Limited Benefit Health Insurance - Is It A Good Deal?

These days, everyone is looking for ways to savebenefits such as inpatient care, hospital room and
money. Some have found that buying cheap healthboard and other critical services. One of the bigger
insurance is one way to go. And while this has itsselling points for Limited Benefit plans, however, is that
upside, you should be careful, because you may endthey often cover at least part of the insured's
up with a health crisis.everyday medical expenses. Still, even with respect to
For many folks in Dallas, Houston or throughout Texasevery day care, the policies have restrictions such as
with no health insurance, a policy known as "Limitedwaiting periods for "wellness checks" and exclusions
Benefit" sounds like an appealing choice. Premiums arefor the treatment of pre-existing conditions. Limited
as low as $10 a week. But there's a big catch: theseBenefit plans typically also have deductibles that
policies pay as little as $1,000 a year or $10,000 for apolicyholders must pay each year before benefits kick
lifetime - so little that some health insurance expertsin.
question whether they really amounts to healthSome insurance companies have tried offering
insurance at all.low-cost policies that cover "catastrophic" health costs.
Even insurance industry executives and agents areBut industry officials say low-income employees
highly skeptical of such plans. At onehaven't shown much interest because such plans
insurance-company meeting last year, a roomful ofrequire high deductibles - perhaps a couple of
agents burst into laughter when an executivethousand dollars - before coverage kicks in.
described a Limited Benefit plan. But plan defendersLow-wage workers are more interested in something
say the simple act of giving low-income workers anthat covers basic expenses.
insurance card can encourage them to seek routineWhile many employers who sponsor Limited Benefit
preventive care. They contend that some measure ofhealth plans for their employees reluctantly concede
health coverage, however small, is better than none.that the plans offer little to no help with a serious illness,
Currently, Limited Benefit policies are among thethe employers and their insurance agents say that
fastest-growing health insurance offerings forthey make sure workers understand what this
temporary and hourly workers. Sold by half a dozenparticular insurance will and will not do.
insurance companies, they cover an estimatedEnrollment in Limited Benefit health plans has grown
750,000 employees and family members. Wal-Martabout 20% in each of the past few years. Employers
Stores Inc., McDonald's Corp. and Lowe's Cos. aremake them available mostly to hourly workers, either
among major companies making them available tofull- or part-time, and collect the premiums through
their employees. For the nearly 47 million uninsuredpayroll deduction. Many companies in the service
people in the United States today, having Limitedsector typically find that 10% to 30% of eligible
Benefit health insurance would be better than havingworkers elect to purchase the Limited Benefit
no coverage at all.coverage.
Limited Benefit plans place severe financial caps on