Self-Employed,
Individual, and Family Health Insurance
WHAT YOU SHOULD KNOW ABOUT
HEALTH
INSURANCE
BEFORE GETTING A QUOTE!!
There's more to a health insurance policy
than price.
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When you are quoted a premium
for a new health plan it is based on the ZIP CODE in
which you live.
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Conditions such as High blood pressure
and High Cholesterol are treated differently
by each carrier.
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Though some carriers will not consider
asthma conditions, others will.
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Your occupation could play a big role in your
premium.
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Many carriers will not accept people
with sleep apnea.
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Your overall driving
record and DUI'S could hurt your chances
of getting insured
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Some carriers rate everyone on the
policy as a smoker even if only one
smokes, thus increasing your premium
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You don't pay us - the insurance company
does, but NOT until you are approved!
The knowledge that we have, as Independent
Agents, is not found in
the sales brochures the insurance carriers
print. Get an edge in your search for a
proper health plan - call us.
Don't place a life insurance or health
insurance application until an insurance
professional helps evaluate your
insurability. Getting declined on health
insurance compares to getting a bad mark on
your credit report. In most cases it can be
avoided.
Getting affordable health insurance that you
need can seem overwhelming in a system
that's constantly changing. Our independent
group of health insurance specialists is
constantly looking for ways to give
consumers the information they need so they
can get the best value for their hard-earned
money.
Navigating the Healthcare Maze
- Trying to understand how health insurance
works, staying covered, and keeping costs
down can be tough with today's often
confusing features of health insurance. Not
for us, though. Everyday we do much of our
work with small businesses and those who are
self-employed or do not have benefits at
work.
But, it's a fact - you need it.
Simply put, health insurance is protection
against today's exorbitant medical costs.
Without coverage, you risk losing your
assets or being in debt for years.
But, do you really want to spend valuable
time shopping for health insurance; trying
to decipher the differences between all the
plans available; pouring over the
limitations and exclusions they all have;
keeping up with changing laws?
We’re here to help you understand your
options and keep costs under control by
directing you to the right health insurance
plan.
TERMS YOU SHOULD KNOW:
Co-payments, Deductibles, &
Coinsurance
Most health plans require you to pay some
part of the cost of your health care. This
"cost sharing" can come in a variety of
forms. As the price of health care coverage
rises, you can expect to see your share of
the cost increase too. When you look at
different health plans, be sure to compare
the cost sharing provisions to see which
policy works best for you.
Co-payment.
A co-payment is the amount you pay for a
particular service. When you see your
doctor, you may have to pay a $15 co-payment
for the office visit. If you go to the
pharmacy to fill a prescription, the
pharmacist may charge you a $10 co-payment.
The health insurance will pay some or all of
the rest of the doctor or pharmacist's
charges, depending on whether you have a
deductible or coinsurance.
Deductible.
This is the amount of your health care
expenses that you need to pay before your
health insurance even begins to pay.
Deductibles range from $500 to $5,000 or
more. The deductible usually runs on the
calendar year, meaning that each January 1,
you start at zero. As the year goes on and
you submit charges to your insurance, you
will have to pay the charges yourself until
you reach the deductible amount for the
year. A health plan with a higher deductible
is less expensive than the same plan with a
lower deductible.
Coinsurance.
This is the amount that you must pay after
you have met your deductible. Usually, the
coinsurance amount is a percentage of the
charges. For example if you have a $1000
deductible and it is an 80/20 plan, that
means that you will pay the first $1000 of
medical expenses submitted to your health
insurance. After the $1000, your insurance
will pay 80% of the charges, and you are
responsible for 20%.
Premium.
This is what you pay to have the health
insurance or health plan coverage. If you
are working, your employer may pay all or
part of the premium. Premiums are usually
paid monthly, but they could be payable
quarterly, twice a year, or annually.
Premiums are usually paid in advance. |