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Linda Brandwin, R.N.

Linda Brandwin is a registered nurse and a medical billing and claims specialist. For the past 10 years she has worked directly with insurance companies to give advice and guidance to the health care consumer.

Readers may send email or write Linda Brandwin at 5500 Single Oak Hill Ct., Woodbridge, VA 22192.

Employer is providing catastrophic policy
June 4, 2004

Q: About nine months ago I found out that I was diabetic. Now my boss is lowering our coverage at work because he says he can not afford to maintain the same coverage. We will only have hospitalization and no doctor visits. There will be a $5000 deductible and an $8000 deductible for out of pocket. Can you suggest anything?

A: Insurance premiums have gone up at least ten percent for the last three years. In many cases it has been closer to twenty percent. Businesses have really been hard hit by these increases. Many employers are struggling to offer any kind of medical benefits to their employees. And some employers are actually going out of business because they simply can not afford the insurance premiums.

Your employer is providing you what amounts to a catastrophic policy. If you have a devastating medical condition requiring hospitalization, the policy will eventually kick in so you will not experience a devastating financial hardship. That is the purpose of this policy.

There are only two suggestions I have. You can either get medical insurance on your own or look for another job that will provide you with better benefits. I have a feeling your employer is well aware of the second option and knows he is risking losing his employees over these medical benefits. Obviously, he may not have any other options available to him.

In your situation since you were just diagnosed with diabetes, having good medical coverage may be a priority. You will have to evaluate what choices are best for you and make a decision accordingly.








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