Beware of Unlicensed Agents Selling Multiplan PPO Policies
Multiplan PPO (Preferred Provider Organization) is a network of healthcare providers that has partnered with insurance companies to offer discounted rates on medical services. While Multiplan is a legitimate company, there have been reports of unlicensed agents misrepresenting the coverage offered by Multiplan PPO policies.
Understanding Multiplan PPO Policies
Multiplan PPO policies are not ACA (Affordable Care Act) compliant, meaning they do not meet the minimum coverage requirements set by the government. As such, these policies will not qualify for subsidies or tax credits that are available to those who purchase ACA-compliant plans.
Multiplan PPO policies may have low monthly premiums, but they also typically have high deductibles and out-of-pocket costs. This means that you could be responsible for paying a significant amount of money out-of-pocket before your insurance coverage kicks in.
What to Look Out For
If you are contacted by an agent offering a Multiplan PPO policy, be sure to ask the following questions:
Is the agent licensed to sell insurance in your state?
Is the policy ACA-compliant?
What are the deductibles and out-of-pocket costs?
If the agent cannot answer these questions or if they are not able to provide you with a written policy summary, it is likely that they are not licensed or that the policy is not ACA-compliant.
How to Report Unlicensed Agents
If you have been contacted by an unlicensed agent or if you believe that you have been sold a non-ACA-compliant policy, you can report them to your state’s insurance commissioner. You can also contact the National Association of Insurance Commissioners (NAIC) at 1-866-470-4242.
How to Find ACA-Compliant Insurance
If you are looking for health insurance that meets the requirements of the Affordable Care Act, you can visit the HealthCare.gov website or contact a licensed insurance agent. You can also contact your state’s Medicaid office to see if you qualify for coverage.
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