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Direct access to a licensed health insurance expert.
Video and conference calls for personalized health guidance.
Phone, SMS, and text appointments for health planning, available on request.
Streamlined health plan reviews, often without physicals.
Real-time updates on your health coverage options.
Custom health plans designed for your unique needs.
Frequetly Asked Question
Health insurance is a contract between you and an insurance company where you pay regular premiums in exchange for coverage of medical costs, such as doctor visits, hospital stays, prescriptions, and preventive care. It acts as a financial safety net, sharing the burden of healthcare expenses to prevent illness or injury from leading to debt or denied care.
You can typically enroll during the annual Open Enrollment Period (November 1 to January 15 in most states), with coverage starting as early as January 1. Outside this window, a Special Enrollment Period (SEP) triggers for qualifying life events, like losing job-based coverage, having a baby, getting married, or moving.
Common types include HMOs (requiring in-network providers and a primary doctor), PPOs (offering flexibility with out-of-network care at higher costs), EPOs (like HMOs without out-of-network coverage), and POS (blending HMO and PPO features). Medicare and Medicaid are government programs for seniors/disabled and low-income individuals, respectively.
A copay is a fixed amount you pay for a specific service (e.g., $25 per doctor's visit), regardless of the total cost. Coinsurance is a percentage of the bill you pay after meeting your deductible (e.g., 20% of a $1,000 procedure = $200). Copays offer predictability; coinsurance scales with costs.
A deductible is the amount you pay out-of-pocket for covered services before your insurance starts sharing costs (e.g., $1,500 annually). High-deductible plans often pair with Health Savings Accounts (HSAs) for tax-advantaged savings. Once met, coinsurance or copays apply until you reach your out-of-pocket maximum.
In-network providers have contracted rates with your insurer, lowering your costs. Out-of-network means higher charges, often with higher deductibles or no coverage at all (except emergencies). Always check your plan's directory.
Under the Affordable Care Act (ACA), insurers cannot deny coverage, charge more, or exclude benefits for pre-existing conditions (e.g., diabetes, asthma). All plans must cover them from day one.
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