Erickson Tribune

Henry Ford

UPDATED: Thursday, December 06, 2007

The savvy consumer

Posted on Saturday, December 01, 2007
 

By Laura Hipshire
THE ERICKSON TRIBUNE

There’s no doubt health insurance is one of today’s hottest topics. Many people are either uninsured or underinsured, and if they’re not, they’re about to lose benefits they’d been banking on for many years.

It’s during times like these that unscrupulous individuals try to lure desperate people into believing they have just what the doctor ordered when it comes to health insurance.

Empty promises
According to the Federal Trade Commission (FTC), the nation’s consumer protection agency, some medical discount plans claim to provide big discounts from hundreds of providers on a wide range of services from doctor visits and dental exams to hospital stays and prescription drugs. But many plans fail to make good on those claims.

The FTC and several states have found that although some medical discount plans provide legitimate reductions that benefit their members, others take consumers’ money and offer very little in return.

Bait and switch
According to the National Association of Insurance Commissioners (NAIC), a typical fraudulent health insurance scam attempts to recruit as many local insurance agents as possible to market the coverage. Agents are told the coverage is regulated by federal law, not by state law when, in fact, this is illegal.

The coverage is typically offered regardless of the applicant’s health condition, at lower rates, and with better benefits than can be found from licensed insurers. The scam seeks to collect a large amount of premium as rapidly as possible.

While claims may be paid initially, the scam operation will soon begin to delay payment and offer excuses for its failure to pay. Unsuspecting consumers who thought they were covered for their medical needs are left responsible for huge medical bills. Employers who sign up for these illegal plans may be liable for the medical bills of their employees as well.


Henry Ford
Image
More Henry Ford

Rising living costs has retirees looking for options

School supply drive a success

Local artist wins

Wellness garden encourages walking

Read or Add a Comment?

A call to end Erie Pa.'s relationship with "sister city" Zibo, China, and all Chinese imports.

No URL for Riderwood Blog

Laughter Yoga

Happy hour hot spots?

Model yacht clubs

Your thoughts on Reflexology

Tools

Write a Comment on Story

Print

Email Story

Add to Favorites

Don’t be a victim
The best way to avoid becoming a victim of insurance fraud is to know the facts, ask questions, and do some research. The Better Business Bureau, along with the NAIC, offer the following tips:


Avoid the headache of insurance fraud

1If you are unfamiliar with the company offering the health plan, check them out with your state insurance department and the Better Business Bureau.

2Make sure your insurance agent is selling a state-licensed insurance product by checking with the National Association of Insurance Commissioners, Michigan’s Office of Financial and Insurance Services, or the Better Business Bureau (see contact information below).

3Be suspicious if coverage seems unusually cheap, is issued with few questions about the applicant’s health, or refers to coverage as “stop-loss insurance.” Coverage that boasts excessively low rates or minimal underwriting should be a signal to look deeper.

4Deal with reputable agents. If the person trying to sell you coverage says he or she does not need a license because the coverage is not insurance or is exempt from regulation, be cautious. Report this to your state insurance department.

5Ask your agent for the name of the insurer and check the benefit booklet you receive to see if it names a licensed insurer (bearing an assigned license number) that is fully insuring the coverage.

For more information or to report suspected fraud, contact the National Association of Insurance Commissioners at 1-866-470-NAIC (6242),  Michigan’s Office of Financial and Insurance Services at 1-877-999-6442, or the Better Business Bureau at www.bbb.org.



 Other Community News

    

Click Here to Order Now!