Finding Health Insurance can be frustrating at times. Let me utilize my expertise in the Health Insurance Industry and find the right health plan that is designed for YOU. Simply tell me your needs and I’ll put together a tailor-made plan that will maximize the benefits that you need all while being affordable for you. Your health, your plan! Contact me today!
How Much You Can Expect to Pay For Healthcare Plans in Your State
As the cost for healthcare continues to rise in every state, it is becoming more difficult to find a plan that is feasible for you. Thankfully my company has implemented a strategy to where we can make health insurance more affordable for you and also provide you with a higher level of coverage . Most companies have high deductibles that you have to meet before benefits kick in, whereas with our plans you can expect to receive first dollar benefits for most day to day needs upon approval of your application. You can take a look at the graph below and review what you can expect to pay for health insurance coverage within your state and if you are in one of the states that has high cost or if you are in the market searching for something more affordable you can then reach out to me and see how I may be able to provide you with a higher level of coverage at a more affordable price.
As of right now, the states that are leading with the most expensive healthcare cost are as follows:
- Arizona
- Colorado
- Florida
- Georgia
- Louisiana
- Missouri
- Nebraska
- North Carolina
- South Carolina
- South Dakota
- Texas
If you are an any of the above states, you should definitely consider your options as I may have something available for you that would be more feasible.
Below you will find that the main reason that adults that were uninsured was due to cost. Affordability in a economy that is currently dealing with major inflation is important because we have to spend extra money on things we use to buy at a much cheaper price.
- An estimated 25.9 million, or 7.9% of Americans, didn’t have health insurance at any point during 2022, compared to 27.2 million, or 8.3%, in 2021.
- The number one reason uninsured non-elderly adults (between the ages 18 and 64) reported they don’t have health insurance is that the cost is too high (69.6%), followed by eligibility issues (26.2%) and not needing or wanting to be insured (23.5%).
- The region with the highest percentage of uninsured working-age adults was in the South, accounting for 7.7%, followed by the West, accounting for 4.2%.
- Americans are delaying care because of costs, including 8.7% of adults reporting not seeing a doctor in 2021 because of the cost.
- The average annual single premium per enrolled employee for employer-based health insurance is $7,590/year in the U.S., with employees contributing $1,637 and employers contributing $5,953 annually.
- The average annual deductible per enrolled employee in employer-based health insurance is $3,811/year for families and $1,992/year for single coverage.
- An average premium increase of 6% is expected among ACA health insurance marketplace insurers in 2024, according to KFF. [2] Those higher costs not only put a strain on individuals, but can also hurt small businesses. Many of the same insurers that provide health plans to individuals also offer health insurance for small businesses.
Network Differences
Preferred Provider Organization (PPO): A type of health plan where you pay less if you use providers in the plan’s network. You can use doctors, hospitals, and providers outside of the network without a referral for an additional cost.
- Similar to an EPO, doctors and facilities in a PPO network have negotiated with the insurance carrier on lower rates on services they perform for members of the PPO health plan.
- You do not need to select a PCP, nor do you need a referral to see a specialist, whether in-network or out-of-network.
- Because of the freedom you have to choose where to go and who to see, you may be subject to more preapprovals to determine if treatments are medically necessary.
Health Maintenance Organization (HMO): A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
- Doctors or providers either work for the HMO or contract for a set rate with the HMO to treat their members, as opposed to being paid per service the doctor/provider performs.
- You often have to select a primary care physician or primary care provider (PCP) to be your main health care point of contact. This can sometimes mean you need a referral from your PCP if you want to see a specialist.
- Certain health care services may be subject to preapproval, though in many cases if you have a PCP, that provider will take care of that preapproval for you.
Exclusive Provider Organization (EPO): A managed care plan where services are covered only if you use doctors, specialists, or hospitals in the plan’s network (except in an emergency).
- Doctors and facilities in an EPO network have negotiated with the insurance carrier on lower rates on services they perform for members of the EPO health plan. So doctors and facilities are paid per service, and don’t directly work for or contract with the EPO carrier for a set rate.
- In an EPO, you are less likely to be required to pick a PCP or to need a referral to see a specialist. As long as your doctor or facility is in-network, you can go where you feel you need to.
- Because you are often not required to have a PCP, you are likely going to see more health care services subject to preapproval.
Point of Service (POS): A type of plan where you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans require you to get a referral from your primary care doctor in order to see a specialist.
- Similar to a PPO, doctors and facilities in a POS network have negotiated with the medical insurance carrier on lower rates on services they perform for members of the POS health plan.
- As in an HMO, you often have to select a PCP to be your main health care point of contact. This can sometimes mean you need a referral from your PCP if you want to see a specialist, or in the case of POS, if you want to see out-of-network care.
- As with an HMO, certain health care services may be subject to preapproval, though in many cases if you have a PCP, that provider will take care of that preapproval for you.