Health Insurance Plans in Surprise, AZ

Here are some examples.

Short Term Healthcare Plans are great for individuals or families that are looking to fill a gap in coverage. Maybe you are starting a new job in a few months and are leaving a current employer. Maybe you are going back to school for a couple semesters and losing your group healthcare plan.

Major medical plans are healthcare plans offered by the major healthcare insurance companies like Blue Cross Blue Shield, Aetna, Cigna, and more. These plans are what most people associate with your traditional health insurance plans. They come in all shapes, sizes, coverage options, and price points. This is why we encourage our clients to sit down with us so we can develop a personalized insurance profile to find the right coverage for you. Time and time again, we see families selecting plans based on what they perceive or because a friend told them it was a great plan that “covered everything!” Sadly, this can put you in a really bad place long term and cost you in the long run.

Affordable Care Act plans are also referred to as marketplace plans. These plans or plan types were developed in 2010 under President Obama to combat the rising cost of healthcare and prescription drug coverage. These plans are all administered by private insurance companies and regulated by the federal government. These plans are required to include basic coverage like routine exams, prescription drug coverage, hospital care, and more designed to provide access to healthcare for more Americans.

Employer-based group plans are health insurance plans provided by your employer. In the Federal and State laws require employers with a certain number of staff to provide coverage at certain levels. Typically, most employers will cover a certain amount of the monthly premium and you, the employee, picks up the balance. All employer sponsored group plans are different, providing various levels of coverage, deductibles, and more. Believe it or not, employer sponsored group plans are not always the best option for an individual. To understand what your out-of-pocket risk is, we encourage you to meet with us so we can review your coverage options.

Catastrophic healthcare plans typically provide coverage for major issues such as extended hospital stays, emergency surgeries, and more. Just as the name implies, they are for catastrophic incidents. Most people use these plans to provide an additional level of coverage when a major medical plan or other health insurance plan provides certain coverage limitations.

Next up, we have healthcare or hospital indemnity plans. These plans provide specific coverage levels for specific services. Some individuals really like these plans because they know exactly what is covered and what isn’t, and exactly how much is covered. These let you really take charge of your healthcare and shop around for more affordable healthcare options. Most indemnity plans are on a reimbursement basis, however some plans do provide some in-network benefits that are paid directly to the provider. These plans are becoming increasingly popular with consumers as they are typically more affordable than traditional major medical plans.

The Affordable Care Act (ACA) has made it possible for Arizona residents to buy health insurance in the private market. This is known as Obamacare, and it enacts a number of new rights for consumers and policyholders. Health insurance plans under the ACA must cover essential health benefits, including hospitalization, emergency care, prescription drugs, and maternity care. In order to buy one of these plans, residents of Arizona must enroll during the open enrollment period, which runs from November 1 to December 15 each year. If they don’t qualify, however, they must wait until the next special enrollment period, which is triggered by a qualifying life event, such as marriage, birth, or death.

The Medicaid program is Arizona’s indigent-care program, known as AHCCCS, which was previously administered by county governments, and their eligibility criteria and services varied significantly. Legislation to participate in the Federal Medicaid program was routinely defeated, as Arizona’s legislature had limited the use of local property taxes to fund public health care. Today, county revenue is no longer sufficient to meet the rising cost of indigent health care. State legislators were skeptical about the benefits of joining the federal program, and their fears about costs led to a number of failed attempts.

For state-sponsored exchanges, despite the constitutionality of this law, Arizona’s governor has vetoed a state-sponsored exchange for government health insurance. The governor argues that the state should still have some control over its residents’ health plans even if the federal government does the same. While the federal government will pay for the initial startup costs of an exchange, the costs will ultimately be passed on to the policyholders.

For in-network deductibles, the first step in determining the deductible for government health insurance in Arizona is to check if the plan offers any in-network providers. If so, the deductible is set by the health plan and is determined by the type of provider you visit. If the plan offers an in-network deductible, it should be set at a lower amount than the corresponding out-of-network deductible.

In a recent meeting, the Arizona Department of Insurance and federal HHS officials discussed the importance of freedom of choice in health care. They concluded that a government-run health care system would be unaccountable to the patients but would instead be controlled by special interest groups that fund political campaigns. By allowing such a system to operate, Arizona would be denying patients their right to choose the health care providers they want and forcing them to pay for their coverage through the government.

Government Health Insurance—What You Should Know

There are many different types of government health insurance in Arizona. You can apply for it through the state-sponsored exchange, Medicaid, or directly from the government’s website. You can find out if you qualify through the application process. Regardless of your financial situation, you should learn about all of your options so you can make the best decision for your individual needs. Here are a few things to consider. Some of these government health insurance options are the Affordable Care Act, Medicaid, state-sponsored exchanges, in-network deductibles, freedom of choice, and more, as mentioned above. If you’re looking for a more detailed explanation regarding your health insurance, contact us at (623) 742-3878 today.

While there are several other types of healthcare insurance plans available in Surprise, AZ, as a consumer or business, it is always in your best interest to work with an independent insurance agent to help you find the best coverage, at the best price, that addresses all your individual and family needs. Contact us today and schedule your meeting with American Insurance Benefits – Andy Orlikoff today!

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