jade's Blog

Why use a health insurance broker, you muse? Don’t brokers cost more money, after all they have to make a living too. Why spend more money for something that can be easily done on ones own. Well, there are certain advantages to be had from using the services of a health insurance broker and your insurance premiums don’t go up as a result. You will pay the same price whether you use a health insurance broker or you go directly to any health insurance company.

So, you’re now saying to yourself, what’ the catch? How do these people get paid? The answer is that insurance companies pay these independent brokers a commission the cost of which is covered by inclusion in all health insurance premiums. In other words you’re paying for this broker’s advice anyway so why not take advantage of it!

The Three Sources of Insurance

There are three sources of insurance and two can reasonably be accessed online.

1. Captive agents are those selling for a single company.

2. Telephone agents sell only over the phone and again avail you of the insurance perks of a single company.

3. Independent Insurance Agents and Brokers represent numerous insurance companies offering a variety of options in coverage and cost. They spend the time and effort accomplishing the task of researching and acquiring the necessary information in order to offer you the best combination of price, coverage and service.

OK, enlisting the services of a health insurance broker seems like a good idea. Now the next question arises, how does one find such a broker who is qualified to do the job and how does one know who are the effective ones and the ones that are less so. There are certain criteria that these people must meet in order to be in business. They must be licenses by the State, and unlike an agent who represents an insurance company, health insurance brokers represent you the client only.

Many of the best health insurance companies are based online. The trouble is with 100's of different health insurance companies to choose from, only by using an individual with knowledge of the whole market, can you make an informed decision.

Group Health Insurance is necessary to attract and keep good employees. While employers may not like the cost of group health, they should be aware of the benefits to the company and overall morale. There may be things you as an employer can do to alleviate some of this costly pain. Also, all Group Health companies and insurance agents that offer them are not created equal.

The cost of this health insurance versus the need for solid employees should be weighed. There a perception that many in this country that employees will take a cut in pay if they were to be guaranteed a group health plan. There is a simple explanation for this reasoning. People know they will have to go the doctor. Women need to have mammograms and pap smears, the children need their shots and physicals, and men need their prostrate examined, people realize these services cost money. Employees often would prefer that you take money out their check for group health then for them to write a check each month for it.

Get up to Five Free Group Health Insurance Quotes

It is the job of to keep your group health cost to a minimum. If you already have a group health plan, you can raise the deductible to discourage overuse of coverage by your employees. However a dramatic raising of group health deductible or co-payment may cause some rumbling among your employees. Yet it is t is a good idea to start with a lower deductible, so you can absorb rate increases. (Your group health rates will go up) Also know beforehand what networks are in your area, and what health networks most of your employees' doctors belong to.

It is very important to review and understand your group health quotes that you will receive. Any insurance agent or broker that provides you with initial group health quotes over the phone, without having your employees fill out any applications, is doing you a disservice. Unless the agent is the Great Houdini, no one in our field can give you a firm, group health quote without a thorough underwriting. Group Health Insurance is too complicated to be taken this casual. Remember, look for an agent that gets to know your particular situation, understand your needs, and has the group health benefits that meet your expectations.

Is going with the biggest named group health insurance companies, the best choice? Choosing the "big name" companies over less known, group health insurance companies with reputable ratings, may not be in your employees and yours' best interest. All group health plan are not designed the same. If XYZ, group health companies pays 80% for a mammogram and ABC, group health company pays all, could it make sense to you to check the other benefits of the health plan?

Employers realize that they must offer group health to attract and keep quality employees. There are a few hints that can keep group health costs down. It is important to realize that an initial group health quote, with no underwriting is worthless and probably should never be used. The listings of the benefits of the group health plan would be meaningful. While big companies have good "branding," do not overlook smaller group health companies with good ratings.

Other Group Health Tips

1. Realize that you will be required as an employer to contribute as least 25% of the premiums for the group health insurance. (I never seen an group health carrier ask for less.)

2. Also realize that many group health carriers want at least 60- 70% participation of eligible employees to take the group health insurance or they will not underwrite the group.

3. Before you bind coverage with an agent or broker, find out who will process any claim paperwork and who your employees call about a claim.

4. Decide whether you will want current employees to keep their group health insurance when they retire.

5. Review and ask questions about such terms as group health deductibles, coinsurance, and maximum limits if you are not familiar with them.

It can literally be one of the scariest places to find yourself - without health insurance coverage. When a simple trip to the emergency room can lead to thousands of dollars in charges, the last thing you need is to not have health insurance. But what options do you have? Graduating from college can be a true rite of passage into adulthood, because this is the time when most health insurance plans drop you from your parents’ plan. Even landing a job right after graduation can still mean that you will have to go through a grace period before the company’s health insurance kicks in. And if you have left a job for greener pastures, well…don’t get sick or injured!

But do I even have options?

Well you probably do have options for health insurance coverage, but they may not be ideal. If you have quit your job, then you will have the option of extending your health insurance benefits for up to 18 months - thanks to COBRA. The only catch is that you will have to pay for those benefits out of your own pocket. Not exactly an easy thing to do without that paycheck rolling in every week.

Is that it? Is that my only hope?

Before you panic, just relax. The solution is short-term health insurance. As the name implies, this solution offers you health insurance options for a limited period of time. Most short-term health insurance benefits are available for 30 to 180 days. Depending on where you live, you may be able to obtain these benefits for up to a year.

And short term health insurance is the same as what I had at work?

Well, if you mean that you have coverage in the event of a hospital visit or sudden illness, then yes. You also can pick your own doctors and hospitals, which is actually an advantage over some health insurance plans offered by employers. But there are definitely coverage limitations on short-term health insurance plans.

So what am I not covered for?

That really is the million dollar question, isn’t it? Well, routine medical exams are not covered by a short term health insurance policy. Any kind of preventative care is also out the window with this type of coverage. Plus, you can forget about dental and optical coverage with short-term health insurance. For obvious reasons, this sort of health insurance also does not cover medical costs relating to a pregnancy nor, anything having to do with the childbirth itself.

No offense, by why should I bother with short term health insurance?

Because a simple trip to the emergency room can cost thousands of dollars, and any emergency procedure and hospital stay can cost tens of thousands of dollars. Hey, short- term health insurance is not supposed to be the long-term solution. It is just a way to make sure you are covered while you are not on any employer’s health insurance plan. And it can help you avoid going into serious debt, should something happen to you when you are not otherwise covered on a health insurance plan. For that reason alone, it is definitely worth the expense.

Should you have the travel health insurance or not? We often receive inquires regarding travel insurance. Is it necessary or not? We'll go straight to the point, yes! Far too often emergencies come up and you're literally stuck with no insurance or insurance with several limitations. Therefore, we highly recommend that you get a travel health insurance policy.

Typically when you book a travel arrangement the travel agency will ask if you want some form of insurance. We suggest that you Do Nottake a policy from a travel agency. Get the policy from an insurance agency.

Insurance agents are educated about insurance, travel agents are educated about travel, hence, it's only wise to purchase from an insurance agency. Also, you're likely to save money and receive more benefits acquiring your policy from an insurance agency. You have left out the middle-man, the travel agency.

When you purchase your travel health insurance, you're likely to have several options regarding the amount of coverage, what specific health benefits, and a form of trip insurance (in the event your trip is cancelled or your luggage is lost, you're covered). Discuss with the insurance agent the amount of
coverage you need.

You can also review insurance coverage's on line. We've used and are very happy with the Trip Insurance Store. You can compare between a few insurance companies, purchase on-line and if you have questions;talk with a life person.

Even if you have a current health policy, having the additional coverage is beneficial. Your current policy may not provide benefits in certain circumstances. Talk with those at the Trip Insurance Store, let them know what insurance you currently have and find the appropriate supplemental policy.

If you think you do not need Health Insurance; then think again. The unpredictable nature of life is itself a valid reason to own a health insurance. Life is filled with risks. Wherever there is an element of risk, risk management is indispensable. Insurance is just a form of sensible risk management.

So, what is health insurance? To put it in simple terms, a health insurance policy is an agreement between an individual and an insurance company. The policy will include a host of benefits such as medical tests, medicinal drugs and other medical treatments. When an Insurance policy is issued by the company, then it implies the insurance company has agreed to cover the cost of a particular set of benefits listed in the policy, which are known as "covered services".

So, when a particular service is not covered by the insurance company and you have it performed anyway, the insurance company "denies the claim." In such a situation, the individual will be left with no other choice, but to pay for the service out of his own pocket. However, the policy holder has the right to challenge the insurance company’s denial, by following the appeal process mentioned in the plan handbook. But, it is advisable to do so after consulting the doctor in this regard.

It is also very important to read the terms and conditions of the insurance policy clearly, before signing up for one. This is to ensure that your hard-earned money is not invested in a policy that does not meet your needs. It is also important to bear in mind the fact that decisions pertaining to what will be and what will not be reimbursed are made by the company, and not by the doctor. So, even when a shadow of a doubt about the policy arises, it is advisable to call the insurance company for support.

In conclusion, when considering the purchase of health insurance it is important to consider all of its merits. One has to realize that the money that is involved in purchasing a medical insurance is very little, when compared to the cost incurred in undergoing some major medical services. Moreover, insurance policies may also be tax deductible, in which case you can be said to be paying for your policy with money you might have otherwise given to the tax man. These are some of the financial incentives of having an insurance policy. Excluding the protection to family and oneself, however, the greatest benefit is that possessing a health insurance policy would also ensure peace of mind to the policy holder, a significant psychological benefit. In light of all these advantages, it really wouldn’t be such a bad idea to own a health insurance policy.