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They did send me a copy of their brochure. Everything is reasonable and customary charges. As far as I'm concerned that's an issue. By the time you add the Rx rider, the outpatient rider and the Doctor rider you're premium is way out there.
And for those of you that don't think full Rx coverage is important -- I have a client 33 year old male that got Hepatitis C from a blood transfusion when he was 6 months old, no he's not a druggie. He was told that with the new treatments, if he did not need a transplant, the drugs would be $1,600 per treatment and he would need to do that once a week. Yes, that's outrageous and if it had been anybody else I wouldn't have believed it. If he had been covered by Aetna or BC/BS or Unicare, he would have gone through the limitation before the first month was up. On top of that if he had needed a transplant I can't even imagine what the anti-rejection drugs cost. I always make sure everyone knows about the limitations and usually they'll take a higher deductible then to have Rx to the plan limit. Is the Hep C an extreme example probably but that's the purpose of insurance, cover the big stuff!!
Very sage stuff, Susie. As a 17 year veteran of this business, I'm impressed. WAY impressed.