Category Archives: Insurance Quote
Finally, A Simple Break Down Of How California Health Plans Work.
Finally, A Simple Break Down Of How California Health Plans Work.
Understanding California Health Plans
This may be the best explanation you ever get in order to understand the many options available to you for California health insurance. This is just a simplified view of the plans so make sure to look at the details of any prospective plan. At the end of the article, we will discuss the various plans that differ from this simplification but this break-down will help with 80% of the plans on the market. Now…
California health insurance plans break down into three main categories.
1. Office consultation. With most health insurance plans, you will have a copay or co-insurance to pay for office consultations. The copay or co-insurance are typically not subject to the main deductible of the plan. A copay is a fixed amount such as for an office visit. Co-insurance is a fixed percentage such as 30% for an office visit. An example of co-insurance would be:
Office Visit: 0 charge
Negotiated rate: $ 60 charge
Co-insurance: 30%
In this case, the subscriber would pay 30% of the negotiated rate of for a total of . The negotiated rate is the charge that an in-network doctor or provider has agreed to in order to participate in that network. This usually applies to PPO type plans.
The office copay or co-insurance is only for the consultation itself. If the doctor runs labs, performs procedures, or does other services in addition to the consultation, these charges are handled in the third section and will be in addition to the copay or co-insurance.
The office consultation is one of the key items when looking at your California health insurance quote for Individual Family or Small Group insurance. You will typically see “” or “30%” in the results.
A quick note. With HSA qualified high deductible plans, the office visit consultation is subject to the main deductible. This means you must meet the deductible before you get a copay or co-insurance benefit. You will get negotiated rates for seeing an in-network provider even if the benefit is subject to the deductible. For example, in the case above, you would pay the as part of your deductible. Some plans do not cover office visits at all. They tend to be the least expensive hospital or catastrophic coverage plans.
2. Prescription coverage and California health insurance. With most plans, prescription coverage is broken out separately from the main deductible in the form of copays. Almost all plans on the market today distinguish between Generic and Brand name.
Insurance companies have a Formulary, or list of drugs they deem to be effective and cost-effective.
The lower-priced drugs are Generic and typically you have a smaller copay (around on average) which is not subject to any deductible.
Brand formulary drugs are more expensive and tend to be the patented drugs that are heavily advertised and marketed. Essentially, they are newer drugs. Usually, these drugs are handled with a higher copay (average around ) after a separate brand name deductible is met. This deductible tends to run 0-750 annually (per member) for individual family California health insurance and 0-250 for California Small Group health coverage. The deductible is usually per person (in a family policy) and it resets January 1st regardless of when the plan starts. One you pay the brand drug cost up to the deductible amount, following brand formulary drugs will just require a copay ( for example).
There is sometimes a 3rd category call Brand Non-Formulary. This essentially means the drug is very expensive and there are less expensive alternatives. With most plans, you will have to pay a percentage of the cost so there can be quite a bit more out-of-pocket with Brand Non-Formulary.
You can reduce your cost by asking your doctor if there a Generic equivalent. Some plans do not cover Brand drugs at all so double check this as the trend towards very expensive medications (10’s of thousands of dollars) for more exotic conditions.
3. Pretty much everything else. Most other coverage benefits (labs, x-rays, emergency, surgery, hospital) are typically subject to the main deductible. This is another item listed when you request your California health quote. The average deductible amounts run from no deductible up to 00 on average. The deductible is typically per person (usually up to two people a family) and it resets January 1st as well. When you see “2 member max”, this means that if two people meet their deductible in a calendar year, the other family members do not need to.
One note…HSA Health Savings Account plan deductibles are cumulative. This means that the family deductible (for two or more people on one policy) is not met for any individual on the policy until the family deductible is met. For example, if the individual deductible is 00 and the family deductible is 00, one individual on the family plan would not meet the deductible till the 00 was met. Other family members would have their deductible satisfied as well. Essentially, all individuals on the family plan are working towards one 00 deductible.
Once you meet the deductible you either go into a co-insurance sharing percentage or the carrier takes over 100%. For example, if your deductible 00, and the co-insurance percentage is 30%, with a max out of pocket of 00. Let’s say you have an ,000 hospital charge (in-network for covered benefits). You would pay the first 00, then you would pay 30% until you hit another 00 out of pocket. Essentially, you will pay 00 (max out of pocket) and the carrier will pay the ,500. With some plans, the max out of pocket is in addition to the deductible. The Deductible and Out of Pocket Max are two other important items listed when you get your health insurance quote.
With the Office Visit, Prescription Coverage, Main deductible and Max out of Pocket, you now can read the health quote results with confidence.
An Excellent Guide To Insurance
An Excellent Guide To Insurance
No one wants to pay premiums on any kind of insurance without knowing what they are getting for it. There are all sorts of things that an average person does not know when it comes to insurance. The following article will help you learn some important information in order to get what you pay for.
If you get into a car accident make sure to call your auto insurance company right away. Hesitating can sometimes make insurance companies flag your account because they suspect that there is fraud involved. Do not waste any time and be sure to call them as soon as you get the first chance.
Next time you’re shopping for insurance, approach one of the companies you currently use for another type of insurance to see if they will give you a preferred rate. Your homeowner’s insurance company may give you a significant deal, if you approach them and ask about whether they can offer you a preferred customer auto insurance rate.
Consolidating all of your insurance policies under one roof can help you save a bundle on your premiums. Insurance companies commonly give big discounts to people who have multiple policies. Talk to your insurance company and ask for a quote on other forms of insurance to see how much money you could save.
Don’t just go with the first car insurance quote you hear. Of course, every insurance company is going to present its deal as if it were the best. It is important that you make an aggressive comparison to decide which one is the best for you and your situation. Compare policy benefits limits, ranges of coverage, premium quotes and deductibles to determine which car insurance policy will suit you best.
Look at the pluses and minuses of different ways of the different methods of buying insurance and decide what works for you. You can buy insurance through a direct agent, direct through the company, or through a financial planner. They all have their own reasons for choosing them, make the choice that works best for you.
Your insurance rates are likely set by zip code. If you live near a big city, the closer your zip code to the actual city center, the higher your rates will be. Consider this when looking for a new place to live. Just one zip code away could seriously lower your payment.
Make sure to take photos when you are claiming any type of damages to your homeowner’s insurance company. This is extremely important because your insurance adjuster may not be around to take any pictures right away and some of the physical evidence of damages may not still be there, and that will negatively affect your claim.
In conclusion, it is wise to know all you can about insurance. Never get yourself into an insurance plan that you are not knowledgeable about. The above article is meant to help you be prepared when picking out the insurance plan the best suits the needs of you or your family.
Shop ‘Till you Drop: Shopping for Health Insurance
Shop ‘Till you Drop: Shopping for Health Insurance
Shopping for health insurance can be a frustrating hassle. There are so many companies with so many rates to compare. However, it is important to take your time and find the best company for your money. Although it may be frustrating, health insurance is a necessity. In any area, there are usually quite a few health care providers that can supply you with a quote over the phone. You could also use the Internet as a resource. By using these tools, you can make the shopping process go more smoothly.
The first step is going to be deciding which type of insurance you should be shopping for. If you have a family, it would be in your best interest to find a company that will give you one decided premium and co-payment plan no matter how many children you add to the plan at any time. Without a family, you would be shopping for individual health insurance but will need to decide if you are in need of short-term insurance or insurance for an extended period. Short-term insurance is for people who are in-between jobs and expect to enroll in whichever health insurance plan their future employer sponsors.
Once you have established what type of insurance you need, it is time to make some calls. Go through your local phone book and start calling down the line. After answering a few simple questions, you can get a quote and move on to the next company. Cost is one of the most important factors. If you find two or more of them with very similar premiums and a low co-payment amount, you should compare the benefits. Can you add immediate family at no charge? Will this health insurance include dental, emergencies, prescriptions, or doctor visits? This may help you find one that appeals more to your needs and is within your budget. Using the services of the Internet to find a company will be a very similar process. Some reputable web sites out there will ask you to fill in a few blanks and then give unbiased quotes from many different health insurance companies.
Whether you are going to be doing your shopping over the phone or on the Internet, you should use your best judgment of the information that you get on each company to decide on one that makes you comfortable. The Better Business Bureau can also help you be sure that you are not being scammed. Health insurance is a cost that is necessary to save you money in the long run on prescriptions, doctor visits, and unforeseen emergencies. Don’t get left with bills that you have no way of paying because you didn’t have insurance.
What Role Does Your California Health Insurance Agent Or Broker Play?
What Role Does Your California Health Insurance Agent Or Broker Play?
First, what is the difference between a broker and an agent?
These terms are often interchanged in conversation. Officially, an Agent is an individual or company that acts on behalf of the carriers to market, sell, and service insurance. The Agent has a contract with the carrier in order to transact this business. A broker is person who also contracts with carriers but officially acts on behalf of the client. In practical terms, they are not that different when dealing with California health insurance.
For example, Goodacre Insurance Services is a California agent but our goal is to find the right plan for a individual or company across the major carriers. If Blue Cross has the right option and better pricing for a given person or company, then that’s where we will go. We are independent agents which is important because we do not have interest in pushing one particular company or plan. We do have knowledge from dealing with the carriers every day in terms of which companies are easier to deal with, more stable, or better priced. There are dozens of plans on the market so this can really be important. Just looking a rate quote and benefit summary is only half of the story when choosing health insurance. Some plans exclude certain benefits or apply caps to other types of coverage. We know the lay of the land and I would personally not want to purchase health insurance just based on a rate quote.
Some companies (though not the majors) use “captured agents”. This is a person who sells only one carrier’s insurance plans. They are essentially employees for that company. I would avoid such companies as they may not have the best interest of the client at heart. If a company cannot quote multiple carriers, beware. The major carriers in California are Blue Cross of California, Blue Shield of California, Health Net, Pacificare, and Kaiser. Beyond these five, we do not feel very secure about the others.
How are agents or brokers paid? Agents are paid a commission by the carriers for policies issued and in force. The commission tends to be about the same from carrier to carrier. This commission does not affect the rate. The insurance rate you will get through an agent/broker is the same as you would get going directly through the carrier. The benefit of the agent relationship is that they navigate the carriers to expedite processing, help with service issues once enrolled, and act a third party. Again, a carrier’s main interest to keep you enrolled as policy subscriber but your interest may actually lie with another carrier or plan. An independent broker can help bridge the two at no additional cost to you. Also, the carriers are big companies. Some of the reps are very knowledgeable and others are…let’s face it…newer. By dealing with California health insurance daily, we are a wealth of information and guidance that you may not get by going directly.
What to expect from your broker/agent and especially Goodacre Insurance Services?
Goodacre Insurance Services provides service across three main areas.
California health plan selection.
This really is the most difficult part and it is the reason that people put off getting health insurance. There are many plans and the language is pretty technical. Most people glaze over when they see the brochures or instant quote results. Let’s face it….health insurance is not a common purchase. Typically, people have not needed to shop health insurance in years…if ever. Goodacre Insurance Services has been dealing solely with California health insurance for over a decade now. I can guarantee that with a few targeted questions, the plan selections can be narrowed down significantly. We want you to be informed. On a daily basis, we hear from our clients that they wish they would have called earlier rather than try to navigate the volumes of information provided the plans. Let us help. We do not sell. We listen, advise, and then it’s up to you what you wish to do.
California application and enrollment.
The health application is one more reason that people procrastinate. There are sections in there are mandated by law but which are thoroughly confusing such as the HIPAA qualification. Small Group can be equally difficult in terms of qualification for Small Group health coverage in California. We are happy to walk you through the application once a plan has been decided on. This is also the time to ask about the process, payment options, cancellation options, time table for enrolling in coverage. Based on your situation, we can give you a benchmark of what to expect for a normal processing.
Health Insurance Service and Membership.
Once the plan is in effect, we are your point of contact for membership issues, claims, and future changes. We go in at the end of each month and make sure that faxed changes, additions, and requests have been processed correctly. The carriers are pretty good but 1 out of 100 requests do not show in the system. You do not want to be that one with such a critical issues as health insurance. We can also advise for ways to reduce costs when the rate increase occur based on your changing health insurance needs.
Keep in mind that you can always contact the carrier directly if you choose but why would you? Let us do the work for you since there is no additional cost to you.
Agents and brokers are required to have a license and continuing education by the California Department of Insurance. You can always research an agent’s history, carrier contracts, and other information through them. There are different types of licenses. The two most common are Life/Health which is used to transact California health insurance and Property and Casualty is used to transact insurance such as auto or home insurance. Some agents do both health and P&C but it is increasingly difficult to this well and keep up with the ever-changing industries. This is why we choose to concentrate on health insurance solely. We know the carriers, the plans, and changes in the market. This makes us invaluable to you.
As we say on the phone here at Goodacre Insurance Services…”How can I help you out”.
Insurance For Your Laptop Notebook or Computer
Insurance For Your Laptop Notebook or Computer
Insurance seems to be a financial strategy often forgotten in our hustle and bustle electronic world. We spend countless hours scouring the shops for the best notebook computer deal, installing the best computer software and churning out quality product. But how often do we believe that our laptop or notebook will be stolen, or that we might suffer data loss. Do you ever think of an insurance company in relation to your laptop notebook or computer.
Over 600,000 laptops were stolen in the USA alone in 2004.
Have I got your attention? Insurance for your laptop now seems worthwhile looking into. There is the standard financial insurance for your notebook which is similar to an itemized entry in your household insurance. Great for desktop computers that go nowhere, but problematic for your laptop or notebook. Portability is the reason we own them. There are many insurance companies that supply insurance for electronic goods and a quote from a company that you find in your internet search would be a good place to start.
Computer theft-recovery software is the latest insurance for your laptop or notebook. You may well get reimbursed for the cost of the computer, but what about those countless hours you have spent on your projects that only live in your laptop because you meant to backup to disk but never quite had enough time. A quick search on the net will highlight theft-recovery software companies that work in several different ways.
Several insurance companies offer a track it back sticker type of system that enables a good samaritan to call an insurance company that will contact you. The philosophy is that you should never personalize your computer with a phone number or address as they may be combined with other personal info in your laptop to do all sorts of underhand things.
Another insurance against data loss or misuse is software similar to what a company like Orbicule might provide. This type of insurance for your notebook is ingenious indeed. When a thief accesses the internet with your stolen laptop, it silently sends screenshots at regular interval to your insurance headquarters. The concept is that ultimately the thief will be entering perhaps some personal information into an email when that screenshot is sent, thereby identifying the thief’s address. If that fails, another type of software will emulate a software failure that ultimately renders the computer useless.
In conclusion, I suggest that you should definitely check out the insurance cover from your household insurance to see what cover you already have. Secondly a call to your electronic insurance broker for a quote would be worthwhile. If you do carry sensitive data, looking at some of the anti theft software available may also prove to be valuable insurance for you notebook computer.
Choosing the Best Life Insurance
Choosing the Best Life Insurance
Many people wonder why they should invest in life insurance. The fact is when you pass away and do not have coverage or money; your loved ones must take the burden of paying funeral costs, arranging, and so on. The cost of funerals is costly, so this is unfair to your loved ones. Life insurance will cover you, and will offer some stress relief in the event you die on funeral costs.
Moreover, if you pass on, your family will have to pay your mortgage, car payments and so on. Do not let this happen. Some life insurance policies will offer you unemployment coverage, burial, mortgage coverage and so on.
Life insurance plans will protect you and your family. You can find affordable plans online so there is no reason not to seek coverage. Some life insurance plans will cover debts you owe, expenses and so on. You will find life insurance plans that will cover all your estate costs too.
Life insurance often includes the cash value plans and the term life policies. Cash value will provide you coverage for the course of your life. In short, this is the permanent plan whereas term life is a plan that when it expires you must renew the policy. Obviously, the cash value is the better choice.
Cash value life will offer you benefits that will cover you in the event you pass. You have asset value that attaches to this plan. In other words, you have lifetime coverage at some of the best rates on insurance. In short, this plan will protect your financial interest. You have options to with some term life insurance. Some plans will allow you to request a conversion to change your plan to a cash value plan. Some term life plans will not give you this option.
You have other options with life insurance plans, but the cash value is obviously one of the better choices. Still, you can go online to use quote system at the insurance sites to find great rates, comparable costs, and several types of insurance plans.
If you are an employer, looking for group insurance coverage you will find a wide assortment of policies online also. Cobra, term life (group option) and other plans are available. Use the quote system to find the best rates on group life insurance. Check the packages offered, since some insurance plans give you better rates and benefits than other plans will.
Life insurance is important. To make your family’s life easier, go online and search through the different plans to find what works best for you. Get the protection you and your family both deserve.