Plan activates increased coverage on demand - - Managed Healthcare Executive
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Plan activates increased coverage on demand


Managed Healthcare Executive


Sawhney says by moving cost sharing from the front of the annual claims cycle, Precedent-Remix policies offer both catastrophic coverage and coverage for day-to-day medical services at a premium comparable to catastrophic-only coverage. For sickness or injury care, deductibles are $500, $250 or zero, depending on the plan. Sawhney is not aware of any zero-deductible plan with a $5 million limit.

OTHER APPROACHES

One might look at how other industries have created approaches to risk management opportunities or decision. "One such example is in the stock market," Bigalke explains. "If a consumer were to purchase a stock option, he would not have the full value of the stock upfront nor would he have the full risk of movement in the stock price. However, he would receive the benefit of having the option to purchase that stock at a predetermined price, and should that stock go up, he would receive the full benefit of the increase in price by exercising that option. Other examples include interest rate hedges and other financial instruments."

By comparison in healthcare, consumers can be drawn to lower premiums knowing they can purchase additional coverage for a predetermined price should they need it, in essence hedging their risk, Bigalke says.


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