Trinity
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For Your Needs

Health Insurance

 

Health  |  Vision  |  Dental  |  Medicare  |  Health & Wellness

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Health Insurance For Your Needs

Health insurance is a good way to help you manage your health care costs. You pay health care companies premiums – a set amount of money each month - and you get benefits to pay for your eligible health care expenses. This can include regular doctor checkups or injuries to treatment for long-term illnesses.

Understanding Health Insurance

You can purchase individual health insurance through the Health Insurance Marketplace on your own. Even though it’s called individual health insurance, you can also find plans to cover your family. Because health care can be expensive, it’s a smart idea to have health insurance so you’re prepared for when you or your family have medical needs.

Why should I have individual health insurance?

  • Prepare for the unexpected. You never know when you’ll need medical help.
  • Staying healthy. Many preventive care services – like checkups - are covered at 100%.
  • It’s the law. Under the Affordable Care Act you may pay a penalty if you don’t have qualified health care coverage.

Basic Health Insurance & Major Medical Insurance

Choosing a health care plan often comes down to cost, but don't forget to compare the monthly premium with the amount of coverage you get. Major medical insurance is designed to cover you during everything from routine check-ups to major catastrophic events. Basic health insurance, by contrast, is a cash reimbursement service that can help you pay for some—but not all—types of medical services.

Basic Health Insurance
plans offer less coverage for lower premiums than major medical insurance. Ideally, the basic plan functions as a supplement to traditional medical insurance; however, sometimes these basic plans are all people can afford. Subscribers pay a low premium for coverage and receive set amounts of cash to reimburse them for events including doctor visits, lab tests and surgery. The reimbursement amounts will almost always be lower than the total cost of services provided.

Major Medical Insurance
offers more coverage for a higher premium. This type of insurance includes familiar programs like HMOs, PPOs and fee-for-service programs. Major medical insurance covers doctor visits, hospital visits and care performed on an outpatient basis. Instead of a cash reimbursement basis, the system functions with payment thresholds called deductibles—the amount a consumer needs to pay before the insurance company will provide benefits. Some routine maintenance may be free or nominally priced with a small co-pay.

Individual Health Insurance

 

In case of an early retirement, you need to make important a decision about your health insurance. If you prefer purchasing a health insurance by yourself instead of COBRA, we can help you by designing an individual plan that fits your specific needs and is affordable. BUT: based on the fact, that there is no guaranteed acceptance you need to plan and make sure that you are accepted into an individual plan. That's where we can assist you! 

Coinsurance

What is coinsurance and how does it affect my health insurance?
Coinsurance is the percentage of healthcare costs you pay after you have met your deductible. Essentially, coinsurance is anything that comes out of your own pocket while sharing costs with your health insurance provider. If your coinsurance is 20%, that means insurance is paying for 80% of the costs for your healthcare.

Deductibles 

What is a high deductible health insurance plan?
A high deductible health insurance plan has higher deductibles and lower premiums than most other health insurance plans. This means you pay a smaller fixed amount every month, but it will take a longer time for insurance to kick in and begin cost-sharing (meaning you will pay your percentage of coinsurance for every bill). You might benefit from this plan if you don’t require many doctor’s visits or other healthcare benefits. Look at quotes for high deductible health insurance plans to figure out if this plan is right for you. 

How do I get low-cost health insurance? 

Prices are fixed by law, so you will not find better prices for the same plan anywhere else. But comparing your options might help you find low-cost health insurance. You can shop around online get free quotes from Trinity to find providers that offer high-quality, low-cost individual and family health insurance plans. Seeing all your options could make finding low-cost health insurance easier.


 

Individual or Family Dental Insurance

Dental Insurance is an insurance coverage for individuals to protect them against dental costs. It insures against the expense of treatment and care of dental disease and accident to teeth. This plan allows a particular group of patients to receive dental care from a defined group of dentists.

On average, Americans pay about $360 a year, or between $15 and $50 a month, for dental insurance. Costs will vary depending on your state. Most plans come with a maximum annual benefit or coverage limit. This limit usually falls between $1,000 and $2,000.

People with dental insurance commonly have what's described as “100-80-50”coverage, meaning it pays 100 percent of the cost of routine preventive and diagnostic care, such as checkups and cleanings; covers 80 percent for fillings, root canals and other basic procedures; and 50 percent for crowns, bridges and major 

Typically, PPO dental insurance plans are said to offer better service and have less limitations than HMO dental insurance plans, but the premiums are usually more costly. Businesses often use PPO dental insurance plans to provide their employees with a valuable dental benefit.


 

Vision Insurance Plans

Vision insurance is designed to help you cover and budget for ongoing vision care expenses like routine eye exams, prescription glasses and contact lenses. Humana and United Healthcare offers vision plans that feature coverage for people of all ages. Call or email us today for plan cost and coverage.

Can I get health insurance now? 

Yes! You can enroll for health insurance during Open Enrollment starting November 1, 2018.

Outside of that time, you can qualify for Special Enrollment Period with “qualifying life events”. Some of these events include divorce, loss of employment, income change, new dependents, or moving to a new area. You will have to prove that you had a qualifying life event, and find health insurance within a certain window of time. Shopping with the help of resources at eHealth helps make this process faster, and get you covered as soon as possible.

Open Enrollment

Open Enrollment for 2018 individual coverage has ended. The only exception is a qualifying event, which will allow you to enroll outside of the Open Enrollment period.

If you discover that your premiums for Obamacare are too expensive or the coverage does not meet your needs, we can offer other less expensive alternatives such as:

  1. Short term medical insurance that will offer coverage for up to 360 days.
  2. Customized coverage, outside of Obamacare, such as combining a hospital indemnity plan with critical illness coverage, accident coverage, and office visits.

Where can I go if I’m confused about finding health insurance? 

If you are looking for individual or family health insurance, it helps to get advice and ask questions. Licensed insurance agents at Trinity are here to help you make the right decisions for you and your family. We can give personalized opinions on what plans will work best for you based on budget and medical needs. Enrolling in a health insurance plan with the help of an agent comes at no extra cost to you.

MEDICARE ALERT!!!

  1. Are your turning 65 this year and not applied for Medicare Part B?
  2. Are you older than 65 and do not have a Medicare PDP?
  3. Are you younger than 65, currently on Social Security Disability and have  not enrolled in Medicare after 24 months or about to go on Medicare?

    Understand your options with Trinity