There comes a time in everyone’s life when they need specialized help selecting the right health insurance coverage. If you or a family member is nearing retirement, is between jobs, or requires short-term health insurance coverage we recommend that you consider the options for coverage, carriers, value and price that are right for you.
Individual Health Insurance
There are some advantages to buying individual health insurance. You have the freedom to customize the plan. You are able to choose deductibles, copays, out-of-pocket limits and provider network physicians. The plan may also be portable, moving with you as you change jobs, cities, etc. All private health insurance plans offer the same set of essential health benefits including: ambulatory patient services, emergency services, hospitalization, pregnancy, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative and habilitative services, laboratory services, preventative and wellness services, chronic disease management, and pediatric services including oral and vision care.
Medicare and Medicare Supplement Options
The government offers Medicare benefits to those 65 years old or older and those under 65 after a 24-month disability period. If you or a family member is eligible or going to be eligible you should contact someone who specializes in the Medicare product line. Education about Medicare and your options is critical in determining the best fit for your particular situation.
There are several options within the Medicare system and the four main parts include:
- Hospitalization (Part A) – automatically included in all Medicare plans
- Physicians Services (Part B) – optional
- Advantage Plans (Part C) – optional
- Prescription Drugs (Part D) – optional at an additional cost
There are numerous plans available and all include preventative care, cancer screenings, and hospice care at 100% coverage. In most cases guarantee issue is also available as is claims assistance. When your coverage through Medicare needs a boost, there are supplemental products available that can help offset out-of-pocket expenses. Supplemental products you may wish to consider can include coverage for foreign travel, additional home health care, excess charges, vision, hearing and dental. We can also consult with you on the numerous Part D prescription plans available to decide which may be right for you.
Short-Term Insurance Solutions
You or a family member may simply be in need of a short-term health insurance solution. These types of products, which provide temporary coverage for 30 to 365 days, include comprehensive medical and hospital benefits and are offered with a choice of several deductibles. Many people qualify for this type of coverage.
Individuals who may need a short-term coverage option include:
- Recent college graduates
- Part-time and temporary employees
- People between jobs who are looking for an affordable alternative to COBRA
- New employees waiting for health benefits to begin
- Recent retirees waiting for Medicare eligibility
How We Can Help
In the face of Health Care Reform, many employers are currently evaluating their group health insurance plan. The individual market is growing and plans continue to remain competitive. It seems daunting to shop for your own insurance, but our dedicated staff is ready to educate you on the options available and help you determine the plan that works best for you.