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Keep Calm – Get Covered

Finding it painful to shop for Healthcare for your family? Interested in what alternatives are available for Healthcare outside of Open Enrollment? Qualify for a Special Enrollment? Contact one of our talented advisors today!

Every year come Fall we gear up for Open Enrollment and work diligently to enroll thousands of families and individuals for yet another year of financial peace of mind. This election period is from Nov. 1st – Dec. 15th for a January 1st effective date this gives our nation an allotted time to choose their healthcare plans for the following year. The Affordable Care Act as we know it has been the go to for our nation’s healthcare since March of 2010. Nevertheless, many will not take advantage of this opportunity or will miss it for various reasons.

First and Foremost, certain life events qualify you for a special enrollment period. A special enrollment period is a period of time (usually 60 days) during which you can buy a health plan through the individual Marketplace, even if it’s outside the normal Open Enrollment period. The events that trigger a special enrollment period are called qualifying life events, such as, loss of creditable coverage through an employer, marriage, divorce, birth of a child, or you move to a new state.

For those of us who do not qualify for a Special Enrollment, just know, you have options. We want to be sure that you know the best options and the perfect fit for you and your families. For those who want to avoid the tax penalty mandate a great alternative which is about half the cost of an average Marketplace plan is an option from Christian Care Ministry called Medi-Share. These plans offer affordable healthcare at its finest. They offer an Open Access PPO Network (PHCS) which offers a large provider network, coverage across state lines, and provide continuous coverage throughout each year. Keep in mind, Medi-Share is not for everyone, nevertheless, it has been a perfect fit for many of our clients.

Another go to alternative outside of Open Enrollment would be our Term Major Medical plans with National General Accident and Health, an Aetna Meritain company. These plans are non- religious and offer medical coverage that provides protection from a variety of medical expenses. They provide immediate coverage for the very next day. Choose a provider within the Aetna Open Access Choice PPO Network, which has more than 664,000 participating providers in various specialties. Like Medi-Share, you have the flexibility to travel across state lines and not have the worry about losing coverage. These plans accept healthy tobacco- users and are great for an individual or family that need insurance for a short time period.

Healthcare is expensive, fortunately YOUR insurance doesn’t have to be! Pick and Choose a Level of Benefits with one of our Foundation Health Plans from National General Accident and Health. These plans offer more affordable and predictable ways to get the coverage you need immediately without the battle of deductibles and coinsurance! Using a Medical Indemnity plan just got easy on your pocket book!

Lastly, pair any of these great healthcare alternatives with our plan enhancers! Who plans for unexpected out-of-pocket costs associated with accidents, hospitalization and critical illnesses? Our clients! That’s Who! Consequently, what does an individual do that finds it financially important to carry healthcare? Let the experts at Crosspointe educate you!

Deductible Disasters

Avoiding Deductible Disasters

What’s a deductible? Why are deductibles used and what are their benefits? Most importantly what can you do to protect yourself from your deductible?

Well for starters a deductible is the specified amount of money that the insured (you) must pay of their own healthcare costs for the year before the insurance company kicks in and pays any expenses. This includes all doctors visits, medications, surgeries, and ambulatory care. In a sense the higher your deductible is the lower the risk on the insurance company. Higher deductibles keep the insurance company from having to incur the costs of all the small healthcare needs of the insured which in return helps keep the costs of your monthly premium lower.

Many people have recently chosen to go with a high deductible plan for themselves or their family with the intentions of saving money immediately. There are also several other benefits of going with a high deductible health plan:

Your insurance company will negotiate a lower rate for all of your healthcare costs even before you hit your deductible.
In most cases preventive care is covered at 100% and not subject to your deductible, if you have an affordable care act compliant policy.
Depending on your plan there are varying levels of prescription coverage.
These plans act as a safety net to protect you against unplanned major medical expenses.

You have a high deductible health plan in place to protect you in the event of an untimely major medical catastrophe, but what happens when that unfortunate event becomes a reality? Luckily you have insurance which is going to kick in and help pay for major costs, after you’ve met your deductible. Nonetheless that still leaves you fiscally responsible for all the medical costs incurred up to the point that the insurance kicks in. What kind of plan do you have in place to protect your life’s savings?

Fortunately there is a perfect way keep a major medical event from affecting you financially. The best plan of action in order to give yourself that peace of mind and financial protection is to pair your health plan with a supplemental policy.

Supplemental policies are stand alone policies that work side by side with your medical insurance.These plans pay you upfront cash benefits in the event that the unthinkable does happen. Depending on the policy the benefit would either match your out of pocket expense amount or exceed that amount allowing you to have extra funds. Being diagnosed with a critical illness could mean you’re unable to work, choosing a policy with a higher benefit amount would make sure you were able to pay your bills in the meantime. We have supplemental plans to fit everyone’s needs or budget some even starting as low as $21 per month.

Don’t let yourself get stuck in a deductible disaster. Call Crosspointe today to speak with one of our skilled Health Benefits Advisor’s at no cost to you. A single phone call could potentially save you thousands of dollars.

If you’re ready to find a plan, give us a call at 888.788.1565 or submit a request for a quote online.

I’m young and healthy, why do I need insurance?

Written by Licensed Health Advisor, Lindsey M. Tieken 

Congratulations! Age and health history are the first major hurdles people have to face when purchasing insurance. Being young and healthy will do nothing but improve your chances of spending as little as possible for health and life insurance, and there will never be more options for you than there are right now!

ACA Compliant Plans offer coverage for everyday things that you may not expect. Need a physical for school or work? Free! Need your annual pap smear? Free! Need a preventive mammogram or colonoscopy? Free! Having these tests regularly are a HUGE component to maintaining your health and discovering potentially life threatening illnesses early enough to be treated. The cervical cancer death rate  alone declined by more than 50% over the last 30 years, and this has been attributed to access to regular screenings. Another important component of these plans is that they are required to cover mental health needs. Access to a variety of therapy options is an increasingly valuable benefit considering 56% of American adults are living with an untreated mental illness.

Hopefully, annual exams are the only thing for which you will ever need your insurance. Unfortunately, that is usually not the case. Over 62% of Americans between the ages of 18 and 44 had medical expenses over $100 in 2013. A simple broken leg can cost up to $7,500, and a complicated illness can cost hundreds of thousands of dollars. 48.3 million Americans had problems paying their medical bills in the first six months of 2016 alone. In addition, most insurance programs will not accept new participants if you become sick. If you are diagnosed with an illness while you have no coverage it will certainly limit your healthcare options- potentially making you fully responsible for the medical expenses or lack of medical support you may encounter.

Having health insurance is the most responsible decision for your financial future. A 2015 poll done by NPR, Robert Wood Johnson Foundation, and the Harvard T.H. Chan School of Public Health found that 50% of respondents had their credit adversely affected by medical bills. This was through credit cards, loans, and even collections that lead to complete bankruptcy. It is common knowledge that having credit issues can and will limit your options on making major purchases- such as homes and cars.

The time is now to invest in your health and your financial future; don’t allow yourself to spend another day unprotected. Your wallet and your family will thank you.

 

If you’re ready to find a plan, give us a call at 888.788.1565 or submit a request for a quote online.

 

What are my insurance options without the Affordable Care Act?

Q6: I don’t want to use the Affordable Care Act. What are my insurance options?

A: “I don’t want anything to do with Obamacare.” “I don’t want to sign up for health insurance through the government!” We hear these concerns and understand, but the law is not a health plan, or coverage, ACA contains the rules that govern health insurance in America. The new laws focus on two key elements:

  1. If you have a pre-existing health condition, you will not be denied or charged more for coverage.
  2. Depending on household income and access to coverage through your employer you may have access to a credit that will reduce your healthcare costs.

We are not here to debate the merits of the ACA, but rather, we want to find the ways it can best work for you. Don’t wait or get penalized for not having health insurance in 2015. Give us a call at 888.788.1565 today or submit a request for a quote online to discuss the options available currently and what you can do to cover yourself, your family or business.

 

 

 

All about the premiums.

^C352FB1508D39544E0FD010C25C3E4ECA344BCF96A986AC632^pimgpsh_fullsize_distrIn the past, getting health insurance meant being put through the ringer. You would have to answer an endless stream of questions about your health. Depending on your answers, you could be denied insurance or subject to higher premiums. With the changes introduced in the Affordable Care Act, myriads of health questions and pre-existing conditions are no longer a threat to those seeking health coverage. Your coverage is based solely on the four items listed below.

Individual health insurance eligibility is based on:

  • Where you live
  • Income
  • Age
  • Whether or not you use tobacco products

After considering those four criteria, that’s it. Coverage is guaranteed. You cannot be declined or charged more based on a health condition like in the past, and determining the monthly cost of your insurance plan depends on your needs.

The most important thing to note from the above criteria is that your premium will be partially based on your household income. Those who meet certain criteria may not be aware of ways to save money on their health insurance. Individuals at or below 400% the federal poverty level or who do not have access to a group health insurance plan through an employer are eligible for a Premium Tax Credit. With this tax credit you will receive money to help you pay the premiums for your health insurance. In many cases, these federal tax credits are enough to cover the entire cost of some plans and significantly reduce others.

Do you know if you’re eligible for a federal tax credit? Do you have questions about how your premiums are being calculated? Crosspointe Insurance Advisors will work with you to determine which insurance program fits your needs, while guaranteeing the best price possible. Give us a call today or request for a quote to find the tax credits you are eligible for, and the policy that fits your lifestyle and budget.

How are health insurance premiums calculated?

Q4: How are your premiums calculated?

A: In the past, it was necessary for you to answer questions about your health and everything from family history, lifestyle, jobs you’ve had, to the kitchen sink! With the new laws and ACA, premiums are calculated based on: Age, where you live, smoker or not, and household income. If your household income is at or below four times the federal poverty level, ($46,680 for a household of one, $62,920 for a household of two, $95,400 for a household of four, etc.) the cost of your plan will be reduced to make it more affordable. You also won’t have to worry about seeing your rates increase or being denied coverage based on a preexisting health condition. You cannot be turned down or charged more. Only the above four factors apply.