It's our experience and expertise working for you.
Looking for a new health insurance plan, maybe one for next year? Perhaps, the plan you chose last year didn't work out just as you had hoped, despite taking the time to do a lot of online research and comparison shopping?
The answer this year may be to use the services of an experienced, independent health insurance agent (consultant). Here's how an agent can help.
1. Help With "Reading The Fine Print"
No matter how diligent your own research, the fact is, the insurance industry - and every policy, is full of "fine print." There are exclusions to what's covered, for example, which you need to fully understand before signing on. And if a medical expense isn't considered "medically necessary", it's not covered usually even if it's not listed as an exclusion.
Additionally, there can sometimes be multiple deductibles, such as when there's one for each family member covered. And not all expenses will count toward the deductible. You may want to know which companies set fees per day for hospital stays or limit the number of doctors visits copays per year. Prescription drug coverage is another category where there are sometimes confusion; for example- some plan list copays for Rx but then say “after deductible”, which makes actually gaining use from the copays really difficult to achieve. The point is, this is a lot to keep track of and an agent/consultant can dig out these kinds of details, which really do matter.
2. Keep You On Top Of Changes
The constant changes taking place in the insurance industry is a lot to keep up with even for professionals, much less your average policyholder. But a good agent will do his or her "homework" to stay informed and pass all relevant knowledge on to you during your consultation.
Changes to insurance laws federally or in your particular state may have a big impact on which insurance plan will be optimal for you this year. It certainly could create a situation where it's wise to switch plans, where otherwise, you would have just coasted along and renewed.
3. Translating "Insurance Lingo"
Aside from the bulk of ever-changing information and the danger of important details hiding in the haystack and going unnoticed, another problem affects many applying for health insurance - they don't speak "Insurance-ese".
Your health insurance agent will be quick to explain any unfamiliar terms to you and walk you through the meaning of policy features. He/she will also be able to run example scenarios on each policy so you can see how each features would work out for you in real life.
4. Avoiding Rejected Applications
Applying for health insurance and getting rejected is a big problem. It wastes your time and effort, frustrates you, and you then have to disclose the rejection (usually) to the next insurer you apply with. And, believe it or not it can still happen in today’s market, primarily if applying for short term medical plans. All that headache can be avoided by using a knowledgeable consultant as your agent, to help you be aware of the risks and challenges before you apply. Experienced agents, who are independent and work with multiple carriers, can normally assess your odds of being accepted and steer you to the policy options that have little to no chance in ending in disaster and a do-over.
These are only a few of the reasons why it makes sense to talk to an expert, like the consultants at Summerlin Benefits Consulting!