How it relates to your insurance plan


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Imagine you are a car.

Not really. You can even add these giant eyelashes to your headlights if you want!

In the United States, the odds are good; you have insurance because it’s the law. So if your driver bumps into your front trying to read the personalized license plate of the car in front of him, you’re not breaking the bank by having your nose done. There may be out-of-pocket costs for the driver to fix you, but that probably won’t break the bank. There are monthly fees for this coverage, but since everyone is required to contribute, the premiums are reasonable.

That was, in small part, the idea behind the Affordable Care Act – reduced premiums because everyone was required to contribute. The cost of financing care for the seriously ill or injured would be offset by the sheer number of people insured, most of whom rarely use their coverage. Combined with legislation providing additional public funds and increased consumer visibility into health insurance options through the Healthcare Exchange on health.govwe quickly saw the first decline in the uninsured rate in years.

Fewer uninsured people = a larger pool of resources, which can help reduce premiums for the insured.

Of course, the part of the ACA requiring health insurance has since been pretty much repealed – the fine for not having insurance is now $0, so you can get a few decals for your bumper if you want (hey, you’re still a car, remember?) Nevertheless, the momentum generated by numerous uninsured discovery hedges and FX market funding continued. So things are going in the right direction, but premiums can still be a big investment for most. At last count, there are approximately 25 million Americans who are uninsured. High premiums remain one of the main reasons people are reluctant to buy coverage.

Now before you start revving your engine on that little hot rod with no health insurance because they couldn’t afford it after they bought their vanity plate, remember that’s not the only factor in the cost of our monthly health insurance tithe. This is only part of what the ACA sought to address, something that government action could have an impact. Not everything falls into this category.

The workforce has become more mobile, contract and temporary work is increasing, and most companies still require full-time employment to qualify for discounted health benefits (although we’re starting to see some exceptions). More than half of all Americans with insurance obtain it through the workplace, so a significant segment of the population does not see the benefit of obtaining a reduced premium through their employer. Even though the employer contribution is minimal, the employee already sees a lower cost because it is offered at a group rate.

We are also living longer. It’s good news! (Yes, even you cars put serious mileage on the odometer).

But that means we have more insurance claims to deal with, as many of us need more doctor visits in our golden years. Ironically, the model of preventative care we all strive for, one that will result in fewer and less expensive medical bills throughout our lives—the practice that can improve the quality of our daily lives—also enables us to stick around and claim health insurance benefits longer.

And it’s not just a healthier appreciation of the impact of routine visits instead of seeing a doctor only when something is wrong that has increased our lifespans – advances in medicine and pharmacology are transforming also life events into mild discomforts at an increasing rate. We haven’t cured everything yet, but medical science assumes we can. It also has a cost. So while our lab work is faster and more accurate than ever, it’s also more expensive. But again, that’s a good thing!

But it has an impact on our wallets.

Our ever-changing medical prowess and general increases in the cost of activity have impacted our medical providers. These days, the solo practitioner with their own office and a bored administrative assistant is a rarity. Instead, you’re more likely to see groups of doctors huddled together in a bustling medical practice to help cover operating costs. As these costs increase, provider rates also increase, which in turn helps fuel premium increases.

There are a myriad of other factors that determine the cost of health care and health insurance premiums. It’s a complicated problem, which Obamacare and subsequent legislation (both enacted and still pending) aim to solve. And while we still have a long way to go in terms of cost reduction, we are seeing an improvement in choice.

The last few years have seen an explosion of what is available to us in the healthcare market. Whether through our employer, our private insurance, or if we are eligible for government programs such as Medicare, Medicaid, or the ACA Healthcare Exchange, we have a multitude of options when we decide we want health insurance. . We also have a multitude of specific coverage levels for each option. So if we have a specific health issue that we want covered, we can find the exact plan. But to do this, we first need to browse everything that is available.

It can be a daunting task. If we’re already unsure whether we’re willing to pay a monthly premium or even think we can afford it, it’s even less appealing to choose from a vast array of confusing choices. That’s a good problem to have! Better to have too many options than not enough. All you need is someone to guide you, someone whose experience in the industry can help you make an informed decision on what’s right for you. The coverage you deserve and can afford is here.

Ultimately, good health care is about quality of life – something that increases when we take advantage of preventive care. Engaging in routine checkups and screenings as a small but essential part of our lives is something we are much more likely to do if we have adequate health insurance. But, of course, we can still get sick, we can still get hurt, no matter how careful we are – and that’s where being covered really comes into play.

Because you are not a car. (Sad trombone) You’re human, and damage to your forehead could mean more than just inconvenience. Having adequate medical coverage ensures that getting the care you need won’t break the bank while providing you with the treatment you deserve. You don’t want that damaged bumper causing problems for the rest of your life.

Contact us today at, and let us help you navigate the choices you might not even know were available to you. We know coverage can be expensive, but having no coverage will almost certainly end up costing more. The best plan for you exists and we can help you find it.


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