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.

 

2019 Healthcare Insurance Will Provide Better Healthcare Options

For every year in recent memory, if you didn’t have health insurance, then you were breaking the law. The individual mandate penalty was a part of the affordable health care act that was designed to incentivize health insurance. Without insurance, you would be subject to a significant fine when filing your income taxes. For most people in 2017 and 2018, the penalty was more expensive than simply buying insurance, and because of this, there were record numbers of individuals and families who were covered by both federally backed and private insurance plans.

In 2019, the Affordable Care Act remains in effect, but the individual mandate penalty has been eliminated. Next year will be the first year in recent memory that you could not have health insurance and receive absolutely no tax penalty for it.

Of course, this doesn’t necessarily mean that it is smart to forego buying a health plan for 2019. There are significant advantages that come from having a health insurance plan, with better health care options being one of the most important.

How Does Health Insurance Give You Access to Better Healthcare Options?

If you rarely get sick and if you have not used your insurance in the last two years, then you might be wondering why you should even bother buying a plan for 2019. You might think that ignoring health insurance will save you money, especially considering that you will no longer be required to pay a tax penalty.

This is a dangerous line of thinking, as it leaves you with no options should you need emergency care or any type of care for an illness or disease that you develop. Health insurance is a safety net that ensures you have the right healthcare options when the unexpected happens.

Medical bills are a leading cause of bankruptcy in the United States. This is one of the reasons why the ACA had the individual mandate penalty in the first place. By incentivizing the purchase of insurance, people would be at less risk of receiving crippling medical bills. Although many were unhappy the government essentially forced the nation to buy insurance, the fact is that many people came out better off.

What Would Happen Without Healthcare Options?

Healthcare Insurance Imagine a situation where you are involved in an accident and require immediate medical care. Following the initial care, you may require an extended hospitalization period or rehabilitative treatments. You would likely require medications and follow-up visits with consultants and specialists. Without health insurance, this type of medical emergency could put you into tens or hundreds of thousands of dollars of debt. Unless you are a very wealthy individual, this would no doubt be utterly catastrophic for your finances.

Now compare that situation to one where you do have health insurance. Your emergency care would be covered, as would most of your hospitalization and any necessary treatments. Medications can be covered by insurance, and so can follow-up consultations. Even if your health insurance wouldn’t cover the entire cost of the treatments and consultations that were needed, the financial impact on you would be significantly less than if you didn’t have insurance.

Quite simply, your health insurance would protect you from the unexpected and ensure that you have options in any event. Whether it’s a vehicle accident or any other medical emergency; health insurance will give you peace of mind.

While you may assume that it is more affordable to just forego the purchase of a health plan, the reality is that any type of medical emergency, even a relatively minor one, would still be more expensive than the money you save from not having insurance.

A Health Insurance Plan Could Give You Alternate Healthcare Options

Emergency and primary care are not the only reasons why you should purchase a health insurance plan for 2019. A flexible plan could mean that you have healthcare options from different facilities and physicians. An HMO, for example, is rigid and would require you to visit facilities and practitioners from within a single network. However, you could choose something like Multiplan insurance to give you more health care options from a large network of different practitioners and facilities.

Some premium healthcare plans will give you even more flexibility, allowing you to choose any doctor that you like, and you would be able to get specialist consultations and procedures without the need for referrals.

These are the kinds of healthcare options that make insurance so worthwhile, and there’s really no reason why you shouldn’t enroll for an affordable health insurance plan at the end of this year.

How Can You Find the Best Insurance with the most Extensive Healthcare Options?

The only way to ensure that you are getting the best plan is to compare the offers that are out there. There is no single plan for everyone, as different types of insurance coverage are suited to people in different scenarios. There are some things that you will need to keep in mind as you choose, such as:

  • How much you can spend on insurance.
  • Whether you need out of network care or if you are happy to remain within a single provider network.
  • How many people you are buying insurance for.
  • Any pre-existing medical conditions you have.
  • Your recent medical history.

With Mutual Health Partners, you will be able to compare the very best health insurance plans available today. With the assistance of our licensed insurance agents, you could buy healthcare options for 2019 that protect you from financial hardship.

Whether you need simple coverage and are in good health, or if you want to buy specialized coverage for long-term care or any other reason, then being able to compare options from the best insurers will enable you to make the right decision.

Talk to the experts today and be ready for your healthcare needs in 2019.

 

 

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.

 

Have You Prepared Your 2019 Health Insurance?

When it comes to the wellbeing of yourself and your family, health insurance is one thing that you literally cannot afford to be without. Not only does a lack of health insurance mean that you will end up paying more in tax penalties, but not being insured could also leave you and your loved ones without options if you need treatment for an illness or in an emergency.

The new year is approaching fast, and that means that it’s time to start considering your 2019 health insurance options. By looking early, you will have more time to consider the different plans that are available and find the one that is perfect for your needs and your budget.

What’s the Cutoff Date for 2019 Health Insurance?

The 1st of November marks the first day of the enrollment period, so make sure you set a reminder for yourself. This will give you enough time to compare any plans that you discover in the final weeks of the year.

The enrolment period will last up until December 15th. It’s critical that you decide upon your insurance and purchase it by this date. This will ensure that you have coverage from January 1st, 2019, right up until December 31st of the same year.

The cutoff date has been changed for 2019 health insurance, so you’ll find that you have a bit more flexibility than in previous years. Even so, don’t wait until the end of the cutoff date to purchase your insurance. Start researching the plans that are available to you now, and this will make for a much easier decision when it comes to the enrolment period.

Have There Been Any Rule Changes?

There has been some confusion in the 2019 health insurance marketplace, particularly in terms of Obamacare vs. Trumpcare. Many people are familiar with the Obamacare system. Officially known as the Affordable Care Act, most of what we called Obamacare is still in place. Although President Trump has proposed some sweeping changes for health care, there are yet to be any new laws passed that would fundamentally change the system.

The only major differences for 2019 health insurance will be the abundance of plans available. Private insurers now have some more flexibility to offer competitive health insurance coverage at discounted rates. Insurers can offer low-cost health insurance that is more competitive than plans that are compliant with the old Obamacare era. Plans would be short-term, ranging from 12 to 36 months.

Although these plans will be less comprehensive than the Obamacare plans that people are used to, they will at least be much more affordable, which could make them ideal for people who don’t traditionally use their insurance in a calendar year.

Have You Considered What Kind of 2019 Health Insurance You Will Need?

There are millions of Americans who simply purchase the same health insurance plans, year after year. Many people get comfortable dealing with a single insurer, and for some of them it works out.

However, there are plenty of cases where staying with the same insurer is a bad idea. In terms of saving money, staying with the same insurer probably means ignoring what’s available on the market. Re-signing for the same plan every year could also mean that the coverage is outdated. Needs can change, and, as we age, our medical needs typically increase.

If you aren’t reviewing your policy every year then you could be exposing yourself to unnecessary risk. First is the risk of spending too much on a policy, and the second is the risk of paying for 2019 health insurance that doesn’t meet your needs.

Premiums and Deductibles and How They Impact Your Health Insurance

There are two critical elements of every health care plan that will determine how affordable it is.

  • The first and most important figure to note is the monthly premium. This is essentially the cost of the insurance if you didn’t need medical services in that month. Higher premiums typically mean higher overall cost of insurance, but this also depends on how much you will pay for deductibles.
  • The deductible on a policy is the amount of money you are expected to cover for your medical care before your healthcare plan kicks in.

The relationship between an insurance premium and deductible is important. If you have a history of requiring regular medical care, then a policy with a high premium and a low deductible will be ideal. This is because you would pay more every month, but you would have less out of pocket expense when you need to visit the doctor or receive treatment that is covered by your plan.

If you don’t visit the doctor often, and if you don’t have any existing illness or other medical condition, then a low premium with a high deductible would usually be best for your situation. You would save money by reducing your monthly spend, and if you only require a couple of doctor’s visits in a calendar year, then you will ultimately come out better off.

It’s all about finding the right balance when you choose 2019 health insurance.

Find the Perfect 2019 Health Insurance Plan with Mutual Health Partners

Everybody needs insurance. Not only will the right plan give you access to essential medical care and a safety net when you need it, but, insurance is also the law. You’ll incur significant penalties if you are uninsured, making it a much better idea to research your options and find a plan that works.

With Mutual Health Partners, you will have access to the best insurance plans for 2018, no matter what kind of coverage you need. Whether it’s a PPO with low deductibles, a more flexible POS insurance plan, or even an affordable HMO plan, we can give you the best options to compare, from America’s best insurers.

Trust Mutual Health Partners to help you find the right insurance for 2019. With the enrollment period coming up soon, now is the best time to talk.

 

 

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.

 

Individual Health Insurance for 2019

Whether you live alone, in a roommate situation, or even if you are an adult living with family, you will be responsible for your own medical care. Individual health insurance is one of the most important things that you will buy every year. It ensures that you have coverage for the unexpected, and it also prevents you from falling on the wrong side of the law.

If you haven’t yet started comparing your health insurance options for 2019 then now is the time to start. Enrolment period is coming up soon, and there will be some very real consequences if you don’t arrange your health insurance before December 15th this year.

When is the Enrolment Period for Individual Health Insurance?

The enrolment period has changed for 2019. For most people, the new dates will be more flexible. Enrolments begin on November 1st and continue up until December 15th. Your coverage will run from January 1st, 2019, up until January 1st, 2020.

Although you can’t yet purchase your insurance for the next calendar year, you can start to research the options that are available. Mutual Health Partners can help you to find the perfect individual health insurance plan for your needs, no matter what your budget is.

The earlier you start comparing the plans that are available, the better prepared you will be for enrolment season and the year ahead.

Are Individual Health Insurance Plans Different to Other Plans?

Individual Health InsurancePurchasing insurance for yourself is not fundamentally different from purchasing for a couple or even for a whole family. Of course, you will have benefits like less expensive insurance, and there will be some differences in how you choose the insurance.

As an individual, you are probably more flexible than a family or a couple, which means that you could save money by choosing insurance that most families wouldn’t.

  • An HMO individual insurance plan could be ideal if you are single, you don’t travel a lot, and you are in good health and don’t have any existing medical conditions. With an HMO you will always need to have your treatment from within the network. As an individual, this would likely be less inconvenient than it would be for a family.
  • An Exclusive Provider Organization or EPO plan is another good option for individual health insurance. Like an HMO, your coverage will be limited to the inside of a specific network. The benefit is that premiums will usually be much cheaper than other plans, such as a PPO. Again, an EPO is not overly flexible, but if you are in good health then this might not be a problem.

When you purchase individual health insurance you will get access to the same providers and plans that families use, with the bonus being that your insurance will be much more affordable. With new rules introduced by President Trump, you may even find that your 2019 individual health insurance is even more affordable than the previous year, depending on the plan that you choose.

What to Look for When You Choose a Health Insurance Policy

At Mutual Health Partners we can provide you with access to several policies that are suited to your needs. This will allow you to compare different options from different insurers, with different types of coverage.

To make the right decision you will need to know what all the individual components of insurance are. There are also some simple tips that you can use to help distinguish between different policies, particularly when comparing between several different insurers.

  • Plans are often marketed under Bronze, Silver, Gold, and Platinum categories. Many of the largest insurers use these designations. Think of these terms as being indicators of the quality of the plan. A Bronze plan would provide the most basic coverage (usually for the lowest cost), whereas a Platinum plan would include comprehensive coverage for higher premiums.
  • Look at more than just the premiums. The total cost of insurance includes the premium as well as any deductibles. It’s important to find a balance between the two. If you generally don’t get sick and haven’t visited a doctor in the last year, then a low premium/high deductible plan would be best for you.
  • If you have a history of numerous medical consultations and procedures required within a calendar year, then you will likely get more value from a high premium/low deductible plan.
  • Remember, a deductible is what you will pay as out of pocket expense whenever you receive medical care.

You’ll also need to remember the different types of insurance and what they are. At Mutual Health Partners we have covered the different plans extensively, and we recommend that you read all our resources so that you are fully up to date with all insurance terms. As a quick refresher for your individual health insurance, most plans will fall under the following categories:

  • HMO – A Health Maintenance Plan gives you coverage under one provider network and all care must go through a Primary Care Physician.
  • PPO – A Preferred Provider Organization plan will give you coverage through a network of preferred providers, while also offering some coverage for consultations and care provided outside of the network. The biggest savings (lower deductibles) come when you get care inside the network.
  • EPO – An Exclusive Provider Organization plan is like an HMO. Insurance is only covered within the exclusive network.
  • POS – A Point of Service plan is another type of plan where insurance is only provided for within the network, and all care must be approved through a primary physician.

Discover the Best Individual Health Insurance Plans Today

With Mutual Health Partners, you will have the easiest way to compare the plans that are available today. Get access to the most affordable health plans with the most comprehensive terms. Whatever you are looking for in an individual health insurance plan, we can help you to get the right one.

Contact us today to begin the consultation process and prepare yourself for 2019.

 

Frequently Asked Questions for Texas Health Insurance in 2019

A new year is approaching, and that means that it’s time to start considering your healthcare options. In 2019 there will be some changes to the way that health insurance is offered in the United States, most specifically relating to the Affordable Care Act and penalties for not holding an insurance policy. There are also aspects of the system that have not changed at all, and you will need to know about these if you are to choose the right healthcare plan.

If you are looking ahead to the November enrollment period, but still have some questions about Texas health insurance in 2019, then this is the guide for you.

When is the Health Insurance Open Enrolment Period for 2019?

The enrolment period for Texas health insurance has changed. For the 2018/19 period, you could buy insurance as early as November 1st, and up until December the 15th. This allows for more time in the consultation period and could help people to make better decisions about their insurance.

Keep in mind that you can start comparing your options even before the open enrolment period. With Mutual Health Partners, you could start talking to a licensed insurance professional at your convenience, allowing you to make the most informed decision when November comes.

How Much of the Affordable Care Act Remains in Place?

Despite some of the headlines you may have seen in the last year, the Affordable Care Act is still well and truly in effect. President Trump made some changes to the insurance rules, but these did not completely overturn the ACA.

As with recent years, there is a limited open enrolment period to purchase your Texas health insurance on the private market. The rules around minimum essential insurance are also still in effect, although there will be some slight changes in the policies that are offered by insurers. People on the lowest income may be able to find better basic insurance coverage than in previous years.

The Individual mandate was the most significant part of the act to be repealed, although this was done indirectly, through a change to tax law.

Is There Still a Tax Penalty for Being Uninsured?

In 2019 there will no longer be any penalty for not having health insurance. The individual mandate no longer exists, so the IRS won’t be applying any tax penalties to citizens.

This can create some confusion, particularly when it comes to the need for insurance. It’s easy to assume that since you aren’t required to buy insurance, that it is ok to go without for 2019. This wouldn’t be the wisest decision.

Insurance gives you a financial safety net in medical emergencies. You also get access to essential care that could be costly if you didn’t have insurance. Even if you don’t often get sick, you can get an affordable Texas health insurance plan that will give you real benefits you can use throughout the year, such as health screenings and seasonal vaccinations.

What Care is Guaranteed as Essential Medical Cover?

You will be guaranteed essential benefits when you purchase ACA compliant Texas health insurance for 2019. In Texas, the benefits include maternity care, mental health services, substance use/rehabilitation services, preventative care, and pediatric care (including coverage for both dental and vision in most cases).

These essential benefits create an incentive to purchase a health insurance plan, even if you don’t get sick often. They are particularly important if you have a family and children under the age of 18.

Will Insurers Still Use the “Metal Rating” System?

Texas Health InsuranceMany of the largest insurers use a rating system based on metal. The quality of the plan is linked directly to the value of the particular metal. You will likely be familiar with these from past insurance plans, as well as from different types of insurance, such as home and vehicle insurance.

  • Platinum is the highest rated plan, usually offering 90% coverage of medical costs.
  • Gold is just below, offering up to 80% coverage.
  • Silver plans typically offer up to 70% coverage of medical costs.
  • Bronze plans have the lowest premiums, but they only cover 60% of medical costs.

The higher the coverage, the higher the premiums. If you get sick often or if somebody in your family requires regular care, then a higher premium plan will be better, as you will ultimately save money from the low out of pocket costs. If you are on a budget and in good health, then a Bronze plan could give you emergency and essential coverage for a lower premium.

Will Texas Health Insurance Costs Increase in 2019?

Yes. Health insurance costs could increase by up to 10% due to changes made by the current administration. Texas will be one of the hardest hit states in the country. Cost-sharing subsidies have ended for lower-income families, meaning that more than half a million Texans will no longer get government support for their insurance. Overall, ACA compliant plans could increase by 20.2%.

The increase can be offset by purchasing a low-cost insurance plan.

Will the Popularity of Current Products Change?

Due to the cost increases, many families will change the type of plan that they purchase. PPO insurance has been popular up until this time, due to flexibility and freedom to receive treatments without primary care referrals. With insurance becoming more expensive, HMO plans are likely to become more popular. These plans offer excellent care through closed networks, so there is less freedom when choosing doctors. The tradeoff of convenience for low cost will be accepted by most families and individuals.

Ultimately, the decision will depend on you and your budget.

Get the Best Advice When You Buy Texas Health Insurance for 2019

Texas is in a similar position to most states. Premiums are rising, so families may need to make changes to the insurance products that they buy. The plus side is that those with low medical needs will no longer be limited to ACA compliant policies. Low-cost insurance and catastrophic insurance could now make much more sense.

The only way to make the right decision is to compare the different options that are available. With Mutual Health Partners, you will gain access to the best and most affordable Texas health insurance for your unique needs. Talk to our licensed experts today and take confidence knowing that you are covered for the year ahead.