Rethink Healthcare Together - Why working with a Broker saves you money and stress

Episode Transcript

Speaker 1 (00:05):
Hi, It's Brian Thomas, host of the fifty five care
See Morning showing the Monday through Friday basis, but facilitator
for this program which we call Rethink Healthcare Together, John
Ruhlman from Cover. Since he he is a man and
has a team that you're going to want to reach
out to. Every time we talk, I always like to
start out with contact information and I'll give it to
you again later after you know that you're going to
need to reach out to him, because you will. It's

(00:26):
eight hundred call five one three eight hundred two two
five five, or you can go directly to his website
coversinc dot com, where there's a forum you can fill
out to get the process started. To have John and
his team be your broker when it comes to medical insurance.
It's important to I have a broker when it comes
to medical insurance, and John and his team have got

(00:47):
this well oiled machine to help you out so you'll
end up with better coverage for less money. John always
good talking with you. Man, Happy Sunday.

Speaker 2 (00:55):
You'd see Brian, good morning.

Speaker 1 (00:56):
Well let's start out with a simple question why working
with a broker saves you money and stress? Well, I've
got notes prepares, so I know how to start this one.
I bet I could answer. I've talked to you so
long over so many shows that I could probably answer
that question. But let's do a recap and maybe some
first time listeners going to learn some real good important information.

Speaker 3 (01:19):
You know. The funny thing, Brian is almost like you
can probably just do the show by yourself.

Speaker 2 (01:22):
At this thing.

Speaker 3 (01:23):
I feel like whenever, whenever this is done, the door
is always open at my office.

Speaker 2 (01:28):
Yeah, we got a future in insurance.

Speaker 1 (01:30):
If you're wanting to be back at that, do I
don't have to get two thirty in the morning to
work with you and your team.

Speaker 3 (01:34):
No, because I doubt any of your listeners want to
hear anything about insurance at three am.

Speaker 1 (01:38):
That's true, that's true.

Speaker 2 (01:40):
But you know, just kind of a.

Speaker 3 (01:41):
Side note, you know, I know our company is called
the Cover since because we're located. But just a big
thing is, you know, we're licensed in all fifty states
and we help listeners from every area across the US,
So it's not just a Cincinnati base plan that we're
working with, and we work with the national carriers all
throughout the states, even have plans in Alaska, which I

(02:02):
was just shocked because we got our first Alaska client
up about six months ago.

Speaker 2 (02:05):
Oh that's great.

Speaker 3 (02:06):
Just you know, the sun was moving up there, and
I guess he wanted to pursue a job working on
some ship in the water, the Baltic Sea or something
like that. So we were able to get him health insurance.
So yeah, I mean we help everybody. You know, a
lot of our listeners prefer us clients, friends, family, you know,
just parents, you know that live in I hope my
parents are moving to Arizona.

Speaker 2 (02:27):
They don't know what to do. We can help them.
That experts and everybody.

Speaker 1 (02:30):
Well. And the thing that I always get it just
tickles me to death. I just is I'm fifty nine
years old and I still think of radio as this
terrestrial format where I'm just reaching people in the greater
Cincinnati area. But I got listeners to call in. I
got a guy from New Hampshire that calls in regularly.
I got a guy in Mississippi that calls in regularly,
the guy in Iowa. I got lots of listeners in Florida.

(02:53):
You know, the snowbirds, the people who moved out of
Naples along with everybody else from Cincinnati still listen and
God love each and every one of them. So maybe
people listen to right now out of state going oh wow,
John can help me, and yeah, he can trust me
on that. So absolutely back to the concept of working
with a broker to save you money and strapped.

Speaker 3 (03:10):
Yeah, I think the biggest thing and almost in the industry,
you know. I'm just thinking about one of my employees
right now. He's shopping for mortgage. She wants to buy
his first home. And you know, the first thing I
told him he was going through a bank. I was like, listen,
you need to go through a broker, you know, because
they have more than one option, so you can see
what other rates that are out there, what are the
programs you might be qualified for. And that's always the

(03:32):
benefit of working with a broker. I don't care if
it's on the just on the insurance side, but even
on property and casualty.

Speaker 2 (03:38):
You know, I've I've talked to I have.

Speaker 3 (03:39):
Clients that are literally P and C agents, property and
casualty agents that work specifically with one insurance company and
they always tell me, he goes, listen, I'm getting creamed
right now because our rates on you know, for our
carrier that the only company I can write is raising
rates when everybody in the area. So I'm going to
start losing clients and there's nothing I can offer them

(03:59):
or help them change or adjust their plans. I'm gonna
lose those clients because somebody else is going to come
behind them. And that's the benefit of working with someone
like myself and our team is the fact that you know,
like you've said here in the beginning, you know, we
work with over one hundred different carriers, and we have
thousands of different plans. And the big thing that most
people don't realize is that, yes, every insurance company does

(04:23):
not do the best in every facet of what they offer.
There's what I call money pits, you know, where they're
going to offer a product way over a price, especially
for some of the ancillary products that are exceedingly more expensive,
because they got you, they got you on the major
medical sides, and now they're selling you the accident or
the life insurance, or the or the critical illness policy,

(04:46):
and it's way over priced because you're dealing with that
one carrier. You know, if you call an insurance company,
guess what they're gonna sell you. Brian their product, their product, right, Yeah,
you call an agent that works for one of those carriers,
they're gonna sell you.

Speaker 2 (04:59):
They're pro that product.

Speaker 1 (05:00):
They may have h PPO and HMO. You know that
might be all under the exact same company, and it's
only that company's product, and that's all you get by
way of.

Speaker 3 (05:10):
Trying correct, you know. And when we were dealing a
lot with the senior market here during open enrollment and
then last year, you know, I've had so many listeners
that would call in and talk to me and go, well, yeah,
you know, I called X y Z insurance company and
they set me up with this plan. And you know,
some of my doctors are a network, but I had
to change people. I'm like, that's just a huge problem

(05:30):
to run into when you're calling directly to an insurance company,
because again, there's squeezing a round peg into a square hole.
It's not going to work in every situation. And you know,
that's where we can really open up and look at
the different options. You know, like I said, our show
today is about, you know, how a broker is going
to save you money and stress. You don't have to

(05:50):
change your doctors when you call us. You don't have
to overpay for an ancillary product or going hey, I
need life insurance to go with my health plan, and
oh I got you with my ex y Z insurance company.
I know they're double the price of everybody else. We're
not going to do that to you. You know, our
goal when what we've mastered here at cover Sincy is
looking at every insurance company and finding out which products

(06:15):
they're really good at and which products are not. We
don't sell those and you know, so when when one
of your listeners call in, Brian, you know, we're going
to customize a plan. And that's that's the stress piece, right,
you know, reducing it. We're to customize it based upon
your actual situation, your doctors, your needs, your pre existing conditions,
your prescriptions. We're gonna make sure whatever we recommend, and

(06:38):
it's gonna be a recommendation at that point is how
we feel from you know, my twenty years in the business,
that would work best for your family. And we're going
to ask you the questions that need to be asked
to get the answers that we need to make sure
that that plan properly fits you. And my goal is
not to sell you something you don't need. I'm not
gonna sell you a plan, And I mean, you don't

(07:00):
need maternity coverage when you're fifty five years old. Why
pay for it? Why pay for a plan it's going
to charge you two hundred bucks more a month from
maternity coverage you're not gonna need, you know. And there's
so many other scenarios like that, and that's why it
is so important not just to work with a broker
that has a lot of options, but one that can
do a customized plan. And to be honestly, there's very

(07:22):
few of us out there.

Speaker 2 (07:23):
You know.

Speaker 3 (07:23):
Most of the people that I know that actually can
handle this are agents. And I have agents all over
the country that work under me. Yeah, exactly, you know,
because you know most of them don't know. You know,
we get so many agents that call in and that
want to work with us because of how we actually
operate our business, because they basically tell us, we're tired

(07:44):
of getting beat by you, so we're it's time for
us to join you and figure out what you're doing
so we can better help our clients. And you know,
we're training those people all the time, so there's more
and more of us out there. So, like I said,
feel very comfortable that when you are calling into our office,
you know your your best interest is at heart, not
the insurance companies.

Speaker 1 (08:04):
Well, and you know the other thing that I learned
from you over the years is it's you anticipate the
pitfalls down the road. Like, for example, one policy might
sound good, but when you realize that at any given moment,
they could pull the plug on your specific physician, the
guy that even going and seeing for a long time,
rejigger the network and then you don't have coverage there anymore.

(08:25):
So you foresee that and you explain that to your
clients and you say that's why I'm recommending this particular
product rather than that one, because it's got you covered
down the road.

Speaker 2 (08:35):
Yeah.

Speaker 3 (08:35):
And one of your we were just talking off air
before we started today, you know, one of your one
of your listeners now client of ours, actually came my
office this week and Kevin. We were able to help
him and his wife because they were in the process
of retiring. He was in a really unique situation because
he was able to control his income because he was
smart and did a lot through roths, so a lot

(08:57):
of his retirement is going to be tax free, and
it made so much more sense because the fact that
he was able to keep his income low for the
next couple of years before he actually gets on medicare.
That I was like, well, listen, you know you're keeping
your income low, you're going to really really big tax credit.
So let's take advantage of the money that's going to
be offsetting your health insurance by getting that tax credit

(09:18):
through an ACA plan. But his biggest concern because well, yeah,
I don't want to be stuck in that HMO network.
It's just in Cincinnati. I said, well, that's not a
problem because it is a major medical plan.

Speaker 2 (09:27):
We ended up getting.

Speaker 3 (09:28):
That that part of his policy for less than one
hundred bucks a month.

Speaker 1 (09:31):
Holy cow.

Speaker 3 (09:32):
Yeah, in his sixties, so his major medical was less
than hundred bucks a month. But I said, well, you know,
it's a nine hundred dollars month policy. You're getting almost
eight hundred bucks a month off of your plan. So
we're going to buy this piece. I said, but there's pitfalls.

Speaker 2 (09:47):
In this plan.

Speaker 3 (09:47):
There's a lot of problems in this policy that you know,
especially if you go down to Florida's and zero coverage.

Speaker 1 (09:52):
And less holes in the bucket, holes.

Speaker 2 (09:54):
In the buckets.

Speaker 3 (09:54):
Absolutely, you know, in his situation, he wants to travel.
So I was like, well, anytime you're out of Cincinnati,
you can't go to a doc, you can't go to
an urgent care. You can go to an emergency room.
With the insurance company deems it life threatening, I said.
But so we were able to add a secondary plan
to cover all those fringe things that he might have
to do when he's down on vacation. Even once go
to urgent care, we got coverage for that. Now on
a secondary policy, he gets more coverage to help cover

(10:17):
surgeries and out and is out of pocket expenses. I mean, basically,
he's got a plan where if he uses it for
hospitalization or surgery, not only is he not gonna be
paying anything, he's probably gonna make money.

Speaker 1 (10:27):
Yeah, that's the weird reality that you end up getting
a check after seeing a doctor that you've explained so
many times.

Speaker 3 (10:34):
Absolutely, so, his entire package all in was like around
three hundred bucks a month.

Speaker 1 (10:38):
He owes you barbecue does he's the best best barbecue
master ever. You know, the listeners don't understand what we're
talking about. I just know the guy he's talking about
so well, and he just makes amazing barbecue. Next time
I see him, I'm gonna tell him he should give
you a gift of his off the charts wicked awesome barbecue.

Speaker 3 (10:55):
And that was and that was the benefit of us
being able to save him money, you know. I mean,
if you look at what an insurance plan typically costs
someone in their sixties, a good rule thumb for listeners
is take your age times ten and that's the going
rate for what a health insurance policy should cost you.
My goal is to beat that. I mean, and in
his situation, I beat it by over fifty percent.

Speaker 1 (11:21):
It's amazing. Well, I know a lot of people do
overpay for health insurance, and I guess one of the
reasons they end up in that situation is because of
what you talked about before. Is they just they think
one size fits all and they go to that one
carrier or deal with that one insurance agent that doesn't
have access to these different, multiple if the thousands of

(11:42):
different insurance products. But I guess it always seems to
mystify me that you always end up coming with in
with better medical insurance coveries for less money. Is that
because the policies are broken up into these individual areas
that allows you to accomplish.

Speaker 2 (12:00):
Yeah.

Speaker 3 (12:01):
I mean, the biggest thing that most people need to
understand about insurance and how I approach insurance in general, is,
at the end of the day, we don't buy car
insurance to pay for oil changes, right, right, think about
a sixty dollars oil change. I'm not buying car insurance.
I don't want it to cover that. I'm not gonna
pay premium for you to cover my oil change every
three months. But we've kind of gotten to this realm
where a lot of people think about health insurance is

(12:23):
I need to make sure it's covering my doctor, right,
And of course we want to make sure the plan
has doctor visit coverage and everything that you're gonna need.
But really, if you look at what health insurance is
designed to do, it's designed to pay the big bill.

Speaker 2 (12:35):
Right.

Speaker 3 (12:36):
Listen, A couple hundred dollars bill is not going to
bankrupt you. A couple hundred thousand dollars bill, that's a
different story. So what you have to realize is there
are certain carriers that actually have the vized plans that
are really good for the catastrophic realm, right, And we
look at those policies that don't have a lot of
the fluff, and you know they might be on the

(12:57):
hook after ten thousand or something like that. But again,
we know that most years, I think it's like eighty
five percent of families won't even exceed ten thousand dollars
in total out of pocket expenses a year. Right, So
it's very seldom that that insurance policy is ever going
to be paying acclaim. It's got to be a big surgery,
it's got to be a hospitalization, you know, a major

(13:17):
event or something along that line.

Speaker 1 (13:18):
Yeah, and then there's a new calendar year and you
start back from ground zero and.

Speaker 2 (13:21):
They start back. Yeah, you got it.

Speaker 1 (13:23):
It's almost like a fraudulent product.

Speaker 3 (13:26):
Well, it's just like car insurance, right, I'm not using
my car insurance every year. I'm using it if somebody hits me.
I mean, I'm not using it if somebody, you know,
if I go out and sideway to the.

Speaker 1 (13:36):
Doctor, he gets some There's gonna be some out of
pocket responsibility for anybody under like the Affordable Care Act
plan what is it ninety two hundred bucks? Yeah, yeah,
so you're out ninety two undred bucks for the insurance
kicks in.

Speaker 2 (13:45):
Yeah.

Speaker 1 (13:46):
So and then you start all over the next year.
So it's like it's it's it's not even it's not
even coverage for anything for a lot of people, correct, So, so,
like I was mentioning, so the way, eighty five percent
of people, yeah, aren't getting any coverage.

Speaker 2 (13:58):
Right.

Speaker 1 (13:59):
The healthier you are are, the more money you basically
are wasting.

Speaker 3 (14:03):
And and the realm of yes insurance being for a
claim that you know, hopefully don't have to incur. Yeah,
I mean for most people that listen, you know, I
mean their health insurance plan is not something they use
all the time. But again, kind of going back to
that scenario, well, why am I going to be paying
thousands of dollars a month for that nine thousand dollars

(14:27):
ten thousand dollars aductable?

Speaker 1 (14:28):
Right?

Speaker 3 (14:28):
That doesn't make any sense? Does So there's private insurance companies.
I'm not talking about through the marketplace. I'm talking Obamacare,
Affordable Care Act, Healthcare dot governmentever you want to call it.
You know, they're very expensive. I look at my family
A five, you know, for a bronze plan with a
eighteen thousand dollars out of pocket for my family, it
is almost two grand a month.

Speaker 1 (14:48):
Is it that expense.

Speaker 3 (14:49):
Yes, and it's an HMO and I'm stuck in Cincinnati.
So that's that's the cost.

Speaker 1 (14:54):
Affordable Care Act is a missnoma.

Speaker 3 (14:56):
It's affordable for you know, if my income was six
a year, I can get it for a hundred bucks, right,
but not in that realm. If you're exceeding that point,
you know, it's definitely more expensive. So you know, what
I was able to do in that situation is just
like I do with with the listeners and my clients.
I look at other policies outside of the Affordable Care

(15:17):
Act that had the similar catastrophic coverage ten thousand aductable
something like that. That might be five hundred bucks a
month for the family. You know, we build that plan,
so I want to make sure the top ends covered.
And then because I'm saving fifteen hundred bucks a month,
at that point, I can use that savings to buy
my secondary insurance policies that are through other insurance companies

(15:39):
that might be three or four hundred bucks a month
to pay off my deductible, to cover my doctors, to
cover my prescriptions, to cover my preventative care, and they
are a fraction of the cost of what it's going
to cost you on the marketplace or yeah, or group insurance.
I mean even look at group insurance. I mean I
had someone run a quote from my office or group
because we're at sixty employees right now, you know, we're

(16:01):
looking at you know, a family plan. Even on that
realm for me is sixteen seventeen hundred bucks a month,
So it's it's still just way too expensive for what
I can do on the private side and customizing insurance.

Speaker 1 (16:14):
Well, again going back to the global topic. Why it's
great working with a broker. You know about the existence
of these policies and these offerings. Where is you know,
if I had to go out into the world on
my own and try to figure this out, I'm not
quite sure how far it would get, and I know
it would come up empty.

Speaker 2 (16:31):
Well, not only in that, are you gonna google it?

Speaker 1 (16:34):
Ha?

Speaker 3 (16:34):
Are you gonna go out there and google affordable health insurance?

Speaker 1 (16:38):
Not a chance?

Speaker 2 (16:39):
Or a broker, I mean, you.

Speaker 1 (16:40):
Know how those algorithms work. And the only thing I'm
going to get are big giant like Anthem type big
name insurance companies are going to have all the advertising
paid for upfront, and then you're dealing with that one
size doesn't fit all single company.

Speaker 3 (16:53):
Or you're dealing with the lead company that's going to
gather your information and they're going to send that out
to fifty agents. They are all buying it, and you're
gonna fifty phone calls a day and you don't know
who you're gonna be able to trust, and then you
have to build a relationship with that person. Hopefully they
sell you the right plan, and then what happens if
you don't like it anymore, Well, now you've got to
go do exactly the same thing next year and go

(17:13):
find somebody else to trust.

Speaker 2 (17:15):
Yeah, that's you know, it's just it's.

Speaker 3 (17:16):
A perpetual problem, and especially in a realm with insurance.
And I go listen if you if you're listening to
this show, I hope you've gathered a lot of information
over the few years that we've been doing this and
you feel a little bit more educated to make the
right choices. And that's and that's the reason I did
this show is because you know, again, a lot of
people that call into like especially on the Medicare so
we did this last year. I mean a lot of

(17:37):
them calling like us. I listen to what you're saying
I already know my options. I want to work with you.
This is what I want. I mean, that's great because
the information is just sometimes it's out there. I think
it's just so hard to obtain the correct information. And
you know, kind of going back to what you said,
you're right. I mean a lot of the private plans,
they're not out there marketing. You don't see a huge

(17:59):
realm of TV commercial ads or even on stuff on
the radio that's talking about the private side that's still available.
The health insurance policies today are not just through obamacair.
That's not the only place you can buy health insurance.
There's still a huge realm of private plans that are
out there. And if you're relatively healthy, if you're you know,

(18:20):
not getting a big tax credit, guys, these are these
are phenomenal options.

Speaker 2 (18:23):
You know.

Speaker 3 (18:24):
I'm not in a realm for my family that we're
going to qualify for tax credits. I'm not going to
go on the Affordable Care Act. I'm not going to
pay two grand a month for a plan I can't
use outside of the Cincinnati area. Makes absolutely no sense.

Speaker 1 (18:36):
For me, exactly, you know, and you like to travel too.

Speaker 3 (18:39):
So absolutely, you know, just got back from Florida with
the kids, you know, I mean, I'm down there. I mean,
I want to make sure that the coverage is going
to help them if something happened, you know, And that's
just makes the most sense. And you know, if you're
listening to this right now and if you're in that
type of situation or you know, the best part about
what we can do is, you know, calling for a
free consult you know, I mean, you're going to get

(19:01):
personal help from either myself or one of my team members.
There's no obligation that you have to purchase anything at least,
You're just going to get the proper information. We're going
to analyze what you currently are doing, show you some
options that might be able to save you some money.
The goal is always get you better coverage. And you know,
at the end of the day, like I always say,
if if I find out the plan that you have

(19:23):
is the best thing for your family, I'm going to
legitimately tell you stick with what you have, don't let
anybody ever convincetionally get rid of this, and if anything changes,
let me know exactly.

Speaker 1 (19:33):
But the one thing they're not going to get that
is critically important from My perspective is what people get
when they go through you and you're you're the broker.
You obtain this great package of medical coverage, but they
get to keep you throughout the period of time that
they're covered in the form of the year round support
that you provide, which I you know, you know, if

(19:56):
you save me in one single calendar year, your the
need to be on the phone with the blanket insurance
company on hold for an hour and a half or
whatever trying to figure out why some claim had been denied.
There's value built into that. But that's what you do.
You do that for your clients.

Speaker 3 (20:16):
Yeah, absolutely, And you know that's not even where it stops,
you know. I mean, we have clients that call in
to get options, going, hey, I just got an MRI.
You know I need to know, you know, what's the
best place to go. They're telling me to go to
the hospital, and you know, we shop around for different
places that they can help them get more affordable imaging.
We help them with lab services. I even had a

(20:38):
client one time call in to get advice on a
rotator cuff surgery and I told her I was listen,
I know a guy right now all in price is
cheaper than your deductible. It's in Oklahoma. You want to
go fly out there, and it's about a third of
the price that you're going to pay here in New
Jersey where he was buying it from. And he goes,
I'll take a trip to Oklahoma, got him set up

(20:59):
and the surge and that I know in Oklahoma literally
performs rotator cuff surgeries on like baseball players, like I'm
talking about Major League Baseball players. I think all on
cost is like less than nine grand. It's not the
most ten grand. I say, it was cheaper than if
you went I mean, and we help clients in all
those realms.

Speaker 2 (21:16):
You know.

Speaker 3 (21:16):
It's that's why always say the buck doesn't stop when
we sell you an insurance plan and now I go,
good luck, figure it out on your own. We were
going to keep that constant support because at the end
of the day, I know the concept of insurance, and
you know, I always say, listen, when we sit down,
we might talk for an hour and going over all
your options, explaining the plan. I know you're probably gonna

(21:37):
absorb about twenty percent of it, you know, and so
it's gonna be what happens nine months later, and I
always tell my clients like, listen, if you ever think
your bill is going to be more than a thousand dollars,
before you do it, just give us a call. Let's
see if we can help you. Let's see if we
can get you a better place somewhere else, or just
show you another alternative so that you're not paying any
money out of pocket.

Speaker 2 (21:56):
That's really our goal.

Speaker 3 (21:57):
You know, when I sell someone health insurance, I don't
want them spending all kinds of money to use their insurance.
I want to make sure that when they use it,
you know, they're the best possible situation, and we're going
to minimize their financial risk.

Speaker 1 (22:11):
Well, and there's also the whole idea that you know,
people's lives changed throughout the year. They might have a baby,
or you know, those spouse passes away, or you know
there's a multitude of things that might change their insurance
landscape needs.

Speaker 2 (22:25):
Well.

Speaker 3 (22:25):
Absolutely, I mean that's you know, we we I always
say birth to death is when we helped you out,
but i'd like cradle to the grave, So we started
using that a little bit more at this stage. But
you know, we have a lot of a lot of
clients that you know, start off as freelancers are starting
off earlier in their lives, you know, in their twenties,
are starting their own businesses, and maybe it's a single
person and you know, they're we we have plans designed

(22:49):
for those individuals. And then what happens You have me
a spouse, you guys want to have a family one day,
you know, then we start looking at adding different coverages on.
It's not always something where you have to buy the
Mercedes right out of the get go. It's something that
we can adjust it and change it as we go.
That's the beauty of this industry. It's not you know,

(23:10):
we can can constantly adjust it. It's not something that
you're stuck with once you have it. But it is
a good thing to make sure that you have the
right coverage and play because there's a lot of things
that we will build out early on in your life
that are going to be really affordable at the time
that you buy it, and it's something that you can
keep for the rest of your life at a very

(23:30):
reasonable rate.

Speaker 1 (23:32):
And uh, and in lesser physics.

Speaker 3 (23:39):
And and just one little thing I'm going to listen.
I want to point out to the listeners right now,
is you know during COVID, you know, there was there
was a law that was written that basically helped expand
the Affordable Care Act. And when I say expand, it
expanded the tax credits. So basically there used to be
a ceiling when it came to tax credits. Basically, I

(24:01):
think back when it was first originated. If you were
you know, the couple, you know, husband and wife, whatever,
you know, the maximum that you could make and still
get a tax credit was like sixty four thousand dollars
a year. So the problem is, you made like sixty
four thousand and one dollar, you would lose your entire
tax credit. So it used to be people getting like

(24:22):
five or six hundred bucks a month off their health insurance,
but when they went and filed their taxes, they made
like sixty four to sixty five thousand, and then they
end up owning the government like six or seven grand
at the end of the year. Well, one of the
things that you need to the listeners need to understand
is that law comes up at the end of this year.
So it was redone three years ago, but that law

(24:42):
comes up at the end of this year. So what
that basically means if the current administration doesn't assign that
back in and extend that those increased tax credits go away.
And we're talking tens of millions of people are actually
under that law right now. And and so what's you
know again, if you're if you're relatively healthy, and you're like, well,

(25:03):
you know, I'm getting a big tax credit right now,
but I'm kind of in that higher income. My wife
and I'm making like seventy five eighty grand a year,
We're still getting like nine hundred bucks because the tax
creds are huge. So these people are getting eight or
nine hundred bucks a month, still making seventy grand a year,
especially if they're older. But the problem here is if
that goes away at the end of this year, you're
talking about your price going from you know, three or

(25:25):
four hundred bucks a month to twelve or thirteen fourteen
hundred bucks a month.

Speaker 1 (25:29):
And I'm sure there's a lot of people that have
no idea.

Speaker 3 (25:31):
There's a lot of people that have no idea that's
on the block right now. So if if that's not signed,
and you're relatively healthy, I'm telling you right now, more
than likely my recommendations get out. Get out if you can,
like look at a private option, so that way we
can lock you in at a cheaper right now. Because again,
if something does happen, God forbid, you get cancer or
a heart attack or a stroke, or come diabetic of

(25:53):
insulin or something like that, the only plan that you
can stay on is that Affordable Care Act plan. So
you're gonna be on a plan three or hundred buck month.
Now it's going to jump to thirteen or fourteen hundred
and I can't do anything. So it might be something
that really you want to look at now, because the
way it's looking, I don't think it'll be renewed. I
don't think it will be.

Speaker 1 (26:14):
All right, Well, we have a brief explanation about a
real life case study where you saved the family a
heap load of money for example.

Speaker 2 (26:21):
Yeah, so.

Speaker 3 (26:24):
You know, one of the biggest things, especially for like
I said, you know, our self employee clients, you know,
and kind of going back to like the ACA, we
had one that was paying about over twelve hundred bucks
a month. I remember these they were on the ACA,
so they were paying you know, I think this was
a family of three paying twelve hundred bucks a month
on the Affordable Care Act and remember you're out of pocket.
That point is eighteen thousand, four hundred dollars. But you know,

(26:48):
by dealing with us, we actually were able to do
a customized plan remove them. And this was like last week,
so they were on an Affordable Care Act plan when
we first originally talked to them like well, I'm stuck
here to the next open role.

Speaker 2 (27:00):
You're not.

Speaker 3 (27:01):
You can change your health insurance policy anytime you want.
Health insurance is like anything else you stop paying for,
they stop covering you, so we can move you somewhere else.
So we're able to move into a private plan. We
were actually able to do our full package, so we
were able to do the secondary coverage, which basically covered
all they're out of pocket expenses, got onto catastrophic coverage,

(27:23):
but they're savings not only lowering they're out of pocket expenses,
getting the better coverage. Moved them from an HMO to
a PPO, which is a huge upgrade because now you
have coverage in all fifty states, not just Cincinnati.

Speaker 2 (27:35):
Right.

Speaker 3 (27:36):
We were able to save them over four thousand dollars
a year by moving them, and you know, they had
all their doctors in it. They can go anywhere that
they want. And then we compare all those options for
them and this is what we do all day long. It's,
you know, the market that we're selling in now. Because
of the over inflated premium, especially at the Affordable Care Act,

(27:58):
the private sector looks so much more appealing because it
is so much cheaper. And I said, you have to
All you have to do is be relatively healthy.

Speaker 1 (28:05):
Well, and all you need to do is reach out
to John and the team at COVER. Since I mean
you told people earlier you're willing to take a review
of their currents insurance situation and find out where they
are if they can be in a better place. And
I encourage listeners to do that. You know you've got
medical insurance. Find out if you're the best possible place
with medical insurance or if there's a better way that
can save you more money and probably get you a

(28:26):
better coverage on.

Speaker 2 (28:27):
Top of it.

Speaker 1 (28:28):
The way to do that coversincey dot com. That's either
with Y or I Cover. Since you got Colm and
again it's not just a since any area. If you're
listening in the Keepsie you can go ahead and give
John on the team a call or start the process
online as a form on the website to do just that,
or call him up at five one three eight hundred.
Call that's five one three eight hundred two two five

(28:49):
five John, always great talking with you. Appreciate what you
do for all my listeners and have done for all
the over these years. This has been another edition Rethink
Healthcare together with John Roman from Cover Sinci