Individual health insurance is for those people that can’t get their health insurance coverage thru a group insurance plan.  Individual health insurance can be purchased for individuals, and their families.  Individual health insurance is usually more affordable then group health, however individual health is underwritten on an individual basis.  There are many different insurance companies out there on the market today, with even more plans to choose from.  How is anyone to decide which company and plan will fit your needs. Here is a few things to keep in mind while looking for insurance. 

 

Here are a few different options for individual health insurance:

HumanaOne | Assurant Health | IMG | Basic Health | Golden Rule | Anthem | HSA

 

1. What type of insurance do I need?

2. Do I need 24/7 coverage?

3. What kind of deductible do I want?

4. How much is the co-insurance, and what is the limit?

5. What is the lifetime maximum on the plan?

6. Are my Doctors and hospitals in the network?

7. Is an HSA “ health saving account” right for me?

8. Should I buy a discount plan?

 

What type of insurance do I need:
What is the best insurance plan for me? There are many different insurance plans on the market today the best way to find the right policy for you is to contact and set up an appointment with one of our insurance specialists.
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Do I need 24/7 coverage:
Most individual health insurance coverage is a 24/7 type coverage so you can have coverage on and off the job 24 hours a day 7 days a week. This is beneficial for the self-employed and farmers. If this 24/7 type of coverage is not taken you would not be covered on the job for any accidents. The exception to this is if you would purchase a workers compensation policy. This would cover you in cases of injury on the job but very expensive for a sol proprietor.
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What kind of deductible do I want:
The deductible is the amount that you pay before the insurance company pays any of your insurance bills. The typically deductible is a per person per calendar year. Most insurance companies limit the amount of deductibles at two or three per household.

Things you will need to decide is do you want a low deductible, so the insurance company pays out sooner, or a higher deductible and save money on your monthly premium.
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How much is the co-insurance, and what is the limit:
The co-insurance is the amount that is agreed upon between you and the insurance company to split the medical bills. This is usually a 50/50%, 70/30%, 80/20% or even 90/10% split. When the co-insurance has been paid the insurance company will then pay 100% of the remaining covered medical expenses.
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What is the lifetime maximum on the plan:
The lifetime maximum is the amount the insurance company has agreed to pay out for the lifetime of the insurance policy. Most insurance companies maximums are between three to eight million dollars.
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Are my Doctors and hospitals in the network:
When you join an insurance network with your health insurance plan it will give you a discount on your healthcare costs, if you go to the doctors and hospitals in that network. Check with your agent to see if your doctors and hospitals are covered.
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Is an HSA “ health saving account” right for me:
HSA’s are a great way to lower your monthly premiums and save money tax deferred for future medical expenses. To learn more about HSA’s please check out our HSA page. Every insurance companies HSA insurance plans are different.
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Should I buy a discount plan:
There are many different discount plans available on the market today. A discount plan offers you a discount on your medical expenses.

My personal opinion is that these plans are over priced and useless in today's market. Most individual insurance policies in today's market have re-pricing already built into them. This is called a PPO discount or re-pricing. If you can’t afford health insurance you can negotiate a discounted price on those medical services rendered. So why would you want to pay a company a premium for a discount when you can negotiate that discounted price for free. A discount on your $50,000 medical procedure is still a lot of money, that is why most insurance companies have a limit on what you will pay out before the insurance company pays 100% of the remainder of the bill.
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