Health Insurance for Individuals & Families
How Health Insurance works
Deductibles. Copays. Coinsurance. Out-of-Pocket Maximum How to get the care you need. There’s a lot to consider when choosing and using a health plan. Learning these basics can help make it a little easier.
Know what you’ll pay every month
Your monthly membership fee, often called a premium, is what keeps your health coverage active. If your employer provides your coverage, this fee will come out of your paychecks. If you purchase a plan yourself, you’ll need to pay this fee each month.
Know what you’ll pay for care
Each health plan covers a different amount for different services, which affects your out-of-pocket costs, or how much you’ll pay for medical care. Your health plan will give you information that explains how much they’ll pay for certain medical services and how much you’ll need to pay. Here are some of the most common out-of-pocket costs:
The amount you’ll need to spend on health care services each year before your plan covers costs that need you to meet your deductible first. It’s possible you won’t reach your deductible especially if you don’t get a lot of care, but you should be prepared to pay up to that amount. Is always recommended to go for a low deductible plan.
The most you’ll pay for covered services each year. Once you reach it, your plan will pay 100% of covered services. But you’ll still need to pay your monthly fees and the cost of services that your plan doesn’t cover.
A flat fee you pay for specific services covered under your health plan even after you’ve reached your deductible. For example, your plan might include a $20 copay for doctor visits, $35 Specialist visits and a $10 copay for prescriptions.
A percentage you pay for specific services after you meet your deductible. For example, if a procedure costs $1000 and your coinsurance is 20%, then you’ll owe $200. Coinsurance is often confused with copays, but they’re not the same and some plans may have both.
Short term health insurance
Short term health insurance is a flexible health insurance coverage solution when you need coverage for a period of transition in your life.
Is short term insurance for me?
Short term insurance may be for you if you’re:
- Unable to apply for Affordable Care Act (ACA), also called Obamacare, coverage because you missed Open Enrollment and you don't qualify for Special Enrollment
- Waiting for your ACA coverage to start
- Looking for coverage to bridge you to Medicare
- Turning 26 and coming off your parent's insurance
- Between jobs or waiting for benefits to begin at your new job
- Healthy and under 65
The benefits of short-term health insurance
Short term health insurance offers you just the kind of flexible, fast coverage you need for those dynamic times of change in your life. With short term medical plans, you can:
- Get covered fast, as soon as the day after application
- Pick your deductible amount from several options
- Pick your length of coverage, 1 to12 months up to 3 years in some states.
- Drop coverage with no penalty if a more permanent health insurance option comes along
- You may be able to apply for another short-term health insurance plan when the first one ends.
- Access an extensive network of health care professionals, hospitals, and other facilities
QUOTE SHORT TERM MEDICAL
Medicare Advantage Plans (Part C) - All-in-1 coverage
Combines all Medicare benefits into Part A, Part B, and often Part D coverage and some plans even include dental and vision. Is a No-Cost Program.
Medicare Prescription Drug Plans (Part D) - Extensive drug coverage
A drug formulary that covers thousands of medications common to Medicare customers usually Low copays.
Medicare Supplement Insurance - Pays what Medicare doesn’t
Plans that help pay deductibles, copays, and coinsurance out-of-pocket costs Original Medicare doesn’t pay.GET A QUOTE