Here is a sample Humana VS. AARP case in Broward County, Fort Lauderdale, Florida. For this couple in their late 50’s early 60’s we compared these two plans which came in the most affordable for them based on their respective situation, and though your case might be different the basic points illustrated here are the same.
I compared the Humana Autograph Benefit Summary plan to the benefits we reviewed with AARP’s Essential Premier 5000 plan and attached you will find the benefit details for both plans with my respective notes providing more details as to the advantages and disadvantages I found.
Here’s a few of the differences in plan benefits I found with Humana’s plan that I wanted to point out although you’ll see it more clearly illustrated in the attachments.
- AARP clearly indicates that the pre-existing conditions clause is waived with proof of creditable coverage within 63 days (I included the excerpt from each plan benefit brochure below)
- Humana indicates that the pre-existing conditions clause is waived for conditions disclosed on the application and not excluded in the policy
- The maximum out of pocket with Humana for in-network benefits is $8000 as opposed to AARP’s Premier 5000 plan’s maximum out of pocket for in-network benefits which is $7,500.00. And what’s substantially different is Humana’s maximum out of pocket for an individual with respect to out of network benefits, you’ll find that it’s $20,000 as opposed to AARP’s Premier plan which is only $12,500.
If you fall into this demographic and would like me to provide further details pertaining to United Healthcare plans in that I did go ahead and include the excerpt from the respective underwriting guides for United Healthcare. We can also try applying with United Healthcare to see how they come in as their final rate the underwriting guide indicates that there may be a rider issued for the high blood pressure. Note: You’ll find the Pre-existing condition clauses below my underwriting findings.
Although I feel that AARP is coming in the most competitive in both underwriting and overall benefits while maintaining a relatively competitive premium, so hence our winner in this case was hands down AARP. If there are other mitigating health factors involved it would support our finding even more due to the lax underwriting requirements that Aetna and AARP both maintain.