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Money Saving Health Insurance Shopping Tips
Why health insurance is so important to us? We should keep in mind that
health insurance does not guarantee us good health, but good protection
as well as financial safety net in the case of an unexpected illness or
injury.
For a serious illness or injury health care related expenses may run
into hundreds of thousands of dollars. For example, in Colorado state it
is very important to have adequate health insurance protection,
especially if the person deemed to be "at fault" is you, the driver of a
car you are riding in, or if the "at fault" driver is insured.
We offer you a three-step strategy which can help you to save your time
and money while you are looking for health insurance:
Step 1: What to prefer: Individual or Group Health Insurance Coverage?
Individual health insurance plans are very popular among those people
who have to buy their own health insurance. For example, healthier
self-employed and small business people as well as their families. A
private health insurance plan usually has lower premiums than small
group plans. Moreover, individual plans are medically underwritten
that's why it's important to get this coverage in time while you're
relatively healthy. It is very important to know that all individual
health insurance plans are non-cancelable and renewable. This rule works
till you are eligible for Medicare at age 65 and continue to pay your
premiums as well as live in the service area.
Many private health insurance plans offer the job health insurance
coverage to the self-employed. Eligibility requirements of individual
health insurance plans usually vary. The difference depends on your type
of business (LLC, Sub-S Corporation etc.) Anyway, make sure that you
meet the requirements for on the job coverage. Private health insurance
plans require 100% tax deductible premiums but there is a necessity to
verify eligibility for this deduction with your accountant.
There is a special "Group of One" designation in private health
insurance plans for persons who own small business. In general, there is
no difference in premium cost between a standard individual health
insurance plan and Group of One individual plan. But here you have to
qualify medically. Concerning a Group of One individual plan it should
be noticed that the small business person's business can pay the
insurance premium.
There is also a group health insurance coverage option known as
CoverColorado which is designed for qualified small business owners who
have serious pre-existing conditions. Many people enroll in these plans
because their health conditions do not allow them to apply for less
expensive private health insurance plan. For this reason a Group of One
individual plan is fairly expensive.
Those individuals who has serious pre-existing conditions may also be
entitled for guaranteed issue coverage from CoverColorado and escape
risk, because their premiums are usually about 35% more expensive.
CoverColorado does not offer coverage for on the job injuries or
illnesses that's why they must be paid with individual funds.
In case when an employer has 2 to 50 employees, he or she can establish
a small group health insurance plan which has no medical underwriting
and are particularly attractive to groups that include people with
serious health problems. A small group health insurance plan would give
them an opportunity to qualify for less expensive individual coverage.
It is possible to get this type of insurance only if the employer is
ready to pay for any portion of their employees' health insurance
premiums. Usually the employer should pay least 50% of their employees'
premiums and bring a certain level of employee participation in the
plan. Groups of more than 50 employees have many advantages and are
considered as a part of the large group market.
You may be subject to a pre-existing conditions clause in case when you
do not have health insurance coverage or have a break in one. Usually it
endures from 6-12 months and covers conditions you were using for in the
12 months directly taking precedence of your new health insurance
coverage. Small group insurers and individual insurers in Colorado have
to provide a credit for prior continuous coverage which counts
continuous if it is not break in during 60-90 or more consecutive days.
So, prior coverage does not require credit against any exclusionary
riders in an individual policy.
Step 2: What to prefer: a Copay plan or a Major Medical/HSA plan?
Health care market consumers have to be savvy about their options and
choices because drug and health care costs drove up health insurance
premiums.
But there are still many reasons to get a feature-rich plan with copays
for doctor visits and prescriptions. It is especially comfortable if you
are interested in plans with deductibles of $500 or more, because these
plans usually offer many immediate benefits to offset daily health
related costs. Of course you may prefer a health insurance plan that
will protect you from some little things. Or you may get a relatively
inexpensive major medical or catastrophic plan to protect you and your
family in the event of more serious problem.
Health Savings Account (HSA) plans are designed to be particularly well
suited to healthier small business people. With a higher deductible
Health Savings Account medical insurance plan, in comparison with a
traditional copay plan, insurers can often save relatively big money
each year in reduced insurance premiums. But it should be noticed that
premiums are often reduced while reducing the insurer's aggregate
deductible and coinsurance risk.
How does it work? First of all, an insurer must have a relatively
inexpensive HSA qualified major medical health insurance plan. With the
one he is eligible to open a Health Savings Account. Money saved from
the reduced insurance premiums can be used to grant funds of a Health
Savings Account. In this case your contributions to the HSA are 100% tax
deductible. Later you can use money from the HAS to cover your health
care expenses. For example, prescription drugs, doctor visits, dental
and vision care etc.
HSA offers a long-term savings advantage. Because any money you did not
spent is yours and you can keep your money and grow them from one year
to the next one. If during your working years you are relatively
healthy, you can get a sizable tax advantaged nest egg by the time of
your retirement.
HAS plans are rather special, that's why we recommend you to compare the
premiums and benefits of the most popular copay plan with the most
attractive HSA plan. Maybe this analysis will help you to determine
which plan suits you the best.
Step 3: Shopping for Health Insurance: Days or Minutes?
That's not a secret that market is a place for competition. It may seem
that there are mane similar plans, but do not forget that plans can vary
significantly from company to company. Moreover, difference is based on
age, gender, tobacco use, health and location. We have gathered for you
some time saving short cuts and we hope that they can help you to save
your time and money.
Individual health insurance premiums are registered and managed by the
Colorado Division of Insurance and you will pay the exact same monthly
premium for the same plan without reference to the seller. It is not
important where you buy your health insurance plan whether it is a
broker, an agent or the health insurance company.
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