Coinsurance is the amount that you pay for services received. It is a percent of the cost of care. Typical co-insurance are Bronze -40%; silver -30%, Gold 20%, Platinum 10%. The insurer pays the remaining cost of the service. All plans have a maximum out of pocket limit that when reached you do not pay any more coinsurance for the rest of the year. silver plans through the marketplace may have additional Cost Share reduction (CSR) subsidy that may lower the coinsurance for that plan based on income, for no additional cost. Give us a call and we can help you see if you qualify for that benefit.

You can set up an HSA at any local bank or credit union. There are also places that specialize in HSA accounts such as health equity. Many plans will offer you the convenience of setting up your HSA account once you enroll in a Qualified High Deductible Plan. HSA contributions are capped so you can only put in the maximum each year.

HSA LIMITS

Type 2017 2018

Individual $3,400 $3,450

Family $6,750 $6,900

Catch-up (age 55+) $1,000 $1,000

A high deductible plan may qualify for an HSA, if so then you can contribute to the HSA account up to the maximum for that year. Other plans are just a higher deductible to save you money on the premium. Give us a call if you are looking for HSA options and we can make sure you are in a plan that qualifies for the tax benefits of an HSA.

Pre-existing conditions are any prior health condition that you have had treated or should have had treated prior to purchasing a policy. New ACA plans are not allowed to decline due to pre-existing conditions, but other types of plans can still deny coverage or limit coverage because of those prior health conditions. If you are worried that you may have a pre-existing condition that would limit your choices please give us a call and we can help.

It is great to offer good benefits to your employee’s. We specialize in employer coverage with several different options for you as the employer to choose from. The basic information we need to see what it would cost and what is available to you is to get a census. Click on the link under health insurance for the group and the step by step packet will be sent to you. After that it is easy! Let us do the work on it and you can relax knowing what you pick will be affordable and keep your employees happy.

Cost is dependent on several factors. As a general rule the rates are set for small employers (<50) on benefit levels that you pick. For large groups (50+) there are several additional options that can contain costs and keep you compliant with the law requiring offering compliant insurance to all employees. Download the step by step packet and give us a call. We would be happy to give you all the options available and help you pick what would be good for your company and employees.