Frequently Asked Questions
What’s the difference between ACA and private plans?The ACA or Public market is open to everyone and is usually where people go if they don’t make enough money and qualify for government subsides or you are too sick or have pre-existing conditions. The Public market is INCOME BASED. Best case scenario is that people get onto the Private market which is HEALTH BASED. It is more affordable and gives 10x better benefits
What is a deductible? What does it mean?A deductible is what you pay before you start seeing any discounts. If it says $5000 deductible that means you have to pay $5000 worth of medical bills before you start getting covered by the co-pay (the discount)
What is the OOPM or Out Of Pocket Maximum?The out of pocket maximum is your ceiling. Essentially if your OOPM is $6000 and your deductible is $5000 then your worst case scenario is $11,000 that you pay for your healthcare. keeping both of these small while keeping the premium low is the goal.
Can small business owners offer coverage? Yes of course they can! As long as you have less than 50 employee’s you are free to set the rate % you want to cover your employee’s at. Most employers pay for 50% of whatever the cost for their employee’s is. Private is also much more cost effective
What should I bring to a consultation?You should have the names of your medication ready as well as what you take them for. Also whether or not you have had a hospitalization, back issue or surgery within the past 10 -15 years. If you don’t take medication and have no pre-existing conditions they you are golden and don’t need to bring anything!