Health Insurance Guide

FAQs on Health Insurance

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Health Insurance Guide is a nationwide enrollment center for individuals or families searching for affordable health coverage. Our certified, appointed & licensed agents will show you your options; and help you select the best program that suits all of your needs. We achieve this by reviewing our database and exploring different alternatives. The good news is here we are able to help you and your family save money and get you the best coverage available in the private market. You can get quotes the fast and easy way with Health Insurance Guide!

Our services are available throughout the country. We also offer health insurance options from major companies along with A+ rated carriers. Once you have chosen a program, our certified, appointed & licensed agents will guide you through the application process, expedite your enrollment, review the main details of your options including the associations, and you’ll be informed regarding your status.

Health Insurance Guide is currently one of the leading health insurance agencies. We offer a wide variety of health and life insurance options. The selections that we offer are customizable and tailored to the client’s specific needs. We offer multiple products and alternatives that can be bundled with any of the individual or family packages selected.

Our Services



For those looking for affordable health insurance, it’s good to know what you’re looking for. Some people prefer to have a health insurance agency handle their insurance while others prefer a broker. But what roles do they play and what benefits come with each? Continue reading to find out.

Anyone in the market for health insurance will find that both health insurance agencies and brokers act as middlemen between the individual looking for insurance and the insurance company they decide to go with. Regardless of which one you decide on, it’s important to understand that both must abide by a legal obligation to aid people in finding health insurance that suits them.

With this being said, the most obvious difference is that a health insurance agency represents a health insurance company while a broker acts on behalf of the person seeking out health insurance. In essence, brokers are capable of providing plans from more than one health provider while a health insurance agency represents a single health insurance company.

A health insurance broker can represent a single insurance company or multiple companies. The insurance brokers representing a single company are viewed as captive while brokers representing more than one are seen as independent. Brokers will not charge fees to the individual. Instead, they receive their compensation in the form of commissions and/or salaries plus commission.

Health insurance brokers work to find an insurance plan that fits the person’s needs. Instead of working for the insurance companies, these individuals receive their commissions from the companies. All of the insurance policies include built-in paid commission fees, providing the brokers with their compensation.

Going to a broker is a good idea because these individuals understand the insurance industry. These men and women are experts in their fields and work to guide those in need of health insurance. Some even specialize in certain industries. With the right broker, you’ll receive the help you need to find an excellent health insurance plan and manage it after.

Regardless of whether you decide to go with a health insurance agency or broker, you’ll want to ensure that they are qualified to help you. Although it can be difficult to find health care insurance for oneself, getting help from either will make the process much easier. Ultimately, both are capable of locating the health plan that suits your needs, making the choice dependent on your personal preference.

Health

Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. Health insurance can reimburse the insured for expenses incurred from illness or injury, or pay the care provider directly.

Life

Life insurance is a protection against financial loss that would result from the premature death of an insured. The named beneficiary receives the proceeds and is thereby safeguarded from the financial impact of the death of the insured. The death benefit is paid by a life insurer in consideration for payments made by the insured.

Medicine

To get maximum benefit from your medications, it is important to take them exactly as prescribed by your doctor. In fact, your chance of a better health outcome improves when you take your medications as directed.

Dental

Dental Insurance is an insurance coverage for individuals to protect them against dental costs. It insures against the expense of treatment and care of dental disease and accident to teeth. Dental insurance is designed to pay a portion of the costs associated with dental care.

Open Enrollment

When is the open enrollment period?


The Open Enrollment period starts on November 1 and ends on January 31. If you enroll by December 15 your coverage will begin on January 1.

Unless Congress acts to extend the January 31 deadline, you will be unable to purchase an Obamacare Plan until the next Open Enrollment period begins in the fall. Between this Open Enrollment Period and the next period, you can only enroll in an Obamacare Plan if you have a Qualifying Life Event.

If you previously purchased an Obamacare Plan in that coverage will expire at the end of this year. You can choose to either renew your current plan or purchase a new plan, but you have to act before the end of the year.

When does coverage begin?


If you enroll during the Open Enrollment period, your coverage begins as follows:

Enrollment during the first 15 days of the month — your coverage will begin on the first day of the following month. For example, if you enroll by December 15, 2019, your coverage will begin on January 1, 2020.

Enrollment between the 16th and last day of the month — your coverage will begin on the first day of the second month following your enrollment. For example, if you enroll on December 16, 2019, your coverage will begin on February 1, 2019.

Precision Health connects you to virtually every health plan available during Open Enrollment. Compare plans and find the best coverage for the lowest rate now!

What is a qualifying life event?


The most common Qualifying Life Events are listed below. You are very likely eligible if you:

  • Lost health coverage in the last 60 days or expect to lose it within the next 60 days.
  • Got a divorce and lost health insurance.
  • Got married.
  • Gave birth.
  • Adopted a child or had a foster child placed in your home.
  • Had a death in your household.

Obamacare

The Good News About Obamacare


Before Obamacare, healthcare was too expensive for many families to afford. And even if you could afford it, insurance companies would deny coverage to anyone who had a preexisting medical condition, making it near impossible to get coverage if you weren't 100% healthy. Obamacare, officially known as the "Affordable Care Act," changed all of that. Now, by law, healthcare has become much more affordable and universally available. You don't need a high income or perfect health to get insured.



The Bad News About Obamacare


Obamacare can be very confusing - the law is over 1,000 pages long! People have been overloaded with information, some of which has been inaccurate and contradicting. Some government websites have also been limited in terms of ease of use and health options offered. All this has made it difficult for people to know their options, shop around, and enroll in the plan that is truly the best fit for their income and coverage needs. And delaying on getting coverage is not an option. A big part of the law states that if you do NOT have coverage, you will have to pay a fine, which has increased since last year.

Life Insurance

Different Types of Life Insurance Coverages


Finding the best life insurance policy for you is something we strive for. We understand that everyone’s situation and family require special care. With this in mind, there are many options and looking at the core policies available will provide insight. This list shows the most common life insurance coverages available.



Term Life Insurance Coverage


This type of life insurance coverage gives death benefit protection for a specified period of time. The amount of time is usually 10, 15, 20, or 30 years. Whichever period of time is specified is the policies “term.” After the term ends, the policy renews annually. The majority of term life insurance providers let whoever owns the policy renew it until the individual reaches the age of 95. These renewals will increase over time.



Whole Life Insurance Coverage


Whole life insurance is a permanent life insurance coverage that gives a person death benefit protection throughout their whole life. Most of the time, this kind of coverage is provided at a fixed rate with guaranteed protection until the day the person dies and guaranteed cash value accumulation. Due to the fact that this type of coverage is with the person until they pass, there are usually higher payments than most other common life insurance policies.



Guaranteed Universal Life Insurance Coverage


Guaranteed universal life insurance coverage provides individuals with an inexpensive permanent policy. This coverage has a flexible death benefit period that is customizable up until the person reaches the age of 90, 95, 100, 110, and 121. The best way to define this coverage is as a combination of term and whole life insurance coverage. Over time, this coverage builds minimum cash value and the coverage stops once the individual reaches the age named in the policy.



Variable Life Insurance Coverage


Variable life insurance coverage has a fluctuating face value that is depending on the value of currency, securities, or other equity products that the policy is supported by when the payment is to be made. The erratic nature of this kind of coverage makes it so this is not a policy that everyone is willing to go with. These kinds of policies depend on the investment vehicle and when the market is being driven up, it is an excellent kind of coverage. With this being said, if the market is dropping, the increase in payments might become overwhelming.



Health Insurance

Different Types of Health Insurance Coverages


When shopping for health insurance, it’s important to know that there are choices available. There is no one-size-fits-all insurance coverage and ultimately, the health insurance coverage one goes with is going to have to suit his or her needs. The plans differ but there are different types of coverages to choose from. With this being said, let’s go over these health insurance options.



Preffered Provider Organization (PPO)


A PPO includes more freedom related to the choice of health care providers. There is no need for a referral from a primary care doctor if you’re looking to visit a specialist. Any out-of-pocket costs are elevated when visiting providers that are outside of the PPO network as well. Comparing this to other plans, there is a bit more paperwork involved when visiting a provider from outside of the network. Once a patient visits an out-of-network provider, they must pay this provider and file a claim with the PPO to receive compensation. This plan requires a monthly payment. Some of these plans might have a deductible and if you’re visiting a doctor outside of the network, that deductible will usually be higher. The copay will be a flat fee that is paid upon receiving care and there might be coinsurance involved. Other costs can include paying more money out of pocket if a doctor outside of the network charges in excess of others in the region.



Health Maintenance Organization (HMO)


An HMO has a network of health care providers and facilities that allow it to provide people with health services. This option will restrict patients to certain health care providers but there is not as much paperwork required as other plans. It also comes with a primary care doctor to handle the patient’s health care. This doctor refers patients to specialists when necessary, ensuring the plan covers the care. The majority of HMO’s will need the patient to get a referral from the doctor prior to visiting a specialist. When seeing a doctor outside of the network, the full bill is left to the patient to pay. This type of plan is paid for monthly and might have a deductible that must be paid prior to covering care (excluding preventative care). There might also be a copay, or a flat fee, that you might have to pay when you receive care. Coinsurance might require a percentage of the charges for care to come out of your pocket as well. The charges count towards the deductible and can vary depending on the plan you’re on.



Exclusive Provider Organization (EPO)


When it comes to an EPO, you’ll have some freedom when choosing a health care provider. There is no need for a referral to visit a specialist. There is no coverage for providers outside of the network. Unless it is an emergency, visiting a provider outside of the plan’s network means covering the full cost on your own. This plan involves a lower cost as well. The deductible ultimately depends on the service provider as some EPOs have one while others do not. There can also be a copay or coinsurance involved. When visiting health providers outside of the network, the patient is required to pay completely out of pocket.



Point-of-Service (POS)


A POS plan provides you with freedom relating to choosing health care providers. There is some paperwork involved when visiting providers outside of the network as well. This plan includes a primary care doctor coordinating the health care and referring specialists. The plan requires the individual to pay monthly and there might be a deductible involved. Visiting a provider outside of the network might result in paying a higher deductible as well. There might also be a copay or coinsurance involved in a POS plan too. These costs are elevated when visiting a doctor outside of the network.



Catastraophic


For those who are under the age of 30, it’s possible to obtain a catastrophic health plan. These plans tend to have a lower payments and 3 primary care visits prior to the deductible being applied. They also include free preventative care. This is included even if the deductible has yet to be met. This type of plan also allows you to see doctors found in the plan’s network. With this in mind, there might be other rules pertaining to visiting specialists depending on the plan. Those on a catastrophic health plan have a monthly payment as well as a deductible of $7,350 for a single person and $14,700 for a family as of 2019. Once this deductible is reached, it pays 100% of the medical costs for anything that’s covered.