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Article #86: Limited Benefit Health Insurance - Is It A Good Deal?

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






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