Health Insurance Demystified

Episode #150
Jul 19, 16
Podcast Episode
» Subscribe to Show

Health insurance in all of its aspects seems to be very complicating. Join us in a conversation with Gerald “Ray” Stevens, President/Broker of Stevens and Associates Insurance Agency, Inc. Ray will help clear up some of the major issues and give us important information to make sense of the entire process.

Hosts: Dr. Glenn Wollman, Christina Souza Ma and special guest Gerald “Ray” Stevens. Airing on Tuesdays @ 10:30am PST (1:30pm EST)

Please feel free to type your questions or comments into the box at the bottom of the page.

Gerald “Ray” Stevens

Gerald “Ray” Stevens is originally from Missouri, where he graduated from Kansas City Business College. After moving to Santa Barbara, CA he attended the Insurance Training Institute with Certified Life Insurance Read full bio »

Glenn Wollman

Glenn Wollman, MD, has always been at the leading edge of medicine. He helped pioneer the specialty of Emergency Medicine and, at the same time, also developed and ran one of the first hospital-based Integrative Medicine programs in the Unitied… Read full bio »

2 Responses to "150: Health Insurance Demystified"

  1. Richard Fox

    Hi, I enjoyed your episode very much. One of the questions I have is that it seems that insurance premiums and deductible/co-pay are inversely proportional and that if you want affordable deductibles and co-pays that you have unaffordable premiums or vice versa. We seem to see that most deductibles that are provided by employers are for “catastrophe” only, not leaving much choice for the employee regarding deductibles and co-pays vs. premium payments. So, my question becomes it is basically a “cash” practice until that deductible is met. It also seems that many types of care, the standard yearly physical, the optometrist, dentist, chiropractor, physical therapist are in fields that would never touch the deductibles or co-pay’s. So why would it be mandatory to pay for insurance premiums that the average healthy individual would never use in a years time? Why would anyone want to double pay? Pay for insurance through premiums that do not cover your basic costs and then pay cash for what does involve your basic health care. Also, I can understand why Doctor’s are reluctant to give out prices over the phone, as it may sound simple when the person is describing their needs to the front office and are told one price, yet when the actual history and examination occur, there may be extra costs involved in formulating a diagnosis by having to order lab work-ups, x-ray or imaging, etc. Many times people call up a doctor thinking they sprained a joint and it is a fracture, dislocation or worse, bone pathology.

    • glenn Wollman

      Greetings Dr. Richard Fox,
      Thank you for following Magical Medical Tour and taking the time to comment and reply. We are always looking to provide good current information. I presented the question to our guest, Gerald Ray Stevens and this was his response:

      In response to the question: I would agree in the basic statement made. This is why instead of our office just presenting an ACA health insurance plan, most of the under 65 health insurance plans are packaged plans. These are plans where we use supplemental plans to fill many of the gaps to reduce the deductibles and coinsurance. This is also where you have to have a balance between the ACA health plan and the supplemental plans to insure lower premium payments with maximum benefit for the premium dollar. Still today many insurance agents do not offer the packaged plans, since it is easier to email the regular ACA plan or to do online application without much time or explanation. Presenting packaged plans takes time and explanation so prospects understand why and to show how these plans fill gaps cost effectively. I do understand that there is difficulty in having up front pricing from medical providers, since things are not always what they appear to be. I still believe there is a way to make more open information regarding the cost of the medical care prior to the bill coming in the mail. I hope this answered the question

Leave a Reply

Your email address will not be published. Required fields are marked *