Pro Pharma Talks - Episode 002

Topic: Skinny Health Plans

Episode Outline:

1. Skinny Health Plans = Short Term Health Plans

   -Sell for 365 days up from 90 days

   -Renew for 36 months

   -High Out-of-Pocket (OOP) Expenses

   -Premium = 20% of lowest priced ACA Bronze Plan

   -Don't Cover Pre-Existing Conditions

2. Benefits are Restricted

   -Don't C over:

        -1. Maternity Care

        -2. Outpatient Prescription Drugs

        -3. Substance Abuse

        -4. Mental Health Treatment

3. Impact on ACA Plans

   -Higher Costs:

        -CMS Projected 1% Increase

        -Urban Institute 18% Increase

   -Injured Individuals will return to ACA - leading to higher costs

   -Brokers make 20% commissions on Skinny vs. 5% on ACA

4. Remember 

   -Skinny = Lower Cost/ Higher OOP

   -Prohibit Underwriting = Pre-Existing Conditions NOT COVERED

   -Outpatient prescription Medications NOT COVERED

   -Brokers Make MORE Selling Skinny

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