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HEALTH INSURANCE
pays all or part of your medical expenses if you are sick or hurt.

 When selecting a Health Insurance Plan, it is helpful to understand three adjustable factors that will increase/decrease the premium you will pay. These factors are:
Deductible
Co-insurance
Office Co-pays.
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Deductible
is the part of your approved medical expenses that you pay before the Health Insurance Plan starts paying for them. By assuming more of the risk with a higher deductible, you can reduce your premium cost.   

Tip:
  
Compare the prices of the different deductibles and select a deductible where you will “break even”.


Co-insurance is the amount of your approved medical expenses you and the Health Insurance Plan pay (on a percentage basis) after the deductible is met. The most common co-insurance percentage is an 80/20 plan, in which the insurance pays 80% and you pay 20% of the approved expenses.      

Tip #1:
   
The lower the coinsurance percentage number, the less expensive the plan.  A 50/50 plan is less expensive than an 80/20 plan.

 Tip #2:   Most plans place a cap (limit) on the amount you pay. Generally, the higher the cap, the lower the premium.  After the cap is exceeded, the insurance company pays 100% of the approved expenses.  An 80/20 plan with a $10,000 cap is less expensive than a 50/50 plan with a $5,000 cap. 


Doctor co-pays are the fees you pay at the Doctor’s office for services received.  Doctor’s co-pays are usually a flat fee of $10 or $20. Generally, the higher the doctor’s co-pay, the lower the premium.
Tip:   In an average year will you spend more on the doctor co-pays than you will get back?

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 Still Confused? Need Help?  
Call me at 800-333-1270 or 717-225-9596 for a no hassle, no pressure phone conversation.

 

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