you're right, John, I just happened to me,
and thank god I didn't have to pay that ten grand.
He told me, they're scared because I didn't have to.
Speaker 1 (27:23):
Well, you always speak the truth and tell it like
it is and very easily understandable terms. John Roman, It's amazing,
and there are options available, And like I said at
the outset of the discussion this morning, there isn't an obligation.
This isn't going to cost you something, but some few
moments of your time talking with one of John's team
members or John himself perhaps and find out. I mean,
(27:45):
the fool is the one that's not looking out for
his or her own best interests. So look out for
your own best interest. Engage the team and find out
if there's a better path and one that can keep
you out of some significant financial problems and also prove
that medical insurance can be affordable and medical insuring that
you can use can be affordable. I'll give you the
number again because I know you're gonna want a call.
(28:05):
It's five one three eight hundred two two five five
five one three eight hundred call again any state in
the Union. When you're listening to this show. They can
help you out of cover. Since the website, again, there's
a form you can fill out there and be comprehensive
about it. They don't sell your information, they don't send
it out into the Internet world. You're not going to
get a bunch of emails as a consequence of John
(28:26):
and the team. Are you interacting with them through the
form on the website, So take advantage of that easy
to do option. It's coversinc. Dot Com Cover since you
dot com John final word.
Speaker 2 (28:37):
Yeah, So if you're listening here, stay tuned for our
show for next week. You know, with the widespread ramifications
of what we're actually seeing here with this, I'm projecting
widespread effects also.
Speaker 1 (28:49):
Coming on the group side.
Speaker 2 (28:51):
So we'll talk a little bit about that next week.
So this has affect you, or you're an employee of
a group, or you're an employer, Stay tuned for next
week
Speaker 1 (28:58):
And the next Sunday for another dition of recink healthcare
together