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Frequently Asked Questions

  • Important questions to ask about a policy
    Questions to consider include coverage details, premium costs, deductibles, copayments, network coverage, prescription drug coverage, and any additional benefits.
  • What is Obamacare?
    Obamacare, or the Affordable Care Act (ACA), is a federal law that reformed and regulated the health insurance market, aiming to make health insurance more affordable and accessible for all.
  • What is a Network?
    A network is a group of healthcare providers, doctors, hospitals, and facilities that have agreements with your insurance company to provide services at negotiated rates.
  • Do I really need health insurance if I’m healthy?
    Health insurance provides financial protection in case of unexpected illness or injury, so it's generally advisable even for healthy individuals.
  • What’s the difference between Medicaid and Medicare?
    Medicaid is a government program that provides health coverage for low-income individuals and families, while Medicare is a program for people aged 65 and older or with certain disabilities.
  • How do I know if I qualify for Obamacare?
    You can check eligibility on the Health Insurance Marketplace or the Medicaid and CHIP program's websites, or consult an insurance advisor.
  • What does Max out of Pocket REALLY mean?
    The maximum out-of-pocket limit is the most you have to pay for covered services in a plan year. Once you reach this limit, the insurance company covers 100% of covered expenses.
  • What is Co-insurance?
    Co-insurance is the percentage of costs you share with your insurance company after you've paid your deductible.
  • Can I add dental and vision to my health plan?
    Some health plans allow you to add dental and vision coverage, while others may require separate policies.
  • How do I choose the best health insurance for me/my family?
    The best plan depends on your unique circumstances. Consider your healthcare needs, budget, preferred providers, and coverage options, and consult an advisor for guidance.
  • What does HMO, EPO, PPO mean?
    HMO (Health Maintenance Organization), EPO (Exclusive Provider Organization), and PPO (Preferred Provider Organization) are different types of health insurance plans that determine how you can access and pay for healthcare services. HMOs often require referrals, EPOs have limited networks, and PPOs offer more flexibility but may cost more.
  • What are my options for health insurance?
    Your health insurance options typically include employer-sponsored plans, government programs like Medicaid and Medicare, individual or family plans purchased on the marketplace, or private plans outside of the marketplace.
  • What’s a Deductible?
    A deductible is the amount you pay for covered healthcare services before your insurance plan starts to pay. It's an annual cost.
  • What’s a subsidy or Tax Credit? Can I get one? What are the dangers of getting one?
    Subsidies and tax credits can help lower the cost of health insurance premiums. The "danger" is that you may need to repay them if your income changes significantly.
  • Can I add life insurance to my health plan?
    Health insurance and life insurance are typically separate policies. You can have both to cover different needs.
  • Should I get a health-based or income-based health insurance plan?
    The choice between health-based and income-based plans depends on your specific healthcare needs and financial situation.
  • Benefits to having an Advisor Agent
    An advisor agent can provide personalized guidance, help you navigate complex insurance options, and ensure you choose a plan that meets your needs.
  • Why does my insurance increase in cost each year or sometimes multiple times a year?
    Insurance premiums may increase due to factors like inflation, healthcare costs, and changes in your own risk profile or plan coverage.
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