September 2017 Private Healthcare Insurance FACTS about YOUR Insurance Options and Subsidies

Do you need help with finding a good healthcare insurance plan? Do you have one now that you are not satisfied with? We are a business who can help you find a healthcare insurance plan that works for you. We HELP you DESIGN your CHOOSE your premium, deductible, etc. No, we are not spam..we are a business here to help you for FREE!!

It continues to amaze us the amount of information that is on the internet and more importantly, what we are hearing when we talk to clients. So we want to address some things and put the TRUTH out:

YOU DO NOT have to have an ACA/Obamacare Plan. THE AFFORDABLE CARE ACT was created for ONE REASON and ONE REASON ONLY-to provide sick individuals and families with major existing conditions the ability to get guaranteed issued health insurance (if you purchased a BCBS plan after January 1, 2014, you ARE on a an ACA plan. BCBS now ONLY sells ACA Plans).

The GOOD NEWS is, if you are healthy, meaning you have NO major pre-existing conditions, you have OPTIONS, much MORE AFFORDABLE, NATIONWIDE PPO PLAN OPTIONS that meet the minimum essential coverage.

If you are NOT sick, YOU DO NOT NEED an ACA plan, and you are REALLY, REALLY overpaying for coverage that’s NOT designed for you, with limited network coverage…ACA Networks are limited if you purchase the plan 100% on your own with no help from the government. ACA Networks purchased on the exchange, i.e. you qualify for a SUBSIDY (government) is paying a portion of your monthly premium, are EVEN MORE LIMITED. You qualify for a subsidy based on your estimated income. A subsidy is NOT FREE MONEY! This is a loan from the IRS to purchase health insurance. You are on the HOOK to pay back SOME or ALL of this loan due to changes in your estimated versus your actual earnings.

When you are on an ACA plan, you are paying for maternity coverage, substance abuse, child dental and vision, etc. whether or not you need this type of coverage. So again, ACA plans are for people with major pre-existing conditions. Those of you who are healthy, YOU HAVE MORE AND BETTER OPTIONS!

Announcing a New Product from United Healthcare Insurance

We are excited to announce that United Healthcare Insurance has rolled out a new product/insurance plan!! Listed below are a few highlights/features and benefits for patients. Please contact us for more information.

  • Choose ANY licensed doctor or hospital in the country.
  • There is no lifetime maximum benefit.
  • No coordination with other forms of insurance, which means you’re paid a fixed amount for a covered service regardless of when or how other health insurance you may have pays the claim.
  • FIXED Rates for as long as you keep the plan
  • ZERO DEDUCTIBLE and ZERO CO-INSURANCE = Day One, Dollar One Benefits!!!

Rollover Benefit

If you can rollover your unused data, why not your doctor visits too? This unique benefit allows you to rollover any unused doctor office (illness or injury) or urgent care visits remaining at the end of a calendar year to the next calendar year. A maximum of 5 visits are allowed to rollover.

Wellness/Preventive Care

Services eligible under this benefit may include the following: annual physicals, immunizations (other than a flu shot), mammograms, and blood screenings.

Hospital and Surgery Benefits

Unlimited Hospital Stay with 25% yearly increase, with in-hospitalization benefits up to 5 years, and Surgical Benefits Tiers 1-4.

Drug Coverage

Coverage for Brand Name and Generic Drugs





What are the Limitations of Subsidized Plans?

A subsidy is a type of financial aid/loan. You can be eligible for Advanced Premium Tax Break Subsidy if your income is between 100-400% above the Federal Poverty Level. However, many people don’t understand the downfalls of having a subsidized healthcare insurance plan. Unfortunately, there are many limitations of having a subsidized plan. Below are a few facts that everyone should know when purchasing a subsidized plan.

  • Many doctors do not take new patients who have subsidized plans.
  • The networks are limited to only counties and cities.
  • If you get sick or hurt out of state, your plan will not cover 100% of your bills.
  • You do not get to customize your plan meaning you do not get to choose your monthly premium, deductible, etc.
  • 2017 Open enrollment is only from November 1- December 15.
  • If you find a new job or your income changes, you need to go to the marketplace and change your income statement.
  • You may have to repay some or all of the money back.