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Products: Wrap Around Plans

When selling Medicare Advantage plans to your clients are you thinking about how they will pay the hospital, skilled nursing, ambulance and other co-payments.

These numbers can add up quick and could cause your client to have a very large bill to pay in just a short period of time. Here is a scenario that could be quite frightening to a Medicare Advantage consumer.

Your client is 65 years old, on a very limited income, and could not afford a traditional Medicare Supplement plan for $100 per month. Let’s say you sell your client a PFFS plan that has:

  • An annual maximum out of pocket limit of $3000
  • A hospital co-payment of $150 per day for 4 days
  • And an ambulance co-payment of $150
Your client has been enjoying the benefits of a $0 premium PFFS plan, but a few months into the plan, they have an illness strike that causes them to be rushed to the hospital by ambulance and they spend 6 nights in the hospital.

Just the ambulance trip and hospital stay will equal $750 that will likely be due during just a one month period. Now remember, your client could not afford a $100 monthly premium for a Medicare Supplement. The question is, how are they going to afford a minimum of $750 during a one month period.

That’s where our Advantage Plus plan comes into play.
For a small monthly premium of just $21.44 you could provide that same client with $150 daily hospitalization coverage and a $200 ambulance benefit. In the same scenario, your client would have had $1100.00 paid to them directly by the insurance company, which would have been plenty to offset the large bill they received.

Just look at how many benefits your client can get from an Advantage Plus plan!

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