It is in the best interest of your health insurance to ensure that you are healthy. That’s why companies offer certain perks and benefits to help keep your health on track. Depending on your insurance carrier, taking advantage of these perks can even get you discounts on some of your favorite things. Here are some of the things health insurance companies are giving to their members:

• • Money for meeting your walking steps goal – some insurance companies have apps that allow you to set goals and track progress. For reaching or surpassing your goals, you can get gift cards as a reward for taking care of your health.

• • Gym fee reimbursement – even though gyms can be expensive, health insurance companies want you to go to take care of your health. Some will offer a reimbursement for you and sometimes even your spouse.

• • • Call your doctor or nurse for free – depending on your healthcare provider, you can call your doctor or nurse, talk about your symptoms, and then they’ll tell you your next steps. Whether it be an in-person visit or staying at home and resting, you’ll know what to do.

   

  • Free preventive care – according to the Affordable Care Act, those who had insurance plans by March 23, 2010, will have their preventative care visits covered. Things like blood pressure tests, breast or colon cancer screenings, routine vaccines, HIV screenings, and well-baby visits are all considered preventative care and are covered.

Get full access to all these amazing benefits by talking to your insurance provider today!

Need to get started? Health Plans of America can match you with a healthcare plan that meets your needs at a price you can afford. Call today to get connected to a health insurance provider.

On Tuesday, September 27, 2022, the Centers for Medicare & Medicaid Services (CMS) announced that the monthly premiums, deductibles, and coinsurance for Medicare Part A and Part B are expected to decrease by about $5 (or 3%) in the coming year. This is the first time a cost like this has been lowered in more than a decade.

According to Health and Human Services Secretary Xavier Becerra, federal spending on the new Alzheimer’s drug, Aduhelm, will not be as high as initially projected, which has contributed to this pay decrease in premium.

Medicare Part B covers things like doctor visits, certain home health services, durable medical equipment, and other medical and health services that are not covered by Medicare Part A. 

Each year the Medicare Part B premium, deductibles, and coinsurance rates change (typically as an increase), depending on the Social Security Act. In 2023 the standard monthly premium for enrollees of Medicare part B will decrease to $164.90 from $170.10. 

2023 Open Enrollment for Medicare will begin on October 15 and will end on December 7, 2022. People eligible for Medicare can compare coverage options between Original Medicare, Medicare Advantage, and Part D prescription drug plans for 2023. 

Need help choosing a plan? Connect with one of our licensed insurance agents today and compare plan options.

Health insurance terminology can be hard to follow at times, but we’ve broken down the five most important ones to note:

• • Premium – while you pay a monthly bill for your health insurance, the cost of said premium doesn’t necessarily equate to the cost of the health care services.

• • Deductible – this is the out-of-pocket amount you must pay for health care services before your health insurance takes effect. Once you’ve paid your deductible, you still may be required to pay copays or coinsurance until you hit your limit for those payments.

• • Copayment – also known as “copay” is a fixed amount you pay for a service or medication. This is often the way health insurance companies will split the cost with you after you’ve met your deductible.

• • Coinsurance – unlike copay, coinsurance is not a fixed cost. Instead, it’s a percentage of the cost you pay for covered insurance until you reach your out-of-pocket maximum.
    
    
  • Maximum out-of-pocket – this is sometimes called the out-of-pocket limit, which is the most you would ever have to pay for health care services in a year. Every dollar you pay toward your deductible, copayment, or coinsurance counts toward your out-of-pocket limit. Monthly premiums, on the other hand, don’t count.

Having an understanding of these terms will help you make better choices surrounding your health insurance. With the help of Health Plans of America, looking for the right health insurance is hassle-free. Get connected with a licensed insurance agent to find a health care plan that works for you and your budget.

In a society where health and safety are rapidly changing, having Medicare coverage is of the utmost importance. However, Original Medicare does not account for office visits and prescriptions. That is where a Medicare Supplement Plan, also known as Medigap, comes to your aid.

Since most Medigap plans are standardized and can be used with any medical provider who accepts Medicare, having a Medigap plan gives you all the added benefits while staying with the doctor you feel most comfortable with.

There are three ways in which Medigap plan premiums are calculated: issue-age rated, attained-age rated, and community rated. Understanding your needs and options will help you determine which plan and insurance provider to choose. Still have questions and want more information? Health Plans of America does all the hard work for you by offering information and resources to help you make informed decisions. Don’t wait! 

President Lyndon B. Johnson signed Medicare into law some 56 years ago. A lot has changed in that time, and there are some facts that Americans may not be aware of the health insurance program.

1. Claiming Social Security does not mean Medicare will automatically start. Check your enrollment period so you don’t miss out on important dates!
2. Medicare insurance isn’t entirely free. Hospital insurance is covered at no additional cost by Medicare; however, the deductible is $1,364 for each benefit period with a $0 for the first 60 days of a benefit period, but then goes up from there.
3. You don’t have to enroll in Medicare just because you turned 65, but you may want to. Check what coverage you have with your employer so you don’t get a lapse in insurance coverage! 
4. Planning to travel on retirement? Medicare won’t travel with you. Medicare Part A and Part B are not applicable outside of the U.S, so consider getting travel medical insurance, or a Medigap Plan that provides foreign travel emergency health care coverage.
5. Long-term care is not included in Medicare coverage. Long-term care only covers a limited number of days, but if seniors want more coverage, a supplemental plan is needed.
   

With all the information out there it’s hard to know where to start. That’s where Health Plans of America comes in. They do all the hard work for you by offering information and resources to help you make informed decisions. Don’t wait! Connect with a licensed Medicare specialist in your area today.

Navigating health insurance can often feel like a labyrinth of jargon and decisions. It’s natural to be a bit overwhelmed. That’s why we’re here to break it down for you. Before you commit to a health insurance plan, it’s essential to ask these top five questions:

1. Will it Save Me Money, Even When I’m Healthy?
Consider factors like monthly premiums and the costs of doctor’s visits when you’re feeling fine. It’s not just about sick days; you want a plan that’s cost-effective throughout the year.

2. Is It Affordable When I’m Ill?
Life throws curveballs, and accidents happen. You need a plan that fits your budget when unexpected health issues arise. Key questions to ask include the deductible and out-of-pocket maximum.

3. Are My Doctors Covered?
Your relationship with your doctor is crucial. Peace of mind comes from knowing your preferred healthcare provider is in your plan. Ensure your plan’s coverage network is extensive and that your doctor is a part of it.

4. Does it Include Prescription Drug Coverage?
Medication costs can add up quickly. Check the plan’s formulary to see which drugs are covered and their costs. Other essential questions include your regular prescription expenses and in-network pharmacies.

5. Will it Support Me When I’m Unwell?
Suffering from a sore throat is no fun, and you want a plan that provides swift care. Find out if you need to choose a primary care doctor or clinic and if they’re conveniently located.

Remember, there’s no one-size-fits-all solution when it comes to health insurance. Whether you’re a first-time buyer or switching policies, Health Plans of America is here to make the insurance process hassle-free. We have the tools and resources to guide you through this important decision.