Question 1

Why do I need to buy insurance?

Accepted Answer

Security. In a word, security is the reason that you buy insurance. Simply put, health insurance provides security against unforeseen circumstances that may result from being ill or injured without some type of plan beforehand. Think about what it costs you to get sick. Here is a story from a client of ours:
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"At least once a year, I get a cold. Now and then it becomes something else like a sinus infection that leaves me miserable for a day or two. Having insurance helps me feel better about missing a day of work. If I don't work, that's $250 that I don't get for each day. So if I don't see a doctor, I'm usually unable to work for about a week. If I use my insurance and go to a doctor, I can get back to work faster, only taking a day or two off. That's a difference of $750 to $1,000. That's more than I pay in premium for the whole year."
 
Insurance isn't about making money; it's about protecting the hard-earned money, time, energy and resources that you've worked so hard to get.

Question 2

What does health insurance cover?

Accepted Answer

Health insurance is a form of risk management. By pooling the risks posed to all policyholders, we can plan for expensive events that may disproportionately affect some groups more than others.
The basic idea behind this strategy is spreading cost around society so in any one event an individual would not have to bear as much liability if they had no coverage at all.
Health insurance coverage usually covers healthcare needs like procedures and prescriptions which are medically necessary rather than cosmetic items or experimental therapies

Question 3

Who can I cover on my health insurance?

Accepted Answer

You can typically cover your resident family members, including your spouse and children (adopted, stepchild, or other similar relations).
You need to be able to provide evidence of the person's relationship to you as proof that they're your family member. Often that proof can be found by providing documents such as:
Tax forms
Power of attorney documents
Marriage Certificate
Birth Certificate
Adoption Documents
Other similar documents that prove legal fiduciary responsibility
For most of our clients, these documents are not necessary. However, we occasionally need to provide them in order for the government to verify their relation and qualify for tax credits.

Question 4

How much does health insurance cost?

Accepted Answer

It can vary drastically based on your income, family size, and age. The one thing we can promise is that our expertise is always free. We’ll provide you with more customized options with less headache for the exact same price or less than you could find elsewhere or doing all the work yourself.

Question 5

What is a deductible?

Accepted Answer

A deductible is the amount of money in a particular policy that you must first spend before your insurance company will begin to cover any costs.

Question 6

What is coinsurance?

Accepted Answer

Coinsurance is a percentage that must be paid by the patient before their health insurance company will cover any more expenses.
For example: If a person has 20% coinsurance and it costs $100 to get treatment, they would need to pay $20 themselves and the insurance carrier would pay the rest.

Question 7

What is a copay?

Accepted Answer

A copay is when you see a medical provider at their offices and they provide you with services there are often some costs which need to be paid by patients before leaving the facility.

Question 8

What is out of pocket maximum?

Accepted Answer

An out of pocket maximum is the amount you can spend in a year before insurance companies cover all of the expenses.

Frequently asked questions