Health Insurance Plans
Health insurance is a must, especially if you have to pay for medical services and prescriptions. However, it can get confusing with all the different types of health insurance programs out there!
Purchasing health insurance is a process that can be difficult to navigate. There are many factors you need to consider, including what type of coverage would suit your needs the best and which plan has insurance premiums that will fit within your budget. We’ll take an in-depth look at three different types of plans: traditional fee for service insurance, HMOs versus PPOs – how they differ from one another, and who might choose them?
Types of Plans
When purchasing health insurance, your choices typically fall into one of three types of insurance categories:
- Health maintenance organizations (HMOs) often have lower co-payments and cover more preventive care, but these types of plans limit your ability to choose a health insurance provider outside those who participate in that plan network. You can check the network providers list to verify if your doctor is in the network.
- Preferred provider organizations (PPOs), on the other hand, give you lower co-pays like HMOs while still allowing for some freedom when selecting providers; this can be seen as an attractive option if funds are tight or there is a special need such as chronic illness requiring specific therapeutic expertise not available at local hospitals).
- Traditional fee-for-service plans are usually the most expensive choice but they offer you the most flexibility in choosing providers. There are no network providers for fee-for-service plans and they often have higher insurance premiums.
Health Insurance Options
There are several factors you should consider when reviewing your plan options and selecting your health insurance plan, such as:
- What are the deductibles? Are there any co-payments? Deductibles are the amount you must pay before your insurance company will pay for a medical expense. These differ from co-payments, which are the amount of money you pay when you receive medical services or a prescription.
- What is the monthly premium rate?
- Do I have the right to go to any doctor, hospital, clinic, or pharmacy I choose? or do I need to stay in a network?
- Are specialists, such as eye doctors and dentists, covered? If so, is there an additional deductible or co-pay? Do these medical expenses count toward your deductible?
- What coverage options are available for special conditions or treatments such as pregnancy, psychiatric care, and physical therapy?
- Does the plan cover hospital stays?
- Does the plan cover prescription drugs?
- Does the plan cover home care or nursing home care medical expenses? Is there a different rate or fee?
- Will the plan cover all medications my physician may prescribe?
- What is the max out-of-pocket expense?
- How are billing or service disputes handled? If there is a dispute about a bill or service, how is it handled?
- Is vision care and/or dental care coverage offered?
Work with a local insurance advisor to discuss your health care insurance options.
Buying Your Health Plan
You have 3 options when buying your health insurance.
You can buy directly from a private insurance company (or insurer)
Register, shop, and buy your plan through the Health Insurance Marketplace
Work with an independent insurance agent, who can show you all plans from each insurance company.
A local independent insurance advisor will help you review all health insurance programs and help you navigate the health insurance system. We will help you understand the types of insurance available, and any additional insurance products and insurance bundles that may be best for you.
Health Insurance Marketplace
The Health Insurance Marketplace® is a great place for you to go if you’re shopping for health insurance. It’s an easy and convenient way to get quotes, compare plans, and enroll in a plan that meets your needs.
When you apply for individual and family coverage with your local agent through the Health Insurance Marketplace, you’ll provide income and household information. You’ll find out if you qualify for premium tax credits and other savings that make insurance more affordable.
Plans for Individuals and Family
Individual and family health insurance plans for Utah residents can give you access to health care providers to help cover expenses in the case of serious medical emergencies, and help you and your family stay on top of preventative health care services. Having a health care plan for your primary care can save you money on doctor’s visits, prescription drugs, preventative care, and other healthcare services. Typical health insurance coverage for individuals includes health insurance costs such as a monthly premium, annual deductible, copayments, and coinsurance.
Individual and family health insurance plans can help cover expenses in the case of serious medical emergencies, and prescription drugs, and may even save you money on doctor’s visits by offering coverage for preventive healthcare services. Typical health insurance plans usually include monthly premiums, annual deductibles, copays, or coinsurance charges depending on your age group as well as tobacco use status.
People with an ACA plan will not be declined for an individual health insurance plan due to pre-existing conditions.
Health Insurance for Small Businesses
Providing health insurance as a small business is an excellent way to hire and retain the best employees. The Affordable Care Act, the comprehensive health care reform law enacted in March 2010, currently requires businesses with 50 or more full-time workers to offer their employees’ group health plans that are affordable, but some companies may be subject to fines if they don’t provide coverage for their staff members – especially those who work over 30 hours per week. Tax incentives can help alleviate these costs by providing you tax deductions on your company’s taxable income which would make it easier for any new employer looking into offering this benefit package!
For companies with fewer than 50 people, offering group health insurance may be optional. Providing healthcare benefits such as group healthcare policies has many advantages: it eliminates worry about whether or not a person will have enough money in order to afford medical expenses, and provides peace of mind when going through employment options.
Short-term plans offer a great way to cover yourself with temporary health insurance. They offer basic insurance coverage. Covering you for any period between 30 days and 12 months, depending on the short-term plan type from which you choose; this flexible option is ideal for people that have gaps in their coverage needs or cannot afford monthly premiums of other types of long-term policies.
This can often be referred to as accident insurance.
Easy enrollment and quick turnaround times make these options desirable among many people who need access to medical care without all the fuss!
There is one condition to be aware of. Short-term health insurance plans, or accident insurance plans, are not as comprehensive or inclusive as full coverage that is regulated under the Affordable Care Act. Short-term policies usually cover major medical emergencies, but they don’t typically provide preventative care services and other optional benefits which can make a difference in how much out-of-pocket cost you’re paying to stay healthy on an annual basis.
Short-term health insurance does not meet all ACA guidelines since it does take pre-existing medical conditions into account when dealing with new applicants. The type of service covered by these types of plans will be limited only to emergency cases such as serious illness or injury whereas preventive care won’t come along too often during this time period because there aren’t any guarantees made regarding those
Health Plans Just Right For You
We believe health plans shouldn’t be hard to figure out. See how easy it can be by working with a local health insurance advisor. To get your questions answered, call us today to speak with a licensed, local, health insurance advisor, 801-396-8200.
Children’s Health Insurance Program (CHIP)
CHIP is a government program that provides child health insurance coverage to children through both Medicaid and separate CHIP programs (eligibility criteria have to be met). It’s administered by states, offering financial assistance, according to federal requirements which provide funding jointly between state governments and the federal government. To learn more about Utah’s Children’s Health Insurance Program (CHIP), visit https://chip.health.utah.gov/.
Long-Term Care Insurance
Long-term care insurance is coverage that provides nursing homes, home health, and adult day care for individuals age 65 or older with chronic disabilities. Although it does not offer the same benefits as Medicaid in some states, long-term care offers more options than any public assistance programs available to help older people to cope with disability.
Private Health Insurance
Private coverage private insurance
We offer several options for dental insurance. Dental plans have different monthly premiums, waiting periods, and services covered. View your dental insurance options available in your area.
Choose a health plan.
Individuals and families in West Jordan, Utah can now find and purchase individual and family health insurance plans online or with a local insurance advisor.
Get a Quote for Affordable Health Insurance
Compare health insurance plans to find affordable plans and extensive coverage that works for you and your family. We offer choices for every budget.