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?
Interesting Fact: Americans see their physicians less frequently than patients in most other countries. On average, citizens in the U.S. go to the doctor just four times a year, compared to the 12.9 times per year Japanese patients see their doctors on average, according to MLive Media Group. Only Switzerland, New Zealand and Sweden have a lower average number of doctor appointments than the United States.
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.
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.
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:
When making an appointment, always double-check that the doctor is still in your insurance plan's network. Ask to see in-network providers when you go to the hospital or an urgent care center. Just because a facility participates in your plan doesn't mean every professional (the nurse-practitioner or radiologist, for instance) does. Also, if you need to see a doctor when you're out of town, call your insurance provider's toll-free phone number to find out the best way to get services that will be covered.
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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