Obamacare – “The Affordable Care Act”
 Some people love it
 Some people hate it
 Many people will benefit from it
 The question is – are you prepared for it and do you understand how
it will impact you
 The key to understand is that you do not have to buy from the
exchanges to be compliant and get tax advantage
Obamacare – “The Affordable Care Act”
 The Obamacare Individual Mandate is still scheduled for January
1, 2014
 The Obamacare Business mandate has been put off till 2015 per
President Obama
 The Insurance Exchanges are scheduled to open October 1, 2013
 Some experts believe that the only people that will purchase from
the exchanges are those that can not get insurance anywhere else
because of a pre-existing condition .
Obamacare – “The Affordable Care Act”
 Obamacare basically mandates that all insurance coverage be
explained in a common format and be the same cost for the
same coverage
 Due to the above all insurance companies are going to online
applications and using different type of referral networks
 Innvia’s Insurance Outlet Mall is using a marketing model of
people creating their own distribution center for family, friends
and community
 Even without Obamacare many people still need affordable
Insurance
Insurance –
What do I really need ?
 Determine what coverage you want – based on first glance
comparison
 Type: HMO or PPO – may show (HSA)
 HMO tends to be lower
 PPO allows you to pick your Specialist
 If it says HSA you have to look at detail to determine if it is HMO
or PPO
 Deductible: High or Low
 High Deductibles reduce cost of premium
 If you do not anticipate major expense you may want a high
deductible
Insurance –
What do I really need ?
 Dr. Co-Pay: Highly over weighted unless you have chronic
conditions.
 Out of Pocket (OOP): High or Low – Tends to corelate
with Deductible
 Inpatient Hospital: What you pay after deductible
 Maternity: only important if you are in child bearing years
 RX Card: Need to study details if important
Step 1 – First Page of Site
 Pick Individual & Family for
Major Medical
 Simply fill out 8 fields
 Agent ID & Agent Name
 First & Last Name
 Email & Phone
 Zip Code
 Who needs coverage
 Myself only
 Myself and my spouse
 Myself and my children
 Myself, my spouse and children
 My children
 Click SHOW HEALTH PLANS
AND PRICES
 Note these plans are fixed by
law
Click for
Quotes
Step 2 – Second Page Review Quotes
 You will get up to a 100+
quotes
 This shows the first two
quotes
 You can scroll though all
which in this case was 94
 This was a Florida quote for
a 49 year old woman
 Two carriers quoted
 Aetna
 Humana
Step 2 – Second Page Review Quotes
 This shows the last two
quotes
 Note the range in prices – in
this case they were from
$119 from quote 1 on
previous slide to $627 from
quote 94 on this slide
 This a $500 spread per month
 It should be obvious that it is
worth looking into the details of
the plans
 If you prefer one carrier over
another just look at your
preference
 The next step is to start at the
cheapest
Step 2 – Second Page Review Quotes
 Evaluate the high level
feature and work your
way down till you reach a
quote you are
comfortable.
 At this point you want to
View Plan Details
Click for
Plan Details
Step 3 – Review Details
 It turns out that the $159
quote was the lowest
price that met her first
level requirements
 She wanted and got PPO
 Deductible = $7,500
 Hospitalization was 0%
 Review additional
coverage to determine if
there are any more
benefits you may want or
need3
Step 3 - Review Details
 She was happy with the
coverage shown to the right.
 If she had wanted
chiropractic or accupuncture
she could of continued
looking at quotes or call the
888-504-3170 number and
talked to an insurance agent
 You may have to leave a
message if all agents are busy
they will respond within 24-
48 hours
Step 3 - Review Details
 This is the bottom of the
plan benefits.
 The next step would be to
review the Exclusions &
Limitations to make sure
this was the plan you
really want
 Note: different Insurance
companies will have
different formats for:
 Plan Benefits
 Exlusions & Limitations
Click for Exclusions
and Limitation
Step 4 – Apply on line
 The last step is to apply:
 preferrably online
 It should take two to four
weeks for them to
underwrite and confirm
your policy rate
 Note: You typically save
two weeks by applying
online
 You save the mailing time
 They do not have to input
Click to
Apply
Top half of application screen
 This will auto fill most of
the information
 Next slide will show the
bottom half of the screen
with a continue key
Bottom half of screen
 It is recommended to
choose online as that will
save several weeks
 However you can choose
to print out the form or
have it mailed
Question on existing Coverage
Slight Increase due to lapse of Coverage
Review Quote
 This is the last step where
you review what you are
about to submit
 The rate at this point is
considered a preferred rate
Example of 26 year old married couple
 The first is the profile for
this quote
 The second is the lowest
quote
 The third is the highest
quote
 This represents a $617
spread
 It should be obvious that it
is worth the time to
research what these
policies actually cover
Example of 40 year old married couple
 The first is the profile for
this quote
 The second is the lowest
quote
 The third is the highest
quote
 This represents a $838
spread
 It should be obvious that it
is worth the time to
research what these
policies actually cover
Example of 55 year old married couple
 The first is the profile for
this quote
 The second is the lowest
quote
 The third is the highest
quote
 This represents a $1,488
spread
 It should be obvious that it
is worth the time to
research what these
policies actually cover
The Insurance Outlet Mall is a referral agent based
Health Insurance – Please use the agent ID # and name
of who referred you to this site or presentation
http://www.insuranceoutletmall.com/
Otherwise you can use: 1178 - Tim Mendonca
For more information email info@DiamondWealthTeam.com
Thank You – For more information

Insurance outlet-mall-walkthrough-090713

  • 2.
    Obamacare – “TheAffordable Care Act”  Some people love it  Some people hate it  Many people will benefit from it  The question is – are you prepared for it and do you understand how it will impact you  The key to understand is that you do not have to buy from the exchanges to be compliant and get tax advantage
  • 3.
    Obamacare – “TheAffordable Care Act”  The Obamacare Individual Mandate is still scheduled for January 1, 2014  The Obamacare Business mandate has been put off till 2015 per President Obama  The Insurance Exchanges are scheduled to open October 1, 2013  Some experts believe that the only people that will purchase from the exchanges are those that can not get insurance anywhere else because of a pre-existing condition .
  • 4.
    Obamacare – “TheAffordable Care Act”  Obamacare basically mandates that all insurance coverage be explained in a common format and be the same cost for the same coverage  Due to the above all insurance companies are going to online applications and using different type of referral networks  Innvia’s Insurance Outlet Mall is using a marketing model of people creating their own distribution center for family, friends and community  Even without Obamacare many people still need affordable Insurance
  • 5.
    Insurance – What doI really need ?  Determine what coverage you want – based on first glance comparison  Type: HMO or PPO – may show (HSA)  HMO tends to be lower  PPO allows you to pick your Specialist  If it says HSA you have to look at detail to determine if it is HMO or PPO  Deductible: High or Low  High Deductibles reduce cost of premium  If you do not anticipate major expense you may want a high deductible
  • 6.
    Insurance – What doI really need ?  Dr. Co-Pay: Highly over weighted unless you have chronic conditions.  Out of Pocket (OOP): High or Low – Tends to corelate with Deductible  Inpatient Hospital: What you pay after deductible  Maternity: only important if you are in child bearing years  RX Card: Need to study details if important
  • 7.
    Step 1 –First Page of Site  Pick Individual & Family for Major Medical  Simply fill out 8 fields  Agent ID & Agent Name  First & Last Name  Email & Phone  Zip Code  Who needs coverage  Myself only  Myself and my spouse  Myself and my children  Myself, my spouse and children  My children  Click SHOW HEALTH PLANS AND PRICES  Note these plans are fixed by law Click for Quotes
  • 8.
    Step 2 –Second Page Review Quotes  You will get up to a 100+ quotes  This shows the first two quotes  You can scroll though all which in this case was 94  This was a Florida quote for a 49 year old woman  Two carriers quoted  Aetna  Humana
  • 9.
    Step 2 –Second Page Review Quotes  This shows the last two quotes  Note the range in prices – in this case they were from $119 from quote 1 on previous slide to $627 from quote 94 on this slide  This a $500 spread per month  It should be obvious that it is worth looking into the details of the plans  If you prefer one carrier over another just look at your preference  The next step is to start at the cheapest
  • 10.
    Step 2 –Second Page Review Quotes  Evaluate the high level feature and work your way down till you reach a quote you are comfortable.  At this point you want to View Plan Details Click for Plan Details
  • 11.
    Step 3 –Review Details  It turns out that the $159 quote was the lowest price that met her first level requirements  She wanted and got PPO  Deductible = $7,500  Hospitalization was 0%  Review additional coverage to determine if there are any more benefits you may want or need3
  • 12.
    Step 3 -Review Details  She was happy with the coverage shown to the right.  If she had wanted chiropractic or accupuncture she could of continued looking at quotes or call the 888-504-3170 number and talked to an insurance agent  You may have to leave a message if all agents are busy they will respond within 24- 48 hours
  • 13.
    Step 3 -Review Details  This is the bottom of the plan benefits.  The next step would be to review the Exclusions & Limitations to make sure this was the plan you really want  Note: different Insurance companies will have different formats for:  Plan Benefits  Exlusions & Limitations Click for Exclusions and Limitation
  • 14.
    Step 4 –Apply on line  The last step is to apply:  preferrably online  It should take two to four weeks for them to underwrite and confirm your policy rate  Note: You typically save two weeks by applying online  You save the mailing time  They do not have to input Click to Apply
  • 15.
    Top half ofapplication screen  This will auto fill most of the information  Next slide will show the bottom half of the screen with a continue key
  • 16.
    Bottom half ofscreen  It is recommended to choose online as that will save several weeks  However you can choose to print out the form or have it mailed
  • 17.
  • 18.
    Slight Increase dueto lapse of Coverage
  • 19.
    Review Quote  Thisis the last step where you review what you are about to submit  The rate at this point is considered a preferred rate
  • 20.
    Example of 26year old married couple  The first is the profile for this quote  The second is the lowest quote  The third is the highest quote  This represents a $617 spread  It should be obvious that it is worth the time to research what these policies actually cover
  • 21.
    Example of 40year old married couple  The first is the profile for this quote  The second is the lowest quote  The third is the highest quote  This represents a $838 spread  It should be obvious that it is worth the time to research what these policies actually cover
  • 22.
    Example of 55year old married couple  The first is the profile for this quote  The second is the lowest quote  The third is the highest quote  This represents a $1,488 spread  It should be obvious that it is worth the time to research what these policies actually cover
  • 23.
    The Insurance OutletMall is a referral agent based Health Insurance – Please use the agent ID # and name of who referred you to this site or presentation http://www.insuranceoutletmall.com/ Otherwise you can use: 1178 - Tim Mendonca For more information email [email protected] Thank You – For more information

Editor's Notes