What
is an insurance "Carrier"?
An insurance carrier is the actual insurance company
that covers you ("carries" your policy). They process
and pay claims submitted by you or your health care
provider.
What is a "Provider"?
A provider is your physician, hospital or other health
care facility that provides your medical, dental or
vision services.
What is a "Deductible"?
A deductible is the amount of money you must spend each
year before your policy begins covering expenses. For
example, if you have a $500 deductible, you must pay the
first $500 in expenses. After you meet the first $500,
your policy will begin to pay your medical bills based
on your coinsurance.
What is "Coinsurance"?
Coinsurance refers to the percentage of expenses that a
policy will cover after the deductible has been met. For
example, if your policy has an 80/20 coinsurance, your
policy will pay for 80% of claims while you would pay
for 20%. Once the amount of claims has reached the
"coinsurance maximum", the policy will then begin paying
for 100% of the claims. In this example, if your 80/20
policy had a $5000 coinsurance maximum, you would pay
20% of claims up to the first $5000 in claims. As a
result, your maximum out-of-pocket expense would be 20%
of $5000, or $1000. After you have met this $1000
maximum out-of-pocket, the policy will then begin paying
100%.
What is a "Copay"?
A copay is a fixed dollar amount that your plan may
require you to pay for specific medical services or
supplies. For example, your plan may require a $25 copay
for physician office visits.
What is a "Provider Network"?
A network is a list of hospitals and physicians that
will accept your insurance plan. These providers usually
sign an agreement to accept payment based on a schedule
of discounted fees set by the network. Your insurance
carrier will then pay the providers based on this
schedule of discounted fees. These providers will accept
these discounted fees as payment-in-full and cannot
balance bill you for the difference. This network
arrangement works for services that are covered under
your policy. Your provider can still charge you the full
amount for a service that is not a covered benefit under
your policy.
What is an "Indemnity Plan"?
A traditional plan, commonly known as a traditional
plan, does not utilize a provider network. You have the
freedom to go to any provider for services; however, the
services are not discounted because there is no network.
As a result, you may rack up out-of-pocket expenses
quicker than you would with a PPO or HMO Plan.
What is a "PPO Plan"?
A PPO refers to a "Preferred Provider Organization".
This has a provider network, sometimes called a PPO
network. You a typically allowed to also see a provider
outside of the network; however, you will pay a higher
deductible and a higher coinsurance. For example, your
plan may have a $250 in-network deductible and a $500
out-of-network deductible. It could also have a 80/20
coinsurance in-network and 60/40 coinsurance
out-of-network. These plans are designed to give you the
ability to see an out-of-network provider, but
definitely give you the incentive to stay in network
(hence the term "Preferred Provider Organization").
What is an "HMO Plan"?
An HMO refers to a Health Maintenance Organization.
Under an HMO, you must choose a primary care physician
(PCP) from within the HMO's provider network. You will
then go to your PCP for all your medical
needs. You will need to get a referral from your PCP to
see a specialist doctor. If you go to an out-of-network
provider or fail to get a referral from your PCP for any
services, you may be responsible for the entire bill.
The only exception is for emergency care. HMO's are the
least flexible in terms of who you can see, but they
typically cost less and provide lower deductibles and
lower out-of-pocket costs. You can get additional
information about HMO's from the State of Michigan's
Department of Labor & Economic Growth's HMO Page.
What is a "Health Savings Account"?
A Health Savings Account, or HSA, is a tax sheltered
account you can set-up in conjunction with an HSA-qualifying
health policy. You may contribute money into an HSA
account, and then use that money to pay for deductibles,
prescriptions, dental services, vision services or
nursing home expenses. The big advantage to HSA's are
that contributions, investment growth and withdrawals
for health-related expenses are all free from taxation.
Any money not spent in your HSA account continues to
accumulate as you contribute to it every year. The
annual limit on how much you can contribute to an HSA
changes periodically and is determined by the federal
government. You can learn more about HSA's by visiting
our HSA Info Page.
Listen to our founder talk more about HSA's
What is short-term health insurance?
Short-term health insurance plans provide you with
coverage for a limited period of time, and may be an
ideal solution for those between jobs or those waiting
for other health insurance to start. Typically,
short-term plans offer coverage up to six months,
although some plans may offer coverage up to 12 months.
If you think you'll need coverage for a longer period of
time, you may want to look at a standard, longer-term
health insurance option like our individual and family
health insurance plans.
The drawback of purchasing a short-term health
insurance plan is that you may become sick or injured
while you are covered on the short-term policy. While
your sickness or injury may be covered by your
short-term policy, this policy will eventually expire,
leaving you without continuous coverage. As a result,
you may then be ineligible to purchase a permanent
health plan because your sickness or injury may be
deemed a pre-existing condition. If you are eligible
to purchase a permanent health insurance policy, it may
be a wiser decision to do so in lieu of a short-term
policy, even if the permanent policy may be more
expensive.
Short-term health insurance plans typically do not cover
pre-existing medical conditions. The definition of a
pre-existing condition varies by state, but, in general,
short-term health insurance policies exclude coverage
for conditions that have been diagnosed or treated
within the previous 3 to 5 years. If you have an
existing medical condition, you may want to research
whether you can extend your current insurance.
Employer-sponsored insurance can be extended under a
government-regulated option commonly referred to as
COBRA, which you should seriously consider if you have
an existing medical condition.
Listen to our founder talk more about short-term policies.
Do you offer the best prices?
By law, health insurance premiums must be filed with each state’s Insurance Commissioner’s Office, which regulates insurance companies. Because of this, you’ll pay the same monthly rate for each plan whether you buy from MyHealthInsurancePlace.com, someone else, or directly with the health insurance carrier.This means that you can enjoy the benefits
and convenience of shopping and purchasing your health
insurance plan through MyHealthInsurancePlace.com, get
professional service and advice even after you purchase
your policy, and rest assured that you're getting the
best available price.
Will using your service cost me anything?
All the services offered by MyHealthInsurancePlace.com
are provided at no extra cost to you, the consumer. If
you buy a health insurance plan through
MyHealthInsurancePlace.com, you'll pay the regular
monthly premium to the health insurance company you
chose, but you'll pay nothing to us. Our fees are paid
by the insurance companies in the form of commissions.
Because health insurance premiums must be filed with each state’s Insurance Commissioner’s Office, which regulates insurance companies, your chosen insurance company will charge you the same monthly premium regardless of where you purchase your plan.
Why should I purchase my insurance plan through you?
We believe we offer the best overall package of products
and services:
1. Guaranteed Lowest Prices: No one can beat our prices for the health insurance plans we offer. Because health insurance premiums must be filed with each state’s Insurance Commissioner’s Office, which regulates insurance companies, no one can offer a lower monthly premium than we do; whether you buy from us, someone else, or directly from the carrier.
2. Broad range of companies and plans: We work with most top-rated national insurance carriers. When you get an insurance quote through MyHealthInsurancePlace.com, you can be assured that you have thoroughly shopped the marketplace. To view a sample of some of the insurance companies we work with, click here.
3. Expert and professional guidance, advice and
service: We are here to help you throughout the
process of evaluating insurance plans, choosing the best
plan for you, and enrolling you in your chosen plan.
Even after you are enrolled, you can contact us with any
questions you may have about your plan or how it works.
We will act as your full-service insurance agent. Feel
free to contact us with any questions.
4. Customer Privacy: At
MyHealthInsurancePlace.com, you can be assured that we
are committed to keeping your personal information
private. We do not sell or otherwise give out anyone's
personal information to any person or company other than
the companies which we partner with that are directly
involved with providing our customers with insurance and
insurance quotes. For a full description of our privacy
policy, see our privacy page.
5. Risk-free offer: By law, each state has a “free-look” period of at least 10 days (longer in some states) for individual (non-group) health insurance policies. This means that once you receive your policy, you have the right to return it for any reason back to the insurance carrier for a full refund within the free-look period. At MyHealthInsurancePlace.com, we want to ensure that if you buy an individual health insurance policy through us, you will receive the exact benefits and coverage that you thought you were getting at the time of purchase. We are so committed to this, that we will pay you your shipping cost to return the policy within the free-look period if you are not satisfied for any reason.
Listen to our founder speak more on this topic.
At MyHealthInsurancePlace.com, we look forward to the
opportunity to earn your business and serve your
insurance needs. |