Affordable Health Insurance In Texas
If you live in Texas and are in need of healthcare coverage, you may have somewhat of a challenge ahead of you. Finding quality Texas health insurance in 2020, is not as simple as it may seem. The problem is, it can be quite difficult finding a knowledgeable
insurance professional that is willing to take the time to sort through the myriad of health plan choice that are available to you. And going it alone, in an increasingly confusing health plan marketplace, is a prescription for a potential disaster
The good news is, we are health plan experts with a wealth of experience. We are just a phone call away and are here to help.
There are a number of factors that you will want to consider when attempting to purchase that ideal health care plan for you or your family. The 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?
Good to know: Check medical bills for errors. Medical billing errors happen a lot more than you would think. Oddly, these errors almost always benefit the hospital or medical facility. Make sure that you receive an itemized bill in the mail. These bills delineate in detail the charges you incurred for each of your medical procedures. In this regard, they contain greater utility than the explanation of benefits (EOB) you generally receive in the mail. If your medical bill omits key information regarding charges incurred, contact your healthcare facility and ask for an itemized bill.
Once you have received this bill, review it carefully. Did you actually receive every procedure listed? If so, is the cost what you were promised beforehand? Additionally, look out for billing errors when it comes to pharmaceuticals. Often, healthcare billers make the mistake of charging individuals for name-brand drugs instead of generic drugs.
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 policies in parts of the country that you can keep up to a year or more. In addition, the benefits of many of these short term policies 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 more comparable. And short term health insurance plan pricing tends to be more affordable. In many cases, a short term health plan can be the ideal health insurance fit. Get an instant short term health insurance plan rate quote
Healthcare Sharing Plans
There are also healthcare sharing plans. Consumers 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 Texas. 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 questions. If you don't understand the details of the plan offered, contact the insurance company or give us a call. While there are a variety of online tools and resources that can help, the best thing to do is simply pick up the phone and talk to an insurance professional. You need to clearly understand what you're buying.
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 can be quite different. Be sure to seek assistance from a licensed health insurance agent. The impact of purchasing the wrong plan can be emotionally and financially significant.
Good to know:
Starting around their first birthday, kids should get twice-yearly checkups from the dentist, says Keith Morley, DMD, president of the American Academy of Pediatric Dentistry. Preventive care, nips problems in the bud before they become more costly. You should also talk to your dentist about getting sealants for your child's molars. (Sealants are a liquid plastic material applied to your child's back teeth to prevent them from decaying.) Many insurance companies cover the cost, but even if they don't, get them anyway: They'll probably save you money in the long run.
courtesy of Parents.com
|Cornerstone Hospital of Austin
4207 Burnet Rd
Austin, TX 78756
Telephone: (512) 706-1900
Plus Code: 8764+QM Austin, Texas
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. An 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 plan 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.
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