Health Insurance

Typically, health insurance is designed for people under the age of 64.5 years old while people over the age of 64.5 would qualify for Medicare. Health Insurance is the type of insurance coverage that pays for medical, surgical, and prescription drugs that the insured (policyholder) uses during the coverage date period. Depending on the type of plan and coverage you purchase, this will entail how much of the expense will be paid for by you (insured) or the insurance company. In most cases when insurance premiums (monthly payments) are high, you pay for better coverage, meaning you will pay less Out-of-Pocket on the expenses incurred.

Each health insurance plan states what percentage of the expense will be covered by the insurer and what percentage must be paid by the insured. This is called Co-Insurance. Some plans may instead have a set dollar amount that must be paid by the insurer on the services used. This is called Co-Pay. These rates by differ based on the type of services and/or medical event inquired. Ie. Visit for primary care vs Specialist, Type of Tests/Surgery, Pregnancy, Hospital Stays, etc.

Some plans may also have what’s called a deductible. A deductible is the amount of money you may need to pay Out-of-Pocket before your health insurance provider pays for the rest of the bill.

Choosing the right health insurance plan

Choosing the right health insurance plan is critical to preserving your financial and physical well-being. Our Agents will compare rates and find the best price for the health coverage you need

Health insurance is a good way to help you manage your health care costs. You pay health care companies premiums – a set amount of money each month - and you get benefits to pay for your eligible health care expenses. This can include regular doctor checkups or injuries to treatment for long-term illnesses.

You can purchase individual health insurance through the Health Insurance Marketplace on your own. Even though it's called individual health insurance, you can also find plans to cover your family. Because health care can be expensive, it's a smart idea to have health insurance so you're prepared for when you or your family have medical needs.

Why should I have individual health insurance?

Prepare for the unexpected

You never know when you'll need medical help.

Staying healthy

Many preventive care services – like checkups - are covered at 100%.

It's the law

Under the Affordable Care Act, you may pay a penalty if you don't have qualified health care coverage.

How Health Insurance Works

How does insurance work?

No matter which plan you choose, you'll pay a monthly payment (premium) to keep your health insurance coverage. You may also pay each time you receive medical care (co-payment or co-insurance). Generally, the more you pay per month (premium), the lower your deductibles and out-of-pocket costs.

When you're looking at health insurance plans, the biggest differences are in the services they cover and how much they'll pay for those services. With some plans, you'll pay a certain amount when you have a service – that can be called a co-payment or coinsurance, depending on your plan.

If you have a deductible, that's the amount you'll have to pay for covered services before the insurance starts paying.

Most of the time, you'll pay for part of your health care services until you've paid the "out of pocket maximum." After that, the health insurance usually pays for covered expenses.

Monday, August 15th, 2022 04:14:56 AM CDT