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Health Insurance

What is coinsurance and how does it affect my health insurance?

Coinsurance is the amount that you pay for services received. It is a percent of the cost of care. Typical co-insurance are Bronze -40%; silver -30%, Gold 20%, Platinum 10%. The insurer pays the remaining cost of the service. All plans have a maximum out of pocket limit that when reached you do not pay any more coinsurance for the rest of the year. silver plans through the marketplace may have additional Cost Share reduction (CSR) subsidy that may lower the coinsurance for that plan based on income, for no additional cost. Give us a call and we can help you see if you qualify for that benefit.

How do I set up a health savings account?

You cans set up an HSA at any local bank or credit union. There are also places that specialize in HSA accounts such as health equity. Many plans will offer you the convenience of setting up your HSA account once you enroll in a Qualified High Deductible Plan. HSA contributions are capped so you can only put in the maximum each year. You cans set up an HSA at any local bank or credit union. There are also places that specialize in HSA accounts such as health equity. Many plans will offer you the convenience of setting up your HSA account once you enroll in a Qualified High Deductible Plan. HSA contributions are capped so you can only put in the maximum each year.

What is a high deductible health insurance policy?

A high deductible plan may qualify for an HSA, if so then you can contribute to the HSA account up to the maximum for that year. Other plans are just a higher deductible to save you money on the premium. Give us a call if you are looking for HSA options and we can make sure you are in a plan that qualifies for the tax benefits of an HSA.

What is considered a pre-existing condition on health insurance policy?

Pre-existing conditions are any prior health condition that you have had treated or should have had treated prior to purchasing a policy. New ACA plans are not allowed to decline due to pre-existing conditions, but other types of plans can still deny coverage or limit coverage because of those prior health conditions. If you are worried that you may have a pre-existing condition that would limit your choices please give us a call and we can help.

How do I offer my employees health insurance?

It is great to offer good benefits to your employee’s. We specialize in employer coverage with several different options for you as the employer to choose from. The basic information we need to see what it would cost and what is available to you is to get a census. Click on the link under health insurance for the group and the step by step packet will be sent to you. After that it is easy! Let us do the work on it and you can relax knowing what you pick will be affordable and keep your employees happy.

What is the cost of offering a group benefit program?

Cost is dependent on several factors. Asa general rule the rates are set for small employers (<50) on benefit levels that you pick. For large groups (50+) there are several additional options that can contain costs and keep you compliant with the law requiring offering compliant insurance to all employees. Download the step by step packet and give us a call. We would be happy to give you all the options available and help you pick what would be good for your company and employees.

Life Insurance, Long-term Disability and Long-term Care

What is universal life insurance?

Universal Life is a permanent type of plan. It also has the option of being more flexible than a traditional whole life plan which is another type of permanent policy. These are great options if you want to make sure you have life insurance for when you really want it, but need the flexibility to plan as life events come up.

How much life insurance should I buy?

That depends on several factors. The typical rule of thumb is 10X your annual income. However, that may or may not be enough for your family. Give us a call and we can do a free needs analysis and let you know what is recommended and what type for your situation and need.

What is the difference between universal and whole life insurance?

Whole life used to be the only way you could buy a policy that would guarantee a payout whenever you died. Now, newer type universal life plans offer the same guarantee but with more flexible terms. They also can offer living benefits such as money for long-term care or critical illnesses or disability, making these plan more than just the needed protection from loss of life.

Have more questions?

ABOUT ME

Deb is certified with all the carriers on most of the Part C Advantage plans and many of the Medigap plans and Part D options. She has been working with Medicare since 2009. Deb also teaches classes on pre-licensing for agents. Deb has four grown children and Asian food is her favorite cuisine.

FIND ME HERE

Deb Nelson

Agent

655 E 4500 South, Suite 210, Salt Lake City, Utah 84107

(806) 615-4885 (TX), (385) 462-8688 (UT)

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