Ohio Insure Plan Logo

United Healthcare offers affordable short term health insurance rates across the country. Individual and family policies are offered through their subsidiaries Golden Rule and Pacificare.

Group coverage is offered through United Healthcare and collectively they are all now known as United HealthOne.  UHC is well known for their large network of doctors & hospitals as well as their ancillary coverage options.

Short term coverage is one of their most popular options, but they also offer accident, illness, indemnity, term life, teledoc services, and UHC dental and vision coverage as well.

Golden Rule Health Insurance Coverage

  • Individual & Family Plans
  • Short Term Health Insurance
  • Accident & Illness Plans
  • Dental and Vision Coverage
  • Term Life Insurance

Recently UHC added several new benefit options to their individual and family plans including preventive care, dental & vision coverage, term life, accident coverage, wellness visits, as well as additional deductible and coinsurance choices.

While UHC is not as actively involved with ACA plans, their short-term policies are thriving. One reason is cost. These policies can cost up to half as much as a non-subsidized ACA plan on the Federal Marketplace. For younger, healthier consumers plans can be found for under $100 a month!

United Healthcare Short Term Health Insurance

Consumers want catastrophic health insurance plans with low premiums. UHC short term plans fit that bill. There are several deductibles to choose from with and without coinsurance.

Deductibles will range from $2,500 – $12,500 in most areas and different coinsurance options. Most common are 80/20 plans. Depending on the rules in your state, plans can be purchased to cover just a few months – or up to three years. This means no medical underwriting is necessary for three years – the plan automatically renews.

Most plans carry a lifetime maximum of $2 million per insured person. And most importantly, all plans are PPOs. This means you can see doctors in and out of their very large network. One drawback to ACA plans is most are HMOs with smaller networks. This is not the case with United Healthcare short term PPO policies.

Office Copays, Prescriptions & Medical Underwriting

It’s important to know that short term plans are not the best option for everyone. They don’t always offer some of the same benefits as ACA plans. For instance, you might only get one or two office copays with some policies. And they won’t cover preventive care at no cost like most ACA policies.

Prescriptions are another concern. Most short term plans will cover Tier I & II generic prescriptions, but not the more expensive, higher Tier ones. If you are on one or more expensive prescriptions, you might be better off with an ACA policy.

And short term policies from United Healthcare require medical underwriting. This means you can be turned down for coverage due to ongoing or past health issues. ACA plans don’t do that. And even if you are accepted, preexisting conditions might not be covered. These would be conditions you’ve been treated for recently.

Competitive Niche For UHC Insurance Plans

UHC policies are competitive in many age groups for individual, families and groups. Our clients enjoy their large nationwide network and affordable rates.

In summary, United Healthcare offers several affordable plans with different coinsurance and deductible options.  Affordability, network strength, and underwriting options are their most attractive features. As with all insurance, it is important to read the brochure and/or policy provisions for possible exclusions. Contact us to learn more.

Category: Health Insurance

If you are looking for affordable health care options, short-term health insurance may be right for you. At Hyers and Associates, we educate our clients about all of their options. Here is what you need to know about this type of insurance.

Short Term Health Insurance Has Changed

Major changes have occurred regarding the availability of short-term health insurance. Until recently, these plans could only be used for a 3 month time period. Now they can be used for much longer.

Now you can purchase a policy that lasts anywhere from 6 months to 3 years depending on the rules in your state. Policies that automatically renew for multiple years eliminate the need for future medical underwriting and possible declines.

The Pros

These policies are designed to cover people that are transitioning from one long-term health plan to another. Usually, they are purchased by young, healthy adults. These individuals cannot or prefer not to purchase more comprehensive insurance through the Affordable Care Act.

Usually they cost less, are available any time of the year, and do not have a limited enrollment period. Most doctors and health care providers will accept the short-term PPO policies.

Also, the policies would typically cover an unexpected surgery or hospital stay. However, there are some situations they frequently will not cover. Your eligibility for a short-term policy is not guaranteed. Your age and health condition are taken into consideration when your application is medically underwritten.

The Cons

There are several factors to consider. For starters the subsidies that are offered by the Affordable Care Act’s comprehensive insurance providers are not offered on these policies. There are no tax credits available with short term health plans.

These do not cover:

  • Most preventive care visits 
  • Pre-existing conditions
  • Maternity care or pregnancies
  • Expensive prescriptions

And you cannot always renew your policy at the at the end of your chosen term. If your health has changed, you might not qualify. It’s best to have your short term policy end during the Annual Open Enrollment Window. That way you can purchase an ACA plan if you don’t medically qualify for another short term health policy.

Your acceptance is not guaranteed; medical underwriting is required. Major medical insurance might still be your best option depending on your needs.

You’re In Control of Your Insurance Choice

The recent Affordable Care Act changes give you the opportunity to have more control over your coverage. You can decide how much you are willing to spend to get it.

Here are a few questions to consider before buying short term insurance:

  1. How long do you want your policy coverage?
  2. What kind of deductibles and coinsurance are you willing to pay?
  3. What kind of risks are you willing to take?

The new plans are customizable to meet many needs. It can give you some comfort in knowing that if the unexpected happens, you won’t have to cover it 100% out of pocket. So, today you have a lot more control over the insurance you want. It’s also important to note that you decide how much you want to pay for that insurance.

Many of our clients also purchase Accident, Illness and Hospitalization policies along with short (and long term) health policies. These ancillary plans are inexpensive and can bridge the gap when you have large deductible and coinsurance out of pocket exposure.

The Tax Penalty Was Lifted

The other good news is that in previous years the Affordable Care Act assessed a tax penalty to anyone that did not have comprehensive medical insurance. Recent changes have changed that.

As of 2020, there are no longer penalties for not enrolling in an ACA policy. This could change in the future, but it short term plans that last all or most of the year a feasible option for many.

We Can Help You

How do you decide what is the best route for you to take? Get in touch with Hyers & Associates. We can help you sort through the options of what is available and affordable for you. We’ll take the time to answer your questions and point you in the right direction.

Contact us today to learn about your best options.

Category: Health Insurance

Tags:

Insurance Options For Job LossAs of the writing of this post, there are a lot of disruptions in the economy due to the Coronavirus. Many consumers are losing jobs and some are having disruptions in their health insurance coverage.

If you’re losing your health insurance, you’ll want to know your options. We list the most common strategies below for obtaining permanent and transitional policies.

COBRA as an Initial Option

Electing COBRA is usually the path of least resistance if you’re losing group health insurance. How long your COBRA might last will depend on your group size, so you’ll want to ask your HR manager. For most, it’s 18 months. That buys you significant time.

Your insurance coverage will not change when you elect COBRA. However, you will pay the full price for your coverage plus a 2% surcharge. Your employer’s contributions toward your premiums will discontinue. You have 63 days to elect COBRA retroactively upon separation from employment. And there is no medical underwriting or waiting periods for preexisting conditions.

Medicare Insurance for Those Who Are Eligible

If you’re age 65 or older (or otherwise eligible for Medicare), then Medicare will become your primary insurance. You may need to enroll in Medicare Part B if you haven’t already. This process can be done online, over the phone, or at your local Social Security office if they are open.

Once you’re enrolled in Medicare Parts A & B, then you’ll want to work with an agent who specializes in supplemental policies. Medicare does not cover everything. It’s wise to fill in the gaps with either a Medicare Supplement policy and a Part D drug plan – or an all-in-one Medicare Advantage Prescription Drug plan.

There’s always a lot to unpack with Medicare. It’s somewhat complicated if you’re unfamiliar with how it works. And the choices you make now can affect your options to change down the road. Make sure to explore all of your options with a brokerage (like ours) so that you don’t miss any enrollment deadlines and incur any penalties.

Federal Marketplace Insurance (ACA – Obamacare)

If you’re under age 65 and COBRA is not a suitable or affordable option, then you can explore Affordable Care Act (Obamacare) plans. In most parts of the country these can be purchased on either the Federal Exchange or a state run exchange. You may not find the more common insurance companies you are used to. In some areas, there are only a small handful of plans to choose from.

You should talk to your family doctor about any ACA health insurance plans they might accept. You’ll also want to try and best figure your Modified Adjusted Gross Income (MAGI) for the year. This number will determine whether you qualify for any tax credits. These credits can reduce your premiums as well as your deductibles and coinsurance amounts.

This process can all be a little confusing too. Agencies like ours can help you navigate your options on the insurance exchange where you should shop for coverage. And because of the Coronavirus, most companies are allowing for same day enrollment. This can help avoid any gaps in your insurance coverage.

Short Term Health Insurance Plans

Many of our clients turn to short term health insurance plans as a stopgap measure. These policies can be purchased for months at a time and can provide peace of mind until new insurance would be available. Short term policies are popular as their premiums are sometimes much less than plans on the Federal Exchange. This can be especially true for those who don’t qualify for tax credits.

There are some drawbacks, however. Most short term policies will not cover preexisting conditions. And they don’t always cover multiple doctor’s visits, preventive care, or expensive medications. If you are concerned about plans that cover pre-x, dr’s visits and meds, then you may want to consider an ACA-type plan.

But if you just need something until the next health insurance Open Enrollment window, or a new job begins, or even Medicare eligibility – then a short term plan can be a good fit. In fact, some plans can be purchased to cover up to three years at a time. Our younger, healthier clients prefer this strategy most often.

What About State Run Medicaid Options?

If you are applying for coverage on a Federal or State run exchange, you may receive notice that you qualify for Medicaid based on your income. Medicaid insurance can be a good fit for adults, children or both depending on eligibility. If you think you might qualify then you’ll want to contact your local office.

With all that’s going on right now, it may take more time to process your application. Many entitlement systems are overrun. And sometimes, those who apply may not qualify for coverage – or only their children are eligible through a CHIP program. If you’re not sure, then you may want to secure other insurance in the meantime.

Contact us for Quotes and Coverage

We are a full service health insurance brokerage. We can help you with short term plans as well as those that originate on the Marketplace. We can also assist with Medicare enrollments as well. We offer Medicare Supplements, Advantage plans, and Part D Drug coverage. Contact us to discuss your options today!

Category: Health Insurance, Medicare Supplements

Coronavirus health insuranceAs we all adjust to lifestyle changes due to the coronavirus, our brokerage is getting questions about what to expect from health insurance policies. We aim to answer those questions below. This information applies to those on individual and group plans as well as Medicare recipients.

We’ll also discuss ancillary policies that are designed to cover unexpected out of pocket expenses. These will apply to those without health coverage and for those who are looking to fill gaps in their existing plans.

Grace Periods for Premium Payments

The government does not want consumers to lose their insurance during this outbreak. This applies to individual and group plans. Grace periods are being put in place for those who may not be able to pay premiums due to job and/or income disruptions.

For individuals on a Marketplace plan, there are some grace periods as to binder payments and regular premium payments. These look to be state specific, but should follow federal guidelines. The grace period can be anywhere from one to three months depending on whether there are ongoing claims. If there are claims, we read this as a one month grace period, but three months for premium payments where there are no claims. It’s best to talk with your insurance company.

For groups, the government wants to avoid layoffs for as long as possible. Even if hours are reduced below full-time (30 hours), members can stay on their group insurance plans. Insurance companies cannot increase premiums and plans cannot be cancelled due to normal participation requirements. There is also a 60 day grace period for premium payments among other measures. Insurance companies should be sending out details of these changes to groups soon.

Individual & Group Health Insurance Plans

The good news is that all major individual and group insurance providers are waiving any copays, coinsurance and/or deductibles that would apply to a coronavirus test. Where available, you should be able to get tested with no out of pocket costs whatsoever.

In fact, Aetna has announced that they will also waive any cost-sharing associated with a hospital admission. This goes well beyond just testing and would be a big relief for those with a high deductible and large out of pocket exposure. Hopefully, other insurance companies will follow suit.

Additionally, short term health insurance plans with most major insurance companies will cover testing costs. Many individuals have enrolled in short term health insurance to reduce monthly premiums. The insurance companies underwriting these types of plans (like United Healthcare, National General, Medical Mutual and others) have all agreed to cover testing with no cost to the insured.

The waiving of out of pocket fees to the insured only covers testing for the coronavirus, however. Should you need more care by a doctor or at a hospital, then your deductibles, copays and coinsurance will come into play. There are ways to account for those costs through ancillary coverage, however. Please read more about that below.

What to Expect if You’re on Medicare

Most Medicare beneficiaries will be in good shape if they’ve purchased supplemental insurance of some kind. There are some exceptions, of course.

Same as the individual and group policies above, all Medicare programs have agreed to waive any out of pocket costs associated with a coronavirus test. Whether you have a Medicare Supplement or Advantage plan, you should not expect to run into any fees with a test.

But should you get sick and need care, then deductibles, coinsurance and copays will apply. If you have a comprehensive Medicare Supplement (like Pan F, G or N), then you have very little out of pocket exposure in case of an illness. Medicare Advantage owners have more out of pocket, however. They could expect to face more bills in the event of an illness.

And most Medicare recipients own a Part D Drug plan – either on a stand-alone basis or as part of a Medicare Advantage Prescription Drug (MAPD) plan. Should you need prescriptions, you can expect your Part D coverage to help offset those costs. And many plans are allowing for early refills. That might be a good idea if movement becomes more limited due to any quarantines.

Medicare has stated that if/when a vaccine becomes available, it will be covered by all Part D Drug plans. This applies to both Stand Alone and MAPD policies.

There is one pitfall with Medicare, however. As of now, it does not cover what are called Under Observation stays. If you were put Under Observation, then Medicare, your Supplement or your Advantage plan may be of little help. There are ancillary policies designed to cover this gap, but they must be purchased separately.

Telehealth Services During Coronavirus

This service applies to all types of insurance policies. The good news is many group plans already offer this service at no additional cost. Unfortunately, most ACA individual plans and short term policies do not at this time, but that’s starting to change.

And the Centers for Medicare and Medicaid services have expanded Telehealth services to all Medicare recipients. This means you can now remotely connect to a doctor if you’re not feeling well. This is helpful for those in rural areas as well as those who would rather avoid a waiting room. This is a very good way to discuss any concerns you might have with a doctor.

What if your insurance plan does not cover telehealth services? You can buy a policy if you wish – either on a group or individual basis. There are a few companies that specialize in offering this benefit. Please contact us if you’d like to learn more.

What if I Don’t Have Any Health Insurance at all?

If you don’t have any health insurance, now is a good time to change that. You can still buy short term health insurance plans (subject to medical underwriting) that can be effective the next day. And these plans can be purchased to last through the end of the year or longer.

And some states are opening up their exchanges allowing consumers who have no health insurance to purchase Affordable Care Act (ACA – Obamacare) plans. Usually these policies can only be purchased during Special Election Periods (SEP) or during the annual Open Enrollment window that runs from November 1 through December 15th.

However, a few states are changing those rules by declaring the coronavirus outbreak a SEP so consumers who have been going without health insurance can buy major medical plans now. Consumers with low income will still be eligible for premium subsidies during this time as well.

If you get laid off, you should ask your HR manager about your COBRA options. If continuing your current insurance through COBRA is not a good fit, then you can shop for an Affordable Care Act – or short term health insurance plan.

Ancillary Coverage to Fill Health Insurance Gaps Now

If you’re worried about gaps in your coverage, high deductibles, being put Under Observations, etc., there are several ancillary policies available. Many companies offer Accident & Sickness policies as well as Hospitalization and Indemnity plans. Like short term coverage, these can be purchased year round subject to medical underwriting approval. Not all who apply will be accepted, unfortunately. You must be in decent health to qualify.

These plans can either pay you or pay the healthcare provider. Some are simply triggered by an accident, sickness or illness and will pay you regardless of your cost. Many of these plans can pay up to $10,000 or more. Policies can also be purchased to cover smaller amounts.

These coverage types offer a great way for those with current insurance to cover their out of pocket exposure. They are also valuable for those who have been going without insurance for any reason. Most policies are very affordable and can be purchased for as long as you wish.

Contact Us For More Information

Hyers and Associates is a full service insurance agency specializing in individual, family, group and Medicare health insurance plans. If you’d like to know more about any of the above strategies and/or policies, call or write us today to learn more.

Category: Health Insurance

With the various health insurance options available today, it’s easy to see why people are confused. Basic options include group health, individual health plans and short term coverage. Get the facts about all of your options so you make an educated choice about your health insurance coverage.

group health insuranceWhat is Group Health Insurance?

Companies purchase group health insurance policies for their employees. Much like individual coverage, these plans are purchased by the employer on the open market. Some employers pay for the total cost of group health insurance, but they are only required to pay 50% for the employee only.

It is offered as an added benefit or incentive to employees. Often there will be a waiting period of 1-3 months before the coverage becomes effective. And some businesses require employees pay the total amount for their spouses and dependents in a group plan. Group health insurance can also be offered by professional groups and other organizations as long as they have enough participants to qualify for it.

Businesses will need a minimum of 2 employees to offer coverage and there will be minimum participation requirements depending on the size and scope of the group. Some companies can qualify for lower rates using medically underwritten MEWA plans. Be sure to ask about these innovative plans if you’re under 50 total employees.

What is Individual Health Insurance?

A single person (or family unit) purchases individual health insurance, as opposed to a company, organization, or professional group. It is purchased on the private market or through the federal marketplace. Despite the name, people can purchase this insurance for their families so it covers more than one individual. While one person is purchasing it, all the member of the immediate family can get coverage.

There are few companies offering plans outside of the Federal Exchange, so it’s wise to explore your options with an agent before enrolling. Depending on your income for the current year, some individuals and families will qualify for a tax credit. This can help lower your rates and in some cases your out of pocket exposure as well. In other words, your deductible and coinsurance amounts can decrease based on your projected income for the year.

How Do You Get Coverage in the Meantime?

It may take time to qualify for group health insurance, such as being employed for a certain period at the company. And purchasing individual health insurance may also take time. Plans may not start until the first of the upcoming month.

In the meantime, people can buy short-term health insurance. While the coverage is limited and only available for a brief period, it is better than having no coverage at all. Work with an insurance agent to learn more about short-term health insurance options to see if they are right for you.

In fact, some of our clients are purchasing short term health plans for an entire year now. These plans are growing in popularity because they can be much less expensive than Exchange plans and will cover most catastrophic events. They will not cover preexisting conditions, however – so they aren’t the best fit for everyone.

What Makes These Health Insurance Plans Different?

There are distinct differences between group health insurance and individual health insurance plans. Consider what makes them different:

  • With group health insurance plans, nobody with pre-existing conditions can be denied. And there are no waiting periods to satisfy for any preexisting conditions. By rule, companies must pay for at least 50% of the employees’ premiums only.
  • Individual health plans can cost less than group health insurance – especially for those who qualify for tax credits. You’ll need a Qualify Life Event in order to purchase a plan outside of the yearly Open Enrollment window. Preexisting conditions are also covered with on-exchange plans. You cannot get a tax credit if you’re offered coverage from your employer, however.
  • All group health insurance plans and individual plans include maternity coverage. Short term policies typically will not cover this benefit. It’s wise to ask to make sure.

What About Health Discount Cards?

You’ll also see a lot of advertisements about health discount cards and policies. These programs do not provide actual insurance coverage. Rather, certain services are offered at a discounted rate. And this means people could be left with thousands of dollars in medical bills for an emergency situation.

Discount policies are never a suitable substitute for legitimate health insurance coverage. Sometimes people use them as a supplement to their regular health insurance to offset deductibles and copayments, but you need to be careful with these plans. They can cause more problems than they solve.

Benefits From Selecting Group Health Insurance

Group health insurance is a top choice for most people. There are numerous benefits for people who have this coverage. The biggest difference these days are the networks. Most individual plans will only offer smaller HMO plans, but most group policies are PPOs. If you can get it, you’ll usually benefit from the larger network associated with a PPO. And if an employer pays all or part of the cost of this insurance, it is usually the most affordable and comprehensive option.

Consult with a reputable insurance agent today to learn more about group health insurance, individual health plans, and short-term health insurance. Find out which options are right for you or your business.

Thank you for reading! How can we help you? Contact us today.

 

Category: Group Health Insurance, Health Insurance

short-term health insurance

Short-term health insurance policies are becoming very  popular. More people are buying these policies to get immediate coverage. But is short-term health insurance or regular coverage the right choice for you? Does it make sense to go without coverage?

Find out more about the differences between these two health insurance policies by reading below. Learn who chooses short-term coverage and why. Every situation is a little different, but we can help you make the best decision.

Short-Term Health Insurance is a Bridge

Short-term health insurance is not a regular traditional policy. Usually, short-term policies offer maximum payouts and require medical underwriting. The term of most policies is three months, although they can be shorter or longer.

Some companies offer extended short-term coverage. Newer plans allow the insured to buy up to four 3 month term at once. This eliminates needing to prove insurability after one or more terms has expired. But this type of policy is not regular health coverage; plans will have annual maximums and they may not cover preexisting conditions. You should not expect these plans to cover a pregnancy or high cost prescriptions that you are already taking.

In most cases, short-term health insurance is a bridge that provides essential coverage until a person qualifies for regular health insurance. Many consumers, however, are opting for short term plans over ACA coverage simply due to cost. These plans can be tailored to meet most budgets and they’ll provide coverage for unexpected accident, injuries and illnesses.

Immediate Coverage

When a person needs immediate coverage, a short-term policy is a viable choice. Policies can be purchased today and in effect tomorrow. You can select the exact amount of days you would like to have coverage. And if your traditional coverage begins sooner than thought, you can cancel your short term plan an receive a refund for any unused days

Most short-term policies cover emergency hospital visits and basic medical costs. Others will offer office copays and prescription drug coverage. You can also add dental & vision coverage as well as cash reimbursement riders that will cover the deductible you select. Always review the terms of the policy with your insurance agent and ask questions about the extent of coverage.

Reduced Costs

One of the reasons people select short-term health insurance is reduced premiums. With less coverage and a choice of deductibles, the monthly premiums are very affordable. People who lost their job – or students waiting for other coverage to kick in – benefit from short-term health insurance coverage.

COBRA coverage is costly if you find yourself unemployed. But you may feel better with some amount of health insurance. The budget-conscious cost of short-term coverage offers an affordable cushion while looking for employment. And if you find a job, short-term coverage is in effect until your employer offers regular health insurance. Sometimes employers have a waiting period of one to three months.

When Short-Term Insurance Is Not an Option

Unlike regular health insurance coverage, short-term insurance does not have to observe the Affordable Care Act (ACA) requirements. These policies do not have to cover the ten health benefits ACA health plans must cover. Basically, short-term plans are meant to cover unexpected injuries and sudden illnesses. Pre-existing conditions may not be covered. For this reason, the premiums are less expensive than regular health insurance. But if a patient has a pre-existing coverage, this plan may not be practical.

Fill in the Gap

A person who has a job and needs to wait for coverage would benefit from a short-term health insurance plan. Or a student no longer covered under his or her parents’ policy fills in the gap with short-term coverage. Those who are in good health and just a few months away from Medicare eligibility enjoy the peace of mind these plans provide.

But it is not meant to be a permanent solution. In other words, there are few substitutes for regular health insurance. However, short-term plans prevent people from the financial stress of medical bills if they have an emergency before regular insurance starts.

What If I Need Regular Health Insurance?

People with specific health conditions might need regular health insurance coverage. Always consult with a reputable insurance agent to find out your options. For example, a pregnant woman cannot get coverage through a short-term policy. But the state may offer options under the ACA.

And there are a wide variety of regular health insurance coverage options to suit your needs and budget. Let a knowledgeable agent do the shopping for you to get the best possible coverage under the circumstances.

Thank you for reading our blog! How can we help you? Contact us today.

 

Category: Health Insurance

short term health insurance plansWith the rise of medical costs, getting sick can be a huge expense. And the problem is if you are unemployed and are currently in school, you have no employer who will shoulder the cost of a medical insurance policy.

As a student, you are not immune to the same accidents, illnesses and injuries that professionals are exposed to everyday. And this creates a huge need for health insurance coverage. Most likely, you already have student loans. Getting sick only means you have to pay for medical bills. And these bills will take away the money that you should have spent on your education. Think about the benefits of short term health insurance plans for students.

Short-Term Health Insurance is Affordable

Short term health insurance is a straightforward deal. You are covered for a short period of time and you pay a premium. The first thing you do is to pick the amount of benefit you want to receive should you get sick. Most policies have a calendar year maximum – or maximum per cause.  You choose which type you prefer. If you are needing coverage for several months, then a lifetime maximum of 1-2 million might be a good idea.

Many short term health insurance policies can cost less than you might think for the entire policy’s tenure. Polices with higher deductibles can be under $100 a month! These same plans can also provide prescription drug coverage and doctor’s office copays without the insured reaching the deductible. It’s nice to have these first dollar benefits available right away.

It Is Immediately Effective

A lot of companies offer short term health insurance policies that take effect as soon as the payment is made. Apply today and your coverage is effective tomorrow.

Unlike Obamacare coverage, short term health plans do require medical underwriting. There are usually only a few questions to answer, but not everyone is approved. Other policies might offer coverage while excluding preexisting conditions. If you only need coverage for a few months, these Guaranteed Issue plans can provide peace of mind.

Additionally, many plans offer riders like dental and vision coverage.  Still others will provide cash reimbursements for an accident, illness or injury. It’s nice to know your plan will can pay you several thousand dollars up-front with an critical illness rider. These riders do cost extra, but can be worth it if run into something unexpected.

It Has Wide Coverage

Many hospitals and doctors accept short term plan insurance. This is even covered in cancer centers. As millennials continue to buy short term health insurance policies over long term ones, more and more facilities will cover those who purchased this type of insurance. Although maternity is not part of the deal, below are some important medical service that you can get if you purchase a policy.

Lab tests – this is costly. Most doctors require a lab test to be able to pinpoint and diagnose the disease properly. With short term insurance, you do not have to pay the costs of these tests.

Doctor visits and specialist visits – if you are indisposed and cannot get out of bed, doctors can come and visit you and the health insurance company will pay for that specialist’s service.

X-Rays – like lab tests, x-rays are costly. This should be covered in your health insurance plan.

These plan can cover you all over the United States using networks from Aetna, United Healthcare, Medical Mutual of Ohio, Cigna and others. If you travel a lot, then we can help you find the broadest network to meet your needs.

It Bridges the Gaps

Short term health insurance for students bridges temporary gaps in long-term insurance. Once you turn into an adult (age 26 in most states), your parents’ insurance provider will no longer recognize you as a dependent. You need to buy your own. But as a student without work, long term health insurance is costly. Besides, long term health insurance is typically shouldered by an employer.

A short term health insurance will bridge this gap. And this is most especially important if you are close to graduating. While finishing your degree, you can expect to get full coverage until such time that you find an employer, provided that you pay your premium on a regular basis. This is also a great alternative if you missed out enrolling for long term health insurance. You wait out for the next enrollment of the Affordable Care Act, knowing that you have temporary health insurance coverage.

Thank you for reading our blog! How can we help you? Contact us today the affordabe.

Category: Health Insurance

Short Term Insurance CoverageShort-term health insurance is a kind of medical insurance with coverage that is applicable for a specified period only. Also, it covers fewer illnesses compared to what long-term insurance policies do. However, it has a much lesser monthly premium cost compared to ACA (Obamacare) or any employer-based insurance plans. Short-term health insurance is a kind of coverage that many millennials prefer over long-term insurance plans. But what exactly are the things that you should know before buying short-term insurance coverage?

It is Not for Everybody

Short-term health insurance plans are ideal for specific people, but not everyone. The reason it is less costly is that you are covered for a brief period only, and the illnesses and conditions covered in your plan are also limited. Is this good or bad? Well, it depends on your condition. Short-term insurance is ideal for individuals who are getting off their long-term plans temporarily. Examples are:

  • Children turning into adults and thus will be taken off as their parents’ dependents
  • Individuals switching jobs
  • Those who missed the open enrollment season for their long-term insurance
  • Individuals who are in college or those in the process of looking for a permanent position
  • Dependents who lost long-term insurance overage after a divorce

It Significantly Varies from Affordable Care Act (ACA)

Short term insurance has significant differences from Obamacare insurance policies in that it has lesser coverage than ACA. However, this can work to your advantage because short-term insurance is flexible. For example, short-term insurance does not cover pregnancy. ACA, however, charges you money for pregnancy coverage, even if you are a male.

Preventive care is also limited to short-term insurance, and not all companies offer it, as opposed to ACA, where preventive care is one of the ten requirements. Also, not all short-term insurance companies cover the cost of RX drugs (prescription) while these are mandatory in ACA plans.

You Only Pay It for When You Need It

This is why short-term insurance is also called travel insurance. You typically pay for insurance that covers a specific period. After this, the coverage is gone. Short term insurance plans are very affordable and are usually paid on a monthly basis. The average cost is about $30 per month. If you want to save more, you can choose from a wide array of offerings such as reducing the plan’s benefits, choosing a higher deductible, or paying your total premium up front to get a significant discount.

It Has Copay and Coinsurance Options

Both of these apply to short term and long term insurance plans. A copay, simply put, means that you and the insurance company share the amount of the services you availed. The split between you and your short-term insurance company will vary per plan. Let us say that you paid your doctor a visit, and the cost is $100, you may need to shell out $35, and the insurance company will pay for the rest.

In coinsurance, you pay a certain percentage of the medical expenses after you have met your deductibles. If your coinsurance is 30%, this means that you will pay $30 for every $100 of the total medical bill (after the deductible is met) and the rest will be shouldered by the insurance company.

You Cannot Always be Approved to Enroll

Many short-term health insurance companies will deny the application of individuals who have pre-existing conditions. This is not so bad considering that these companies are taking a considerable risk in insuring somebody who has an existing health condition. Remember, insurance is a business. Companies take the risk of paying a significant chunk of your medical expenses in exchange for a fraction of that amount, which is pretty much your premium.

If you need interim insurance coverage, we can help you find the right policy for your unique needs. Contact us to learn more about short-term insurance and other possible alternatives.

Thank you for reading our blog! How can we help you? Contact us today.

Category: Health Insurance

short-term insurance planWith the rising costs of insurance premiums, you may be tempted to believe that you can skate for a while without medical insurance. Perhaps you are between policies or between jobs. Why not take a breather from an insurance payment? Just a month or a year saves you dollars.

After all, the premiums for both short-term insurance and its long-term counterpart run high. But, do the savings of not paying premiums outweigh the risk of not holding insurance? You may find that a short-term insurance plan proves better than no coverage at all. Let’s consider the reasons why.

TOP REASONS FOR SHORT-TERM INSURANCE OVER NOTHING

Unexpected Medical Expenses Defrayed

Likely, the primary question weighing on your mind is “what if something happens?” The risk of injury and illness proves valid. The resulting medical costs threaten to bury families, even with insurance. In 2014, 40 percent of Americans struggled with medical debt.

In fact, medical debt ranks as the number one cause of bankruptcy. This honor visits the insured and the uninsured. However, the debt load decreases for those with insurance, even those with a short-term policy.

While short-term insurance does not cover pre-existing conditions, it helps defray the costs of unexpected illness and injury. Even the caps on such services fail to negate the fact that a percentage of the bill gets paid — at least something gets covered.

While in between insurance policies, you may experience:

— Work Injuries

Frontline reports that on-the-job injuries are common. In fact, workplace injury rates are higher than being at home. Ill or injured workers (and their families) assume 44 percent of their medical costs from such injuries. Workers Compensation and insurance cover only part of the bill. Plus, this figure does not account for lost wages. The average time off work for falls on the job adds up to 38 days.

— Auto Accident Injuries

Auto accidents send over two million Americans to the hospital yearly, as reported by the Centers for Disease Control and Prevention (CDC). Falls account for greater than 800,000 hospitalizations each year, by CDC figures. Emergency rooms cost anywhere from $150 to $3,000 or more per visit. Insurance cuts these costs by 10 to 50 percent of the total. Without the help of insurance, this bill often haunts the injured long after the accident.

Food Poisoning and the Flu

Over 400,000 people land in the hospital due to food poisoning. The flu results in 31.4 million outpatient visits and 200,000 hospitalizations, according to the CDC. Treatment costs vary depending on the need for or length of a hospital stay. However, the average cost per case rings in at more than $14,000.

Heart Attacks and Strokes

The out-of-pocket cost of a heart attack can top over $9,000. With a recovery of two weeks to three months, decreased income adds to the expense. Strokes occur every 40 seconds and cost about the same out of pocket. If these issues do not arise from a pre-existing condition, a short-term insurance policy may work to your benefit.

Avoidance of Care

Reality indicates that people without insurance tend to refuse care. The uninsured represent 4.7 percent of hospital stays. This figure falls well below the 30.6 percent of people with private insurance, 22.6 percent paying with Medicaid and 39 percent with Medicare. No savings proves worth your family’s health. Short-term insurance offers some peace of mind should you need to seek care.

Affordable Premiums

While some short-term insurance premiums run high, shopping around helps find a policy within your budget. And, these monthly payments run lower than ACA-approved, long-term policies. An experienced insurance agent offers you an ally in making sense of your options. These professionals help weigh the premium, deductible, coverage and other factors to find the best fit for your situation.

Freedom to Change Your Mind

You also receive peace of mind knowing that short-term insurance requires less hassle to attain. (Although, you also may get denied.) Furthermore, cancelling your policy is simple. You opt out should you decide the payments are too much. Or, your situation may change allowing you to choose another policy, even an ACA-approved one.

SITUATIONS TO CONSIDER SHORT-TERM INSURANCE

While short-term policies offer bare-bones coverage, they are worth a look. Several situations arise for you to consider a gap policy as opposed to no insurance at all. Perhaps you:

— Missed the deadline for ACA long-term insurance

— Lost your employment and insurance coverage

— Are in an insurance waiting period

— Cannot afford ACA long-term coverage

— Are waiting on Medicare eligibility

In any case, a reputable insurance firm weighs the costs and benefits with you. Doing your research and considering your options allows you to make a wise financial and medical decision. Doing it today protects you before illness or injury hit.

Thank you for reading our blog! How can we help you? Contact us today.

Category: Health Insurance

short term health insuranceShort vs. long. Medical vs. life. Temporary vs. full. Term vs. whole. Health insurance vs. disability. Home, auto, and travel. The insurance options can become overwhelming. While we cannot clear up all the confusion in one article, let us explain the difference between short-term or term policies and long-term or whole options.

Short-term health insurance offers coverage in the absence of long-term insurance. Situations in which you may need short-term insurance include:

– A job loss or the state of being between jobs
– The waiting period required by an employer or government-based health plan
– The open enrollment deadline passed

In these cases, short-term insurance (sometimes referred to as gap insurance) covers your medical expenses for a period. However, the differences between short and long-term options are worth paying attention to, so you do not face any unpleasant surprises.

Even the options for short-term coverage vary. Check the details of any policy before committing to a purchase. Talking with a licensed insurance agent helps you sort through the offerings and identify which works best in your situation.

Let’s compare.

Short-Term vs. Long-Term Insurance

The differences between long and short-term health insurance prove significant. Understanding the variations helps you choose a policy which fits your situation. Take your pre-existing health issues, potential near-future medical needs, other living expenses and current job status into consideration as you shop.

1. Time Constraints

Unlike long-term insurance, short-term (known as temporary) options are limited to a period. Twelve months is typically the maximum coverage on a short-term policy. Some policies require a three-month minimum.

Also, these plans are not renewable. Once your set coverage ends, you are uninsured. You may apply for a second short-term insurance to give you longer protection. However, even this option limits you to enrolling in only two policies per year.

2. Flexibility

With coverage ranging from 30 days to a year, the length of a short-term policy is up to you. You pay for the protection you want. If you need six months of coverage until your next employer’s medical plan kicks in, you only pay for six months. If it takes twelve months to find a job and secure insurance, you have the option.

Furthermore, short-term insurance tends to require a quick application and be approved quickly. This proves especially helpful in cases where your previous policy ends unexpectedly. A job loss is one such case. You may discover you get coverage as soon as the day after you enroll. Plus, you do not need to wait for an open enrollment period. Short-term policies are available year-round.

3. Expense

Gap insurance policies offer lower premiums than long-term policies. The reason for this cost-effectiveness, however, is the limits in coverage. The purpose of these policies is to protect you and your family in the event of unforeseen accidents and illnesses. Your basic medical needs and emergencies get covered, not much else. Pre-existing conditions, preventative treatments, and prescriptions often fall outside the scope of temporary insurance plans.

Also, medical underwriting may reject you from coverage due to an unhealthy lifestyle or current health conditions. While long-term insurance policies protect you from such rejection through Affordable Care Act (ACA) requirements, short-term options are not expected to adhere to such rules. These limits reduce costs.

4. Pre-Existing Conditions

As mentioned, short-term policies do not cover pre-existing conditions, as their long-term counterparts do. Keep this in mind when considering a gap policy. If you have a pre-existing condition (and, most of us do), weigh the cost of the insurance. A short-term option provides reassurance in the event of the unexpected. However, adding the medical costs of treating your pre-existing condition to the monthly premiums may not be wise.

5. short term health insuranceACA Requirements

The ACA dictates the qualities of health insurance policies. The goal is to provide affordable healthcare to all people. However, the requirements laid out by ACA only apply to long-term policies. Gap insurance falls outside these mandates. For you, this means that the ten essential health benefits ACA plans must cover do not apply to short-term insurance. Typically, sudden illness and injury coverage provided by emergency services are covered, nothing else.

Your Choice

Both short and long-term insurance options come in a variety of packages with a range of costs. Know your situation and your real and potential medical needs clearly as you consider different policies. Investigate the details of each policy to understand what your dollar is buying. Get a clear understanding of the monthly premium, deductible, out-of-pocket expense and the conditions covered. (Remember, medical costs skyrocket in the absence of insurance.) Then, compare the two.

Using wisdom when choosing an insurance plan protects you and your family in the short and long-term. Do your research. Contact a knowledgeable agent. Weigh your options. And, choose wisely. The best insurance is the one which fits your situation and meets your needs.

Thank you for reading our blog! How can we help you? Get Quotes Today.

Category: Health Insurance

short term health insuranceShort-term health insurance offers a temporary insurance solution, or so is its intent. A gap in insurance due to a job change, while waiting for Medicare or other coverage to begin, or being outside the open enrollment period proves a viable situation to obtain short-term policies.

You may also know this coverage as temporary, term or gap health insurance. Short-term coverage works well in some cases to ensure you and your family are financially protected in the unfortunate event of an accident or illness. However, consider the points below to determine if this fix is the best option for your situation.

The Benefits of Short-Term Insurance

Financially and medically protecting your family while between policies or waiting on insurance proves frugal with short-term options. The following benefits tend to run true of most temporary policies. Keep in mind, however, that term policies vary just as long-term insurance policies do. Checking the details of the plan you intend to purchase makes for wise decision-making.

At-Will Cancellations

Short-term insurance offers the option of starting your policy inside and outside annual enrolment periods. This fact means no waiting for enrollment dates to roll around before getting coverage. Furthermore, no penalty exists if you cancel the policy early, usually after three months of coverage. Premiums paid in excess are often refunded.

Reducible Premiums

With a variety of term policies available, finding one to fit your budget is possible. You select the people covered and maintain some flexibility in how they are covered. For instance, choosing fewer benefits or a higher deductible reduces your premium. Furthermore, in-full, up-front payments offer a discount.

Other Plan Compatibility

Combining short-term insurance with supplemental policies offers your family comprehensive coverage. Accident, critical illness, dental and vision plans combine well with temporary insurance. Your family’s needs and budget determine the wisdom of adding additional policies to your major medical term insurance.

The Cautions of Short-Term Insurance

While the benefits of temporary insurance seem to make this choice a no-brainer, again, caution is required. The limits and issues of this type of policy make it impractical for some individuals and families. Again, policies vary. However, the following cautions arise with all short-term options.

Limits Exist

Short-term policies tend to cover major health issues only and no prescriptions. Preventative care is not covered either. These limits leave your family unprotected for lesser health issues and drug therapy. Check policies carefully to understand exactly what coverage you can expect. Also, temporary policies are not renewable. Available in one-month windows for approximately one year, this insurance ends whether another policy kicks in or not.

Denial is a Possibility

While obtaining health insurance is mandatory, short-term policy applicants can be denied. And, they are. In other words, your medical history may exclude you from certain policies. Long-term plans are not permitted to deny your application based on medical history under the Affordable Care Act (ACA). The same rules do not apply to short-term insurance. Post-claim underwriting allows for denial of specific claims as well.

Pre-existing Causes Problems

In most cases, pre-existing conditions fall outside the coverage of gap policies. Your state’s definition of pre-existing comes into play here, and medical underwriting is required. However, generally speaking, diagnosis or treatment within the last two to five years denies coverage. Furthermore, these policies fail to cover maternity leave should you or your spouse become pregnant.

Pay for Better Coverage

Options exist to lower short-term insurance premiums. And, the premiums run lower than long-term options. However, you get what you pay for. Reduced premiums mean less coverage and higher deductibles, meaning you pay more out of your pocket. The average premiums run around $110 and the average deductible to be $3,589.

ACA Not Met

Short-term insurance policies do not meet the requirements of the ACA. They fail to qualify as the minimum essential coverage or mandated coverage. Financial penalties exist for those with gap policies unless other exemptions apply. Furthermore, these temporary plans do not qualify for tax subsidies. These breaks exist only under ACA.

The Long and Short of It

With a rise in short-term health applicants, according to Ehealth, gap policies prove worth a look. While the drawbacks lend caution, many health insurance consumers find them attractive when between open enrollment periods or when landing between premium subsidy and Medicaid qualifications.

Calculating the costs of short-term insurance options and penalties helps you discern the best option for you and your family regarding long and short-term insurances. While not a long-term solutions, in some cases, the benefits of short-term coverage outweigh the costs associated, including penalties.

Thank you for reading our blog! How can we help you? Contact us today.

Category: Health Insurance

gap in medical insuranceThe purpose of health insurance is to make sure that you are covered in case of an emergency, if your health suddenly worsens or if you need to deal with a chronic condition that you would otherwise never be able to afford to treat. However, no matter how diligently we plan out our insurance coverage and work to make sure that we have everything we need, every so often we might experience gaps in our coverage — and if this happens, it can be worrying (not to mention costly) to go without insurance for a while.

However, if you experience a gap in your medical insurance coverage, you have options — besides paying the monetary fine exacted for not having health coverage, which is required under the Affordable Care Act. You might be facing a gap if you suddenly lose your job and no longer have access to your workplace insurance, or if you will be enrolling in a group plan but your coverage doesn’t start for another few months. In any case, you can take steps to make sure that you are insured at all times.

Open Enrollment

To start, if you leave your job and will no longer have access to job-based insurance, you can buy a plan on the federal insurance marketplace. Each year, the Marketplace has an Open Enrollment period (From October to December) during which time people can enroll in health care plans for the upcoming year; however, losing your job-based coverage (whether it’s because your quit or were fired) entitles you to a Special Enrollment Period during which time you can buy insurance. Your new policy can begin on the first day of the month after you initially lost your insurance.

COBRA

Then, there’s COBRA continuation coverage, which allows you to keep your employer-based health plan for a period of time (usually 18 months) after you leave your job. COBRA is a federal law that is meant to cover the gap for people who lose their insurance suddenly, while they look for alternate forms of insurance that can start officially within the next year. With the COBRA plan, you pay the insurance premium and an administrative fee, but don’t have to deal with the nitty-gritty of getting an entirely new policy (For at least a while).

Private Insurance

On the private insurance market, you can find policies that cover gaps ranging from one month to one year. These policies will incorporate different benefits, so that you can choose the one that works best for you and is in the price range that you are willing to pay. Features can include office co-pays, prescription drug coverage and low deductibles, for example, and you can decide whether you want (and are willing to pay for) a plan that includes these things or not.

Consider Your Health

Furthermore, the state of your health can also affect the short-term insurance plan that you choose to purchase. For example, people who are medically underwritten to receive short-term insurance sign an agreement stating that they don’t have any medical conditions that would prevent them from qualifying. Under the Obamacare law, the provision banning discrimination on the basis of pre-existing conditions does not apply to short-term insurance policies.

Guaranteed Issue

A guaranteed issue plan, meanwhile, can be beneficial for those who have ongoing health concerns and just need to bridge a gap between their current health coverage and a group plan or Medicare policy that they will soon have. Typically, these plans will not cover preexisting conditions, but will keep you insured against unforeseen circumstances while you wait for your full coverage to kick in.

Location and Restrictions

Unfortunately, due to the location in which you live, the duration of your short-term health insurance plan may be restricted; For example, some states only allow short-term insurance plans that last a maximum of six months; this means that you will soon have to purchase and qualify for a full health insurance plan. Obamacare policies shorten the time line with three months on a short-term plan in order for you to avoid paying the penalty.

Under the current rules, short-term policies do not meet the standard of Minimum Essential Coverage. So it’s important to figure out what the rules are where you live, and to pick out your short-term insurance based on that. Ultimately, you can fill the gap in your medical insurance coverage with short-term insurance policies, as well as the public options listed above that form a more long-term solution.

Thank you for reading our blog! How can we help you? Contact us today.

Category: Health Insurance

Ohio insurance agentsWhen you’re shopping around for an insurance policy, one thing is probably on your mind: price. Most people are looking for the cheapest option possible. But choosing an insurance agent is more than just a cost-conscious decision. This choice can impact your life for years to come. Make it wisely, by reviewing all possible options. Ideally, customers want to get the best coverage at the lowest price. The goal is to get the most comprehensive coverage to suit your needs at a competitive rate. The best insurance agents will have a few qualities in common. Here are a few considerations to keep in mind when searching for Ohio insurance agents.

1. Agent Type

There are two types of insurance agents: direct writers and independent agents. Direct writers, who are hired directly by an insurance company to write policies just for them, will work just for that one company. Independent agents, meanwhile, work for the client. They are hired by insurance companies on a contractual basis and can often provide you with numerous options that a direct writer may not have the leeway as an employee.

2. Credentials

When meeting a potential insurance agent, ask questions about their experience in various areas, and find out what their areas of expertise are. Look for technical credentials that are marked by letters after the insurance agent’s name — CIC, CPCU, ARM, and CRM. Ask about their education and the number of years they have worked in this particular field of insurance.

3. Type of Insurance

Depending on what kind of insurance policy you are looking for, you may want to find an insurance agent that specializes in a particular type of coverage. For example, if you are a business owner, it makes sense to find an agent that has worked with commercial insurance. Some insurance agents will offer many different types of insurance, while others will be more specialized, so make sure that you find someone who has what you want.

4. Personality

Though this is a professional relationship, his or her character still matters. Verify the insurance agent you work with is someone who communicates well and understands your needs. Look for traits such as honesty, trustworthiness, passion, and enthusiasm. Such qualities will help you feel confident that your agent is there to help you. Plus, customers want to know an agent is readily able to answer questions and make changes as needed.

5. Convenience

While location should not be a key factor, it sometimes plays a role in a customers decision-making process. Many people look for insurance agents who understand the needs of the people who live and work in their neighborhood.  In certain instances, this means finding an agent who services a designated region. And some customers prefer to work with agents in-person while others like to deal with insurance issues online. Consider your preferences and choose an insurance agent who can provide the highest level of convenience. Communicating with your insurance agent should be simple and accessible.

6. Reputation

Before you commit, make sure to do your homework. Check out the agent as well as the agency itself. Start by researching the agency online to see what kinds of reviews other people have left and what kind of press the agency receives. Is it a respected and philanthropic business, or is it embroiled in the middle of a lawsuit? Select an agency that appears trustworthy. Then, search the agent. If you find any social media profiles, you can learn a little more about their online personality and see if it matches up with their professional one. Gather information and find out as much as possible before you commit to working with an insurance agent.

7. Expectations

A smart way to test a potential agent is to ask for a quote right away. See how long it takes to get a response and what the quote includes.  Is the agent passionate about signing you on or just going through the motions? Talk it through and ask about anything in the quote that makes you feel unsure. The agent should give you clear answers and help you understand the terms of the potential policy. Then, ask for a detailed, written quote that can delineate the carriers and coverages to their full extent. A dedicated agent should help you understand the coverage being offered, including what might not be covered by the policy.

Choosing the right agent requires research, but it is worth the effort. An insurance agent does the shopping around to help you save time and money in the future. Over the years, an insurance agency can provide essential protection that fits your budget and needs.

Thank you for reading our blog! How can we help you? Contact us today.

Category: Health Insurance

If you would like to purchase health insurance outside of the yearly Open Enrollment window, then you will need a qualifying life event (QLE) to do so. Open Enrollment begins on November 15th and lasts through February 15th each year. Without such an event, insurance companies will turn down your application.

How Do Qualifying Life Events Work?

There are several events that will allow you to purchase health insurance outside of Open Enrollment. We list the most common ones just below. It’s important to know that these Special Enrollment Periods only last 60 days, however. If you do not seek out and purchase health insurance within this 60 day window, you may have lost your opportunity to enroll in a health plan.

It’s also important to know that voluntarily canceling your health insurance outside of Open Enrollment does not constitute a QLE. Some carriers will allow you to change plans if your plan is renewing outside of Open Enrollment, but if you simply cancel your coverage because you are not happy with it, you may not be able to find new coverage.

Listing The Most Common Qualifying Life Events

  • Involuntarily losing health insurance that meets minimum standards
  • Marriage or divorce
  • Gaining or losing a dependent due to adoption or death in the family
  • Becoming a U.S. citizen or gaining lawful status in the U.S.
  • Moving to a new coverage area that your current insurance does not serve
  • Gaining or losing eligibility for a government subsidy
  • Government error during enrollment on the exchange

There are several common QLEs that will allow for a Special Enrollment Period. Insurance can be purchased on or off the Federal (or your State) Exchange during this window of time.

The only place where you can enroll and claim a tax credit or subsidy (based on your income and family size) will be the exchange that serves your state of residence. We can help you understand how that works while also helping you to find coverage that meets your needs and budget.

What About Short Term Health Insurance Plans?

If you have missed your Special Enrollment Period or otherwise do not want to enroll in an Obamacare compliant plan, then short term insurance can help to fill a gap. These plans can be purchased for up to 6 months (12 months in some states) and will help to cover catastrophic costs.

It’s important to understand that short term health insurance plans are not compliant with the Affordable Care Act. In other words, you can face a penalty for not owning Minimum Essential Coverage. And they are medically underwritten – which means you can be turned down. Finally, short term plans do not usually provide coverage for preexisting conditions.

Typically, short term coverage works best to fill gaps for 6 months or less. They may not be advisable as plans to purchase in lieu of more permanent ACA compliant coverage. But if you have missed your Special Enrollment Period, they can be your next best option.

Contact Us For Quotes, Coverage & Enrollment Assistance

If you are experiencing a Qualifying Life Event and would like to explore your health insurance options during your 60 day Special Enrollment Period, we can help. We work both on and off the Federal Marketplace and can assist you with your needs. Contact us today to get started.

Get Health Insurance Assistance Now  →

Category: Health Care Reform, Health Insurance

If you are looking for Ohio health insurance plans in Columbus, Cleveland or Cincinnati -then you are in the right place. Our Ohio based independent insurance agency offers coverage from several carriers both on and off the federal exchange.

In our opinion, it is important to work with an Ohio based insurance agency if that’s your state of residence. Using our expertise, we can help you find the plan(s) with the most comprehensive networks and lowest prices. A broker from another state may not offer coverage from regional carriers like Medical Mutual or InHealth and that can be to your disadvantage.

Your best options will also depend on the type of insurance you are looking for and whether you will benefit most from a plan purchased on or off the federal exchange. We can help and it doesn’t cost you a penny more to place your coverage with our agency.

Columbus Ohio Health Insurance Quotes & Enrollment

There are several reasonably priced carriers in Columbus offering health insurance plans. Medical Mutual is popular as is Anthem Blue Cross and Blue Shield. Other carriers that are often purchased are Aetna and United Healthcare. And InHealth is gaining traction although they are a co-op and new to the marketplace.

But you are not shopping on price alone. Network availability is very important. Your health insurance plan does you little good if few doctors and hospitals accept it. In other words, you may not benefit from purchasing the cheapest plan you find. You should consider several variables and not just price alone.

And networks can differ based on whether you purchase your plan on or off the federal exchange. Of course, you can only obtain a tax credit on the exchange, but if you are not eligible due to your income, then it may be wise to purchase coverage off the exchange as your chosen carrier’s network might be larger. Our agency can help you understand the differences.

Cincinnati Health Insurance Quotes & Coverage

There are a couple of carriers that offer affordable health insurance in Cincinnati, but Humana is best in many cases. They have very competitive rates in the southern part of Ohio as well as a robust network of doctors and hospitals.

Humana is more widely known for their senior insurance policies like Medicare supplements and Advantage plans, but they should also be considered for traditional individual, family and small business health insurance in and around the Cincinnati area. We can help you compare their plans and quotes during open enrollment or if you are experiencing a qualifying life event.

We understand that one size does not fit all, but the purpose of this article is to point out how different carriers are more competitively priced in certain areas of Ohio. If Humana is not a good fit for any of our Cincinnati clients, then we will help them find an insurance company that is more suitable.

Cleveland Ohio Health Insurance Exchange Plans

Medical Mutual offers some of the lowest prices on health insurance in northern Ohio as well as several other parts of the state – including Toledo. MMO is also a popular pick as they have the largest network of doctors and hospitals in all of Ohio. Choice is good.

Medical Mutual has grown over the years to be a very prominent insurance carrier in Ohio and beyond. They may be new to some prospective buyers, but they should not be dismissed. Most doctors accept them and their prices are very reasonable.

If there is one drawback to Medical Mutual, it’s that there is no out of pocket limit to the cost of care received out of network. Like all health insurance plans, it’s best to stay in network when possible. As MMO has the largest network in Ohio and a significant out of state presence as well, this is usually not an issue for our clients.

Should I Buy Insurance From An Agent Or The Exchange?

You can do both. Again, health insurance prices are controlled by law. It does not matter who or from where your purchase originates, the cost will be the same. Thus, it may be wise to use an agent. It won’t cost a penny more and you may benefit from their insight and experience – especially considering all of the changes from health care reform.

The only place you can receive a tax-credit or government subsidized plan however is from the federal exchange. Our brokers are equipped to guide you through which Silver plans will provide the most savings and lowest premiums. In our experience, Anthem Blue Cross & Blue Shield is currently offering some of the most affordable subsidized plans on the exchange.

Contact Us For Quotes, Information And Enrollment

We are a full service Ohio health insurance agency. Our independent agents and brokers can help you find the plans that best suit your needs and budget.

Whether your are in Columbus, Cincinnati, Cleveland, Dayton, Toledo or the Akron/Canton area, give us a call and we’ll help you enroll in the health insurance plan that will keep you protected and compliant with the law.

Category: Health Care Reform, Health Insurance

Next Page »