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Affordable Health Insurance In Cape Coral, Florida

If you live in the Cape Coral, Florida region and are in need of health insurance, you may have a bit of a challenge ahead of you.  Finding health insurance in Cape Coral, in 2020, is not as simple as it may seem.  As with other large bustling cities, it can be really difficult to find an insurance professional that is willing to take the time to help you sort through the myriad of health plans out there.  And without professional assistance, things can get really confusing - fast.

There are a number of factors that you will want to consider when attempting to purchase the ideal health care plan for you or your family.  ┬áThe first item on your list should be which type of health plan should you consider - HMO, PPO, POS, EPO, etc.?  Are you looking for an Affordable Care Act plan, or are you looking for a wider range of options?

Interesting Fact:  One of the factors contributing to high health insurance costs in the U.S. is fraud.  Fraud costs the medical and health insurance industry as much as $200 billion a year.  This includes abuse of prescription painkillers.  The U.S. Center for Disease Control estimates that 12 million adults used prescription drugs for nonmedical reasons in 2010.  Of these, there were 170,000 seniors who "doctor shopped," getting prescriptions from at least five doctors for controlled substances.


Short Term Health Insurance

You may want to add short-term insurance to your list of options.  Short-term insurance is not so short anymore.  Thanks to new government guidelines, there are now short-term insurance plans that you can keep up to three years.  In addition, the benefits of many short term plan options have been significantly improved.  While short term health insurance plans do not offer the comprehensive level of insurance coverage of an Affordable Care Act Health Insurance plan, the features and benefits are now comparable.  And plan pricing tends to be more affordable.  In some cases, a short term health plan may be the ideal health plan fit.  Get an instant short term health insurance plan rate quote

Healthcare Sharing Plans

There are also healthcare sharing plans. ┬áConsumers are choosing healthcare sharing plans, (also known as faith based health plans), over traditional insurance in ever increasing numbers.  A Healthcare sharing plan is not an insurance plan - at least not in the legal sense of the word.  These plans are designed to meet the same needs as traditional health insurance.  The difference is, these plans are not governed by the ACA (Affordable Care Act) rules and regulations.  The result is an umbrella of health plan options that can offer a benefit structure that is different than what is available via an Affordable Care Act plan.  These plans are noted by their flexibility and affordability.  Get an instant Healthcare sharing plan rate quote

All of the above options are available in Cape Coral.  You need only to choose which health plan option will best suit your needs.  Because health insurance is such an important necessity, you should seek the assistance of a licensed insurance professional.

Good to know:  Ask an advocate to work for you.  "If you receive a large bill for services, following an ER visit or surgery, for example, and you don't understand how to read it, hire a medical billing advocate to assist you," suggests Ruth Linden, founder of Tree of Life Advocates in San Francisco.  "She or he will not charge you if everything is in order.  On the other hand, if errors or a questionable charge is found, the typical billing advocate may charge you one-third to one-half of the amount they save you.  Your cost savings could run into thousands of dollars."  This can be especially important if you're dealing with a complex medical issue that requires significant, and expensive care.  Some insurance companies have even begun offering their own advocates, such as UnitedHealthcare's Advocate4Me program, which provides a single point of contact with an expert who can help you understand your coverage and find the help you need.



Healthcare.gov

One of the simplest means of acquiring a health plan, is to purchase a plan on Healthcare.gov.  To purchase a plan via Healthcare.gov, you will need to apply during the open enrollment period.  This period is normally about a month and a half long, and occurs during the fall of every year.  This is the only time you may enroll unless you qualify for enrollment due to special circumstances.  If you fall within a certain specific income bracket, you may qualify for subsides, which are income-based discounts on the monthly premiums.

There are several health plan options that are available to you, that are not part of the Affordable Care Act portfolio.  They include short-term health plans, (which are not so short anymore) and healthcare sharing plans, (Sometimes referred to as faith-based health plans).

After deciding on where you plan to purchase your health insurance, the next step is to decide which type of plan is best for you. These plan types include: Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Exclusive Provider Organization, or a Point of Service Plan (POS), and more.  The structures of the various plans are quite different.  Be sure to seek assistance from a licensed insurance agent, if you are not intimately aware of unique health plan differences.  The impact of purchasing the wrong plan can be emotionally and financially significant.

Good to know:  Do the math.  When shopping for health insurance, most people focus on the monthly premiums, but you also need to take a close look at deductibles.  For example, if you have a choice between a lower silver plan premium of $345 a month for a plan with a $5,500 deductible, and a higher gold plan premium at $465 a month with a $1,750 deductible, you may be better off with the second plan if you anticipate needing more than $1,500 in medical care.  With the second plan, your total annual cost for the premium and deductible comes to $7,330, a $2,310 savings over the lower premium plan.



Cape Coral Hospital Cape Coral, FL health insurance
Cape Coral Hospital
636 Del Prado Blvd S
Cape Coral, FL 33990
Telephone: (239) 424-2000
Plus Code: J3R5+22 Cape Coral, Florida


Once you have selected a plan type you desire, you should look at the size of the health care network and estimated out-of-pocket costs.  Any insurance plan summary will lay out how much you may likely pay out of pocket, for deductibles, copayments, and co-insurance, should you encounter a medical circumstance.  Generally, the lower the premium the higher your out-of-pocket-costs.

The final step is to compare the offered benefits with your family's specific medical needs.  This consists of making sure that the plan provides for any needed medications, coverage during travel, and any reoccurring care required.

Other articles:
Explaining The Growth of Healthcare Sharing Healthplans
Finding Short-Term Health Insurance.
The First 3 Steps in Acquiring Medicare Supplement Coverage in Florida.
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