Life is filled with unpredictable hurdles – you never know when an accident or health issue will occur. Protect yourself with a health insurance policy so you have a plan in the event of unexpected illness. Get a free quote today knowing you have the protection you need.
What is health insurance?
By the Affordable Care Act (ACA) passed in 2010, this law was designed to hold insurance companies accountable for costs and allow more consumers access to health care. A health insurance plan covers medical expenses, offers a network of doctors and hospitals, and allows to keep track of medical payments easily. The overall purpose is to safeguard your way of life and your family’s physical and financial wellbeing.
When can I apply?
“Open enrollment” is from November through January every year. You can shop and apply for new health insurance plans during this time. Once this period ends, you cannot buy or change a plan unless you have a qualifying life event.
Individual & Group Medical Insurance
At 101 Insurance, we offer affordable health insurance solutions for both individuals and businesses. We only work with premium carriers who understand the needs of employers and employees alike.
There are several types of medical plans to choose from depending on your needs:
- HMO – Health Maintenance Organization Plan
- PPO – Preferred Provider Organization Plan
- HAS – Health Savings Account Plan
- FFS – Fee for Service Plan
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Health Insurance FAQs
What happens if I have a lapse in coverage?
A lapse in coverage must be three months or less, in order to avoid the individual mandate fee. If you wish to get a new health insurance plan outside of open enrollment, your ability to apply may vary from state to state. And it may be limited to a “qualifying life event”, such as, but not limited to, the loss of a job, a marriage or divorce, a move, or the birth of a child.
Will I pay more for health insurance if I’m unhealthy?
Since January 1, 2014, insurance companies have not been allowed to charge higher rates to people within the same age group based on their gender or health status. Insurers can only price plans based on four factors:
- Your age: The oldest person can only be charged three times more than the youngest person for the same plan.
- Where you live: The price to deliver care changes from city to city and state to state.
- The size of your family.
- Your tobacco use: A smoker can be charged up to 50% more for the same plan as a non-smoker.
How long does it take to apply? When will my effective date be?
Once a completed application is received by the insurance carrier, it typically takes two weeks to be accepted. Some carriers only have effective dates on the first of the month. Others will start coverage during the month. Your carrier will let you know the effective date of your policy.
What is the difference between in-network and out-of-network providers?
An in-network provider is one contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates. An out-of-network provider is one not contracted with the health insurance plan.
Typically, if you visit a physician or other provider within the network, the amount you will be responsible for paying will be less than if you go to an out-of-network provider. Though there are some exceptions, in many cases, the insurance company will either pay less or not pay anything for services you receive from out-of-network providers.
If you’re unsure of which plan is best for you or want to re-evaluate your current plan, our experienced health insurance broker at 101 Insurance will help review and answer any questions.
Disclaimer: The material located on our site is for informational purposes only and is not intended to, and should not be relied upon, or construed as a legal opinion or legal advice regarding any specific issue or factual circumstance.