We have a portfolio of products that will help you live your healthiest life. Our team of Licensed Agents are here to assist you in choosing the right plan(s) for your needs. We know how confusing insurance is, and our goal is to make it more understandable; allowing you to make an informed decision on what will work best for YOU! Agents can discuss with you over the phone, in our office, at your home, or via the internet. We even meet clients at restaurants, libraries and community centers; we want to make sure you are comfortable while learning and discussing your choices. Health insurance is not a “one size fits all”. Our promise to you is that we will start from scratch, doing a thorough needs assessment, and find you the coverage that fits your needs, budget, and comfort.
And as your needs change, we will be right there with you to reevaluate your options and choices in insurance. Due to the nature of health insurance, it’s always recommended that you re-evaluate your coverage every year during the enrollment period. That’s when we get to go through with you: how your plan has been working, your current needs, and compare the new plans and benefits being offered.
Each agent must go through annual certification and training on every product offered to make sure that we are up-to-date on all benefits, coverage, networks and more. So, you can trust that you are receiving accurate information. And in addition to our product knowledge, we are also well versed in federal, state and manufacturer assistance programs, and can assist in the qualifying process for those who need some extra assistance.
Medicare Advantage Plans
Medicare Advantage Plans are a combination of your Medicare Part A and Part B coverage, administered through Medicare-approved private insurance companies. Medicare Advantage Plans (Part C or MA Plans,) must follow all rules and regulations set by Medicare; they need to offer everything that Medicare offers, but they can offer even more. Most Medicare Advantage Plans include drug coverage (Part D), set a limit on what you’ll have to pay out-of-pocket each year for covered services, and tend to add dental, vision and other benefits. Each plan is unique and offers a different array of coverage and cost savings.
Medicare Supplement Plans
Medicare Supplement Insurance (Supplement or Medigap) plans helps fill “gaps” and cover some of the costs that Original Medicare (A & B) leave behind. These plans, offered through private insurance companies, can cover the costs of deductibles, copayments, and coinsurance. Supplement plans do not cover the cost of prescriptions, therefore if chosen, it is suggested to also choose a Prescription Drug plan.
Medicare Prescription Drug Plans
Medicare Prescription Drug (Part D) plans began in 2006 to assist Medicare beneficiaries with the cost of their medications. All plans are required to cover a wide range of prescription drugs, including all therapy classes, even certain protected classes- treatment of cancer or HIV/AIDS. Each plan designs its own formulary (plan’s list of covered drugs), and plans can place drugs into different levels, or cost brackets (tiers). It is best to review formularies and tiers prior to choosing a plan.
Marketplace Individual Plans
Marketplace plans are major medical health insurance policies that conform to the regulations set forth in the Affordable Care Act (ACA or Obamacare). They are guaranteed issue (during Open Enrollment or for a Special Enrollment) which means pre-existing conditions are not a factor in eligibility- you can’t be denied for charged more. ACA-compliant policies must include coverage for the ten essential health benefits with no annual or lifetime coverage maximums. Most plans have a set network of providers and list of covered medications (formulary). Marketplace plans will all include and out of pocket limit.
As you probably guessed, Dental plans are designed to assist in the costs associated with dental care. There are two basic types of plans. Basic plans cover primarily preventive care like cleanings, exams and x-rays. Comprehensive plans will likely cover preventive care as well as a wide range of dental work, such as fillings, root canals, bridges and possibly even dentures. Dental plans generally have a network of dentists you can use, and typically a limit to what the plan will pay for your services each year.
Indemnity health insurance plans (fee-for-service) pay a pre-set percentage of the reasonable and customary charges for a given service, and the insured pays the rest. There’s no provider network, so patients can choose their own doctors and hospitals. Keep in mind the providers don’t have contracts, which means the providers can balance bill the patient for amounts above what the insurance company pays. Many times, Indemnity plans pair well with high deductible plans.
Short Term Health Plans
Short-term health insurance is medical coverage that is used for a temporary period of time. Between employer-based coverage, missed the Open Enrollment Period, or filling a gap before your Medicare starts. Short-term plans have a maximum number of days it can be active, meaning that you will be dropped from the coverage. In most states you are offered 180 days of coverage and can renew only once time after that. These plans do tend to have higher deductibles, and limited benefits. You can also be denied coverage for pre-existing medical conditions. So, this type of health insurance is a reasonable option if you are generally healthy and don’t require frequent doctor visits and want coverage between major medical plans.
Small Group Health Plans
Small-group health insurance is medical insurance purchased by businesses with 50 or fewer full-time equivalent employees, to provide health coverage for the employees and their families. Groups have the option to set up a single plan for their employees or offer multiple to pick from. Many group plans will have dental, and vision also offered or included. The size of the employer as well as the deductible and out of pocket limits will vary greatly by insurance carrier. There are also options to choose from ACA based plans (no underwriting) or underwritten plans.
Life insurance is a policy that pays out a lump sum (death benefit) to your beneficiaries after your death. There are a large range of policies to choose from. Term plans will cover you for a specified number of years. Whole Life or Universal plans will typically cover you up to age 100. Most policies will have underwriting, while there are a few that are guaranteed. Some plans may have a clause that allows you to take partial payment for terminal illness. A good rule of thumb for Life Insurance – get it early.