Know Your Policy – The Basics of 2019 Health Insurance

Health insurance is essential for peace of mind, and for providing options when you need medical care. While every health insurance policy covers emergency services, there are myriad other health consultations and procedures that can be covered under different plans.

To be able to properly compare the best 2019 health insurance plans with your needs in mind, you’ll need to know exactly what a plan could cover, and why you need one.

It All Starts with the Policy

Every health insurance policy is a form of contract. It is a legally binding agreement between you and an insurance provider that will determine the type of benefits you receive while the policy is active. Before you sign up to a health insurance policy, you will be given information such as treatment services that are covered, where you can avail the services, whether medications are covered, and the type of tests and screenings that are covered by insurance.

In addition, the initial information package will also tell you specifically the type of care that is not covered, and in which circumstances.

For anything not covered by your insurance, you will need to shoulder the total costs. This is why it’s so important to carefully compare your options and choose the most comprehensive plan possible within your budget.

The Basics of Health Insurance Coverage in 2019

You probably already have a health insurance plan that covers you for 2018. You can use this as a base point of reference. Were there medical services that you needed and that wasn’t covered by your policy? Or, did you find that your policy was too expensive and provided more coverage than you actually used?

Buying the right insurance is a delicate balancing act. While you need to ensure that you have the right amount of coverage for emergencies and general medical treatments, you also need to make sure that your insurance is affordable.

Health InsuranceEven with the most basic insurance package, you can usually expect to receive some essential health benefits. These are standard coverage items that come packaged with insurance, and sometimes there will be no additional fees associated with them (outside of your standard premiums/deductible).

The essential insurance benefits can include:

  • Drugs as prescribed by your doctor.
  • Hospitalization.
  • Ambulance services.
  • Emergency care services following an accident etc. (all insurance offers coverage for emergency care).
  • Rehabilitation coverage.
  • Lab services (for blood work, urinalysis etc.)
  • Pediatric services for infants, children, and adolescents.
  • Preventative screenings and immunizations.
  • Counseling and psychotherapy (limited circumstances, so be sure to check your policy).
  • Maternity care, including prenatal and postnatal care.

The above benefits are guaranteed when you purchase insurance that is federally backed. Some states design their own essential health benefits that are offered by insurers. It is important to check the essential benefits whenever you are comparing a policy. If you move around often, then you will need to look for any clauses that would impact your essential health benefits when you are traveling out of state.

Keep in mind that some insurers will offer extended essential benefits that are covered by the policy with minimal or no out of pocket costs at the point of service. If you purchase a premium insurance plan, then you can usually expect to receive extended benefits.

Preventative Services Can Vary from State to State

Preventative services are those designed to protect you from future health problems or to diagnose warning signs that you may be developing a disease or another medical condition. These services vary by age and where you live. States can mandate the basic preventative services that insurers must offer. Again, this is something you need to look at closely in your policy.

Examples of preventative services can include seasonal vaccination, HIV screening, breast cancer and cervical cancer screening, prostate cancer screening, and various cardiac tests used to screen for heart problems.

Coverage Outside of Your Policy is At the Insurer’s Discretion

Your policy will outline all the essential medical benefits, including screening services, as well as consultations and procedures that are covered in your policy. Of course, with medical care being highly complex, there will be times when you are referred for a type of medical service that is not explicitly outlined in your policy.

It is your doctor who ultimately decides what kind of treatment, screening, or procedure is needed in your unique case. If you are using medical services within the network of doctors and hospitals in your policy, then your doctor will have extensive knowledge of the available coverage. If you are going outside of the network (such as with a PPO insurance policy), then your doctor may not have the same kind of understanding of what is covered by your insurance.

Even though your doctor decides upon the care that you need, it will be your insurance company that decides what is covered by your policy. In some cases, care that is not specifically defined in your policy can still be covered. This is entirely at the insurer’s discretion. Insurance companies have extensive knowledge of medical procedures and can usually determine appropriate treatment paths based on medical coding in your health record.

While many people assume that insurers are simply out to make money, you could be surprised by the flexibility they can offer when it comes to your health.

Compare the Best Insurance Coverage Options for 2019

You can enroll for you 2019 health insurance between the 1st of November and 15th of December this year. Now is the time to start considering your options, and Mutual Health Partners is the best place to compare plans while getting access to the most affordable insurance.

Our licensed insurance specialists will present you with the ideal policies based on your needs and your budget. Buy cost-effective health insurance that gives you complete peace of mind today.

 

How to Get Affordable College Student Health Insurance

As a student, you will have the first-hand experience of stretching a limited budget to cover a significant list of expenses. Most students live modestly, whether they are living at home and commuting to school or living on campus and paying dormitory rent. With all the expenses that you have as a student, it can be easy to overlook some, such as student health insurance.

The importance of health insurance cannot be understated. As a student, it will be one of the most important things that you pay for in any given calendar year. If you are yet to decide on your student health insurance for 2019, then the following information will help you to understand why it is critical, what your options are, and where you can find the most affordable health insurance.

Is Health Insurance Compulsory in 2019?

For years in recent memory, health insurance has been federally mandated. If you weren’t insured, then you were (in a very technical sense) breaking the law. Heavy tax penalties were enforced for people who did not buy a health insurance policy, and these penalties were often costlier than simply buying insurance in the first place.

While the Affordable Care Act (colloquially known as Obama Care) is still in effect, you will no longer be penalized for not having student health insurance. While everyone is still technically required to have insurance, the IRS will not punish you if you don’t buy a policy.

Some students will read that information and assume that because there are no longer penalties, it’s OK to go without health insurance for 2019. This, quite simply, would be a huge mistake.

There are several significant disadvantages to not having health insurance. As a student, the risk is not worth it. Without insurance, you will find that:

  • Any medical emergency, even a small one, would be financially catastrophic, and could even put an end to your study in the immediate future.
  • You won’t have access to free immunizations and screenings.
  • You will have to pay for regular physician visits during the calendar year.
  • You won’t have access to specialist treatments and consultations, as you will likely have no means to pay for them.

It’s easy to feel invincible when you are young, and sometimes it seems as if any type of illness is a long way off. In reality, illness or a medical emergency could strike anyone at any time, and health insurance will provide you with a necessary safety net.

One of the leading causes of financial ruin in the United States is a lack of health insurance. Medical care is costly, and if you can’t immediately pay for services then it could end up taking a toll on your school life and may even compromise your ability to complete your study.

Do things right and do things smart by signing up for a college student health insurance plan for 2019.

What are Your Options for College Student Health Insurance?

Student Health InsuranceIn many cases, you will be able to obtain insurance through the school that you study at. Student health plans are designed to offer basic coverage and emergency coverage at the most affordable rates.

If your university or college offers a student health insurance plan, then that is the first option that you should consider. If you don’t have a plan available to you, or if you feel that the available plan is inadequate, then you do have other options.

If you are under 25 years of age and live in the same state as your family, then you can still receive coverage under the plan of your parents or legal guardian. Even if you are out of state, then you could still receive coverage, however, you will need to clarify this with the insurance provider. In some cases, there will be special conditions for out of state care. This could save you a significant amount of money if your parents are happy to pay the premiums.

If you are a student over 25, then you can buy your own college student health insurance from the open market.

The open insurance market will give you access to the same plans that are available to individuals throughout the United States. You could buy an HMO plan, a PPO plan, or even a Multiplan insurance policy. The right one for you will ultimately depend on your needs and your budget.

An HMO plan is one of the most affordable types of health insurance and is preferred by many college students. HMO plans are more affordable because all care is provided through a single closed network. This means that you will need to see a primary care doctor for a referral before any specialist consultations or treatments. HMO plans are inflexible and can be frustrating for families and people who travel often. However, as a student, the affordability could easily outweigh any inconvenience.

PPO plans are similar to HMOs. Your insurance will cover services from within a closed network. There is added flexibility because you won’t need to choose a primary care doctor. You also won’t need referrals for specialist consultations and treatments. The additional freedom with this type of plan can be beneficial, but it will come at extra cost. Ultimately, you’ll need to decide whether that cost is worth the convenience.

Compare All of the Most Affordable College Student Health Insurance Plans Today

Whether you want to learn more about HMOs, PPOs, or other types of insurance, you can compare all the best options with Mutual Health Partners. Our licensed insurance specialists can present the best plans for you to compare, allowing you to make an informed decision that is best for your unique needs and your budget.

Contact Mutual Health Partners today to secure the best college student health insurance for 2019.

 

Trumpcare Insurance for 2019 – How Much has Changed?

It’s critical to understand the differences between Obamacare and what has now become known as Trumpcare when you choose your health insurance for 2019. Although there is a misconception that the Affordable Care Act is no more, the reality is that very little has changed regarding your insurance options and the amount of insurance that you will need to buy to remain compliant with insurance rules.

If you are purchasing insurance for 2019, then the following information will help you to understand your options.

The Affordable Care Act is Still in Place, Despite the Name Change

Obamacare entered the public consciousness when the Affordable Care Act was first introduced. With President Trump’s election into office, there were several changes proposed that would make the Affordable Care Act more flexible for Americans.

The Affordable Care Act, as the name indicates, was designed to provide more affordable insurance for Americans. Those who were without coverage found that they were able to get better options when the Act was first passed into law. Because much of it remains intact, it is still possible to find affordable plans. The only key difference is that some of the changes could now make premiums higher for some individuals and families. While this may seem concerning, the reality is that the current structure is likely to work out better for your needs.

While some premiums will increase, there will be lower premiums for alternative healthcare plans. While the Obamacare version of the Affordable Care Act was quite stringent and only beneficial to a relatively small group of the population, the Trumpcare version of the act will mean that individuals can now try different insurance packages offered by private insurers.

The result is more choice, and potentially lower premiums when you want to purchase limited coverage that suits your needs. If you found that the rules under Obamacare were not suited to you or your family, then policies for 2019 will likely be much more appealing to you.

Do Private Insurers Still have to Follow Insurance Rules Set by Congress?

The changes with Trumpcare do not mean that insurers have complete freedom regarding the type of health insurance they offer. There are still some specific rules that all insurance companies must adhere to. As has been mentioned, and this is critically important; the Affordable Care Act remains in effect. There are subsidies for individuals and families on mid-income ranges, and states can still use elements of Medicaid to provide coverage for those in the lowest income ranges.

The key takeaway is that rather than forcing private citizens to buy insurance under Obamacare, there will now be more flexibility to look outside of the Affordable Care Act insurance market.

Healthy competition in the insurance market could lead to better overall health care plans that are more suited to unique scenarios. No family or individual has the same medical or insurance need, and Obamacare grossly overlooked this in many ways.

If you were concerned that president Trump’s efforts to change insurance rules would work out negatively for you, then you can set aside any fear. Any new rules implemented in the coming years are highly likely to benefit the population. Major changes will need to be passed into law by elected representatives, and there will also be a period of public discussion.

In short, if you are purchasing insurance for 2019, then the change from Obamacare to Trumpcare should not represent any real negative impact.

Subsidies Have Not Been Eliminated

Obamacare aimed to make subsidies available for certain groups of the population. These subsidies were never fully implemented by lawmakers and existed in a kind of legal grey area. Despite some of the news coverage, there are still heavy subsidies available in many different scenarios. Insurers also have incentives to provide discounts to qualified customers.

Overall, you are now more likely to be able to get the insurance that you need at a price that works within your budget.

The Key Facts When You Purchase Insurance for 2019

By now you have likely set aside most of your concerns regarding the change from Obamacare to Trumpcare, and any differences that might exist in the Affordable Care Act. As a quick point of reference, the following are the key facts that you need to be aware of as you are purchasing insurance for 2019.

There’s Still a Deadline for Purchasing Your Insurance – As always, there is still a deadline for signing up to your insurance. The difference is that the deadline has now changed from November 1st, to December 15th. This will give you more time to plan your insurance this year and compare all the different options that are available.

The Government Will Still Help – It is still possible to get assistance from the government when signing up for insurance through official channels. Nothing has changed from the rules that existed under Obamacare.

States Have More Freedom Over Insurance Rules – Outside of the private insurance marketplace, both Federal and State marketplaces will still exist. Some states will follow the Federal system, while others have the power to create their own. This will depend entirely on where you live.

You Can Still Enroll Through Healthcare.gov – If you won’t be purchasing on the private market then you can still enroll for health insurance through the official government site.

Private Market is Still Ideal for Most People

The differences between Obamacare and Trumpcare insurance have been largely overexaggerated. Although the President has proposed sweeping changes to insurance laws, there is yet to be any major laws passed in Washington. With the Affordable Care Act in place, those who need to can still purchase affordable subsidized insurance.

If you can afford private insurance and want the benefits of more flexibility, a higher level of coverage, and more freedom to customize your insurance package, then this is highly recommended. With Mutual Health Partners you can get expert advice and access to the most competitive health insurance plans from individual providers and networks. Talk to us today to start planning your 2019 insurance and have complete peace of mind knowing that you are prepared for the unexpected.

 

Are You Ready for Your Pennsylvania Health Insurance in 2019?

2019 is just around the corner. With the new year, comes the need to renew your Pennsylvania health insurance. The open enrolment period will begin on November 1st, and you will need to finalize your healthcare policy by December 15th.

This guide will help you to understand what is changing in the market and what you are entitled to with basic Pennsylvania health insurance. You’ll also learn how to choose the best insurance based on your needs, before comparing available policies with Mutual Health Partners.

Obama Care is Out, Trump Care is in: What Has Changed for Pennsylvania Health Insurance?

Before you even start to compare the different policies that are available for 2019 health insurance, you will need to consider the changes that President Trump has introduced through health and tax reforms.

To be clear, the Affordable Care Act (ACA) is still very much part of United States law. While the Obama Care era of the act has now passed, many of the provision created by the last administration are still in effect. For example, essential health benefits remain for Federal and State insurance plans. This means that you can expect a basic level of care and coverage, even on the most affordable health insurance plan.

President Trump’s largest change to the ACA was introduced indirectly, through tax reform. In recent years, you would be penalized by the IRS if you didn’t have an active health insurance policy. For 2017 and 2018, the cost of the penalty was typically higher than simply purchasing insurance. President Trump’s tax policy means that there is no longer any financial penalty for not having insurance – at least as far as the government is concerned.

No Individual Mandate Penalty? You Still Need Pennsylvania Health Insurance

While you won’t receive a penalty for not buying insurance, the actual impact on yourself, your family, and your finances could be high. Health care is notoriously expensive in America. For most families, shouldering the cost of medical expenses without insurance can be financially devastating. Health costs are a leading cause of bankruptcy in the United States, which is why the previous administration made it a priority to incentivize health insurance and create penalties for those who didn’t have it.

On paper, you could save money by not having an insurance policy. However, as soon as you need to visit a doctor, or if you have a medical emergency, then the savings would be immediately negated.

It simply makes better financial sense to have health insurance. Even if you are healthy and don’t often get sick, then health insurance will still be beneficial.

Essential Health Benefits Provided by ACA Compliant Health Insurance

Under provisions of the ACA, you will be entitled to essential health benefits under a basic health insurance plan. These benefits are surprisingly comprehensive, especially considering that they are the bare minimum of what most insurers are legally allowed to offer.

Essential benefits include ambulatory outpatient services, maternity services, mental health services including addiction rehabilitation, hospitalization, pediatric care including eye and dental care for your children, rehabilitation for injury or disease, screening for diseases, chronic health condition management, medication cost sharing, and laboratory services.

The exact amount of coverage you will receive is dependent on the plan that you buy. With high premium plans, the costs of medical care could be covered up to 80% or even 90% in some cases. On the most affordable plans, you will have higher out of pocket costs.

Choosing the Right Plan Based on Your Budget and Your Health

Pennsylvania Health InsuranceWith Mutual Health Partners you will discover the most competitive Pennsylvania health insurance plans that are available for 2019. Of course, the “best” insurance for you will be dependent on your needs.

Health insurance in Pennsylvania is offered in different tiers. These are based on a metal rating system to keep things simple for consumers.

  • Bronze insurance coverage is typically the lowest available tier. You will enjoy low premiums, but the deductibles will be higher. Bronze insurance typically covers 60% of medical costs.
  • Silver insurance will require higher premiums, but the out of pocket costs will be lower. This insurance can cover up to 70% of costs in most cases.
  • Gold insurance is again a step up, offering 80% of cost coverage for higher premiums.
  • Platinum insurance may not be available from every insurer. This is the highest tier where cost coverage can be up to 90% in the best-case scenario. You will pay the highest premiums for this type of plan.

At first glance, you might assume that the most affordable (Bronze) plan would be the best to go for. However, this is only true in specific scenarios.

If you visit the doctor often throughout the year, for an existing medical condition or for regular specialist visits, then a low premium plan could become extremely costly. With Bronze insurance, you would end up covering most of the costs yourself.

With a higher premium plan, your monthly costs would be more, but you would have better coverage for regular visits to a doctor or specialist.

Get the Best Options from Mutual Health Partners

Enrolments for 2019 Pennsylvania health insurance are approaching. It’s time to make a decision for the year ahead. If you haven’t started comparing your options, then it’s time to talk to the experts at Mutual Health Partners.

Based on your needs and your budget, we can offer policies from the most reputable insurers in the state, with the best coverage that is available under current law. With a health insurance policy, you will have complete peace of mind, and you won’t have to worry about the “what if” when it comes to your health.

Talk to us today and ensure that you and your family are covered for 2019.

 

Comparing the Best Health Insurance for Entrepreneurs

The enrolment period for 2019 health insurance is coming up fast. If you aren’t prepared, then you could end up choosing a plan that doesn’t meet your needs. If you want to be fully covered for 2019, then it’s time to start considering your insurance options.

As an entrepreneur, your finances are probably tighter than the average individual or family. Income needs to be saved or reinvested into your business. It’s easy to overlook your healthcare, but this is a dangerous move.

If you don’t have health insurance for entrepreneurs, then you will not only be required to pay the insurance penalty, but you could find yourself in a crushing financial position if you need to shell out for health care. Insurance is always the best option, and it is surprisingly affordable when you know what to look for.

Your Options When You Need Health Insurance for Entrepreneurs

When you choose the right health insurance plan you will end up better off financially, without worrying about penalties or any significant costs should you need care throughout the 2019 calendar year. The following are some creative suggestions, all of which have been used by entrepreneurs to cut down their health care costs in recent years.

Choosing Catastrophic Health Insurance for Entrepreneurs

The Affordable Care Act introduced by President Obama created some unique healthcare plans that weren’t previously available. Most of the ACA remains in effect, even with some of the changes that have been made by the current administration. Catastrophic health insurance for entrepreneurs is still one of the best options if you are in good health, and simply want reliable insurance for emergency situations.

Plans of this type are designed to give you coverage in scenarios of sudden illness or when an accident occurs. These plans comply with the minimum requirements under the ACA, so you won’t be subject to any tax penalty. The basics include prescription medications, preventative health services, and emergency coverage.

On a plan like this, you will need to shoulder initial medical costs, up to a high deductible. In most cases, this is around $1500, $2000. The benefit is that your monthly premiums will be much lower than other plans, which makes catastrophic health insurance for entrepreneurs one of your best options. If you have not needed a significant amount of health care in the last five years, then this could be the best plan for you.

There are also simple benefits covered by insurance in most cases, even if you haven’t reached the high deductible. Benefits can include completely free preventative services such as disease screening and immunization, as well as up to three visits to a primary care provider in a calendar year.

There’s only one caveat with this plan, which is the age limitation of 30 years. If you’re a young entrepreneur under the age of 30 then this is one of the most compelling plans you can choose. If you are over 30 then you will need to consider more traditional health insurance policies.

Protecting Yourself with HSA Health Insurance for Entrepreneurs

Health Insurance for EntrepreneursAnother popular option with entrepreneurs is a Health Savings Account, otherwise known as HSA. This is tax-free savings account that you can use when you are enrolled in a high-deductible health plan. In most cases, you will be able to combine emergency/catastrophic health insurance for entrepreneurs with an HSA account.

When you make deposits into medical savings account they will be tax-free. These funds accumulate and roll over to the next calendar year. The benefit of opening this type of account is that you can continually build your funds which can then be used in times of medical emergency. Unlike traditional insurance, there will be fewer limitations on the type of treatments and consultations that you can use the money for.

Investing in an HSA is actually an investment in your future. Even though you may not need regular healthcare today, there could come a time when you will need to fall back on your insurance and your savings. An HSA allows you to build a type of safety blanket, and the longer you keep your account, the more money you will have available.

If the funds are used for qualified medical expenses, then you won’t pay any tax on the withdrawals. You can even use funds from an HSA in a non-medical emergency, however, your withdrawals will be subject to tax.

Standard Health Insurance for Entrepreneurs

If you are an entrepreneur without employees, then you may want to consider insuring yourself under simple plans that are used by the public. A highly affordable HMO plan could give you a high level of medical coverage with low premiums. You will have to get your medical care from within the HMO network, so this is not the best one to consider if you travel often.

Another popular option for entrepreneurs is PPO insurance. Medical costs are covered with the best deductible rates when you get care from within the network. The difference with this type of plan is that you can still get some coverage when you go outside the network, although there will be a higher deductible.

A PPO is often preferred for entrepreneurs who travel often, as there will be more freedom to visit medical facilities that are outside of the preferred network.

Multiplan health insurance for entrepreneurs is another possibility. This type of health insurance offers coverage through a vast network of providers, potentially creating options no matter where you are in the United States. Multiplan currently operates through a network of more than 4000 facilities and over 500,000 practitioners.

Have Peace of Mind with Health Insurance for Entrepreneurs

Crippling medical costs are a leading cause of bankruptcy in the United States. When you are an entrepreneur, you should never risk your business by ignoring the benefits of health insurance. When you have the appropriate coverage, you won’t need to worry about the unexpected, and can instead focus on growing your business.

Mutual Health Partners can provide the very best coverage options when you need health insurance for Entrepreneurs in 2018. Affordable plans with the right amount of coverage are ready for you to compare. Talk to our licensed insurance experts and be ready for the enrolment period this year.

 

California Health Insurance for 2019 – Individuals and Families

There has been plenty of confusion in the health insurance market throughout 2018. While President Trump has promised to overturn the “Obama Care” era of the Affordable Care Act (ACA), the reality is that most of the provisions remain in place. The only key difference is that there is no longer a tax penalty for those who aren’t covered by health insurance.

Does this mean that you don’t need to purchase California health insurance for 2019? Absolutely not. Health coverage is one of the most important purchases you will ever make, whether it’s for 2019, or any year in the future. When you have health insurance you have peace of mind and options for you and your family.

If you’re starting to think about insurance for 2019, then this guide will help you to understand what’s available and what has changed.

The Elimination of a Tax Penalty Doesn’t Mean You Should Stop Coverage for 2019

President Trump’s biggest change to the ACA was his elimination of the individual mandate rule. Up until 2018, every American was required by law to hold an insurance policy. From 2019 onwards, the individual mandate is no longer applicable. This means that you won’t be penalized by the IRS for not having health insurance.

Medical costs in the United States are some of the most expensive in the world. If you are uninsured, then the cost of unplanned medical care could leave you financially devastated. In some cases, not having insurance could lead to bankruptcy.

Regardless of tax reforms, you need health insurance so that you have coverage available in the worst-case scenario.

California Health Insurance Provides Significant Benefits, even if You Don’t Get Sick

There’s much more to health insurance than emergency care. Every health insurance policy provides coverage for emergency services. This is true even if you go outside of your provider’s network. In addition to this, there are other essential benefits that you could utilize in 2019.

The most basic medical coverage can offer:

  • Seasonal vaccinations.
  • Screenings for disease, based on your age.
  • Psychiatric care services.
  • Ambulatory services.
  • Maternity care.
  • Prescribed medicines.
  • A pre-determined number of primary care consultations each year.

These are just some of the essential coverage options that are guaranteed by the Affordable Care Act. Of course, when you purchase a policy, you will also get coverage for specialist visits, hospitalization, and ongoing medical care for any condition or disease that you might develop during the policy. The exact amount of coverage will depend on the policy you purchase, so you will need to carefully compare your options to find something that works for you.

How the “Metal Rating” System Works

Many of the largest California health insurance providers use the “Metal Rating” system to advertise their insurance policies. From Bronze to Platinum, the type of plan usually has a direct impact on your out of pocket costs when you need medical care.

Based on an average of insurers around the United States, this is what you can expect from each type of plan:

  • Bronze California health insurance typically covers up to 60% of your medical expenses. The remaining 40% will be out of pocket cost.
  • Silver health insurance will have a higher premium, but 70% of your costs will be covered, while you pay the remaining 30%.
  • Gold plans typically pay up to 80% of your medical costs in exchange for a higher monthly premium.
  • Platinum plans are the top tier, covering up to 90% of your health costs, drastically reducing your out of pocket expenses.

In addition to these ratings, there is also Catastrophic California Health Insurance available. These plans have extremely low premiums but attract higher out of pocket costs. The coverage is typically less than 60% of your total medical bill. Catastrophic health insurance was designed for those on low incomes, or for people who rarely get ill. You need to be under 30 years of age to qualify for this type of insurance.

HMO Plans Could Become More Popular in 2019

California Health InsuranceWith changes made by the current government, California health insurance premiums could rise by an average of 9% or higher in 2019. This will mean that some plans will start to drop in popularity.

PPO California Health Insurance is an option that you will have for 2019. This plan, meaning Preferred Provider Organization, allows you to receive treatment at any medical facility and receive some coverage. The insurance company will pay for more of your expenses if you visit a doctor within their network. You will shoulder most of the cost if you go outside of the network. These plans have been popular for flexibility, but they may fall out of favor due to higher premiums in 2019.

HMO California Health Insurance, otherwise known as Health Maintenance Organization, is a less flexible type of insurance where you will only receive coverage from within the HMO network. You will need to get care through a primary care physician (PCP) and will only receive coverage for specialist consultations and treatments if it is approved by the PCP. HMO insurance is highly affordable, which makes it attractive even if it is less convenient than other types.

You will also have options like POS (Point of Service Insurance), and even Multiplan Insurance (similar to an HMO). Licensed insurance professionals will help you to discover which is right for you.

Compare the Best Insurance Plans for 2019

To find the right insurance you will need to compare different policies while keeping your needs in mind. A high-premium policy could be ideal if you regularly visit doctors and specialists. A more affordable Bronze or HMO plan would be better if you are in good health and don’t expect to receive coverage during the 2019 calendar year.

Mutual Health Partners can present the best available policies based on your needs and your budget. We can make choosing insurance easy, giving you complete peace of mind from knowing that you are covered.

California health insurance for 2019 is just as important as ever. Talk to our licensed insurance professionals to find the perfect policy for you and your family.

 

 

Find the Best Georgia Health Insurance for 2019

Health insurance is one of the most important purchases that you will make this year. With the open enrolment period coming up soon, it’s time to compare your Georgia Health Insurance options to find a plan that is both suited to your needs and your budget.

With Mutual Health Partners, you can discover the very best policies for any situation. There will be some minor changes in the marketplace next year, and this helpful guide will be the best starting point to ensure that you are covered for 2019.

Is the Obama Care Era of Health Insurance Over?

For the last few years, you’ve probably been familiar with the Obama Care health insurance rules. Formally known as the Affordable Care Act (ACA), Obama Care is still very much a part of the insurance landscape. There will be minor changes to the rules, but the simple fact is that you will still need health insurance in 2019 if you want complete peace of mind.

The biggest change for the upcoming year is that there will no longer be any Individual Mandate Penalty from the IRS. In previous years, you would be subject to a costly tax penalty if you didn’t have an insurance policy. Even though you won’t be penalized for not having insurance in 2019, it still makes sense to purchase a policy.

Certain provisions of Obama Care, such as essential health benefits, will still be utilized by Federal and State insurance programs. For Georgia health insurance, you can expect to receive the following benefits, even on the most basic policies…

  • Ambulatory services, such as outpatient services.
  • Emergency services resulting from accident or incident.
  • Hospitalization (the duration and amount of coverage depends on your plan.)
  • Maternity and newborn care. Otherwise known as pre and post-natal care.
  • Prescription medications (endorsed by your doctor.)
  • Mental health services including substance abuse services.
  • Laboratory services (blood tests etc.)
  • Pediatric services. This includes dental and vision services for your children or dependents.
  • Preventative service or disease management services, including screening.
  • Rehabilitation services following disease or injury.

As you can see, the essential health benefits are quite extensive. Even the most basic Georgia health insurance will offer coverage for all the categories listed above. Even if you don’t get sick throughout the year, you can still gain value from the essential health benefits. Screening services can help to prevent future diseases and illnesses, and they are determined by age, so you will always get the best tests for the most common risks. If you have children, then pediatric services will be particularly beneficial, even for routine visits with a primary care physician.

The tax penalty for not having insurance may be abolished, but the real impact of not having health insurance can be severe. Always provide a safety net for you and your family by purchasing Georgia health insurance each year.

Is Georgia Health Insurance Going to Cost More in 2019?

Georgia health insuranceDue to changes made by the current administration, health insurance premiums are going to increase in 2019. The exact amount will vary from state to state, and from insurer to insurer. Depending on the type of insurance you need, you may not be impacted by the increased premiums.

If you are purchasing a “Bronze” insurance plan, then premiums will actually be less than those for 2018. If you are purchasing “Silver” or “Gold” tier health insurance for 2019 then the increase is likely to be between 7% and 10%. Note that these changes don’t take any applicable tax credits into account. Due to current tax breaks for families and individuals, you will likely come out slightly better off when all your finances are taken into account.

The Obama Care rules have been relaxed in some areas, so it is now possible to buy emergency health insurance that only provides a bare-minimum amount of coverage. This would be the most affordable type of insurance if you are under the age of 30 and rarely get sick.

Premiums vs Deductibles, Choosing Health Insurance Based on Your Needs

When you compare your Georgia health insurance options for 2019, you will have to decide between high deductibles or high premiums.

  • With a high deductible plan, you will pay more out of pocket costs for medical services. If you don’t visit the doctor often and are in good health, then this could be the most affordable type of plan for you.
  • With high premiums, your deductibles would be less, which could work out better over a year if you visit the doctor and use specialist services more often.

The best health insurance for you depends on your unique scenario. You should consider your current health, your age, and your recent medical history as you are choosing a plan. In some cases, it can be more affordable to pay higher premiums with lower deductibles for regular visits. If you’re young or otherwise healthy, then you’ll spend less money with high deductibles and low premiums.

As with many things in life, there is not a “perfect” plan for everyone. If you want to find the best policy based on your unique needs, then it’s time to talk to the experts at Mutual Health Partners.

Protect Yourself and Your Family with Georgia Health Insurance

The private marketplace open enrolment period will begin on November 1st, and you must purchase your health insurance by December 15th. This will the give you coverage from January 1st, 2019, up until January 1st, 2020.

Mutual Health Partners is the best place to compare different policies. With the help of our licensed insurance experts, you can gain access to the most affordable plans with the perfect level of coverage for your personal or family needs.

Don’t leave yourself at risk in 2019. Georgia health insurance provides a financial safety net while ensuring that you can get the necessary medical care whenever you need it.