INSURANCE PLANS


Have you read the previous pages - It's a Company..., Your Medical History, and Prescriptions?  If not, go back now.  Those pages will teach you: 
  • How insurance companies price your insurance policy...It's A Company...
  • How the insurance companies obtain Your Medical History
  • How to communicate with a prospective insurance company that helps you
    obtain the best premium price
  • How to find quality generic Prescriptions from legitimate overseas pharmacies

Only after you've read those pages are you ready to...    

CHOOSE THE RIGHT INSURANCE PLAN

If you are not covered by large group insurance, there are two insurance options available to you - Small Group Insurance and Individual Insurance

Small Group Insurance

The Small Group Insurance option is available only when two or more persons are employed with a company that is NOT a sole proprietorship.

In addition, your company will need to be generating paychecks and reporting employee earnings to your state Workforce Commission for three consecutive months in order to qualify for a quote on Small Group Insurance.

Small Group Insurance

Small Group Insurance can work for "mom-n-pop" companies, where the principals are a husband-and-wife work team, and with companies consisting of two or more non-related employees.

ADVANTAGES:  The law requires group health plans to cover any pre-existing conditions; individual plans can be treated differently.  Therefore, if you own your own business, and you or a family member has a pre-existing condition which requires frequent expensive treatment and/or prescriptions not easily accessible from an overseas pharmacy, then Small Group Insurance  may be a better fit than Individual Insurance

Other advantages to Small Group Insurance:

  • Easy transition from large group or COBRA to new plan
  • The plan is expandable if you are planning to hire new employees
  • Fewer exemptions on medical conditions that are covered by plan

PRIMARY DISADVANTAGE:  COST. There is no getting around the fact that these policies are more expensive, since there is an understanding that the insurance company will be absorbing the costs of any "pre-existing conditions".

Individual Insurance

If you are a sole proprietor, have a two-person husband-wife business, or are otherwise not covered by either small or large group insurance, AND you and your family members are generally healthy (or report your future usage of insurance accordingly), you and your family should be able to qualify for Individual Insurance.

You do not have to generate paychecks or report earnings to your state Workforce Commission to qualify.  These policies are meant to cover anyone that both qualifies for the policy, and will pay the premiums.

PRIMARY ADVANTAGE:  COSTThese policies are almost always the best value in insurance, offering more coverage dollar-for-dollar than most group policies. 

DISADVANTAGES:  Pre-existing conditions are a big issue when applying for Individual Insurance.  Some pre-existing conditions, if you report them, (see the page Your Medical History), may disqualify you for individual health.  And if you expense any unreported conditions through your individual policy, you then run the risk of having your policy terminated.  So proceed with caution!

Other disadvantages:

  • Prompt payment mandatory!  You can be dropped from coverage if you
    don't pay your policy on time
  • Longer list of medical conditions and procedures NOT covered by insurance
  • Not expandable with your business.  Works best for husband-wife work
    teams, sole proprietorships and individuals.

I personally found these sites helpful in locating the right type of insurance.  Please visit:

  Think You Can't Afford Quality Health Insurance?

 

There are also other helpful insurance quote sites on the right side bar, as well as quotes for Alternatives to Health Insurance - Re-Pricing Plans, Discount Cards & HSA Plans.

Choosing the Best Deductible

In addition to making decisions about Medical History disclosure and Prescriptions,
how HIGH or LOW your insurance quote turns out is also dependent on the Deductible you choose.  CLICK HERE to move on to Deductibles...

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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