Frequently Asked Questions
What’s the difference between ACA and private plans?ACA marketplace plans are available to eligible applicants during open enrollment or after a qualifying life event. Depending on income and household size, some people may qualify for subsidies that lower their monthly premium.
Private health insurance options may be a fit for people who are relatively healthy, self-employed, between jobs, or looking for alternatives outside the public marketplace. Availability, pricing, and approval can depend on health history, state, and underwriting.
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?An out-of-pocket maximum is the most you would pay for covered, in-network medical expenses during a plan year, not including your monthly premium. After you reach that amount, the plan generally pays 100% of covered in-network expenses for the rest of the year. The exact rules depend on the plan.
What is the best health insurance for self-employed people?
There is no “best” health insurance for the self employed. UnitedHealthcare specializes in private plans which typically have better prices and better benefits.
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!