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What Are Association Health Insurance Plans?

by | Dec 3, 2024

Do You Know What An AHP Is?

Most people have never heard of association health plans; however, these health insurance plans have been around for decades for small businesses in limited circumstances. Recently, new rules have passed that substantially expand the circumstances that would allow association health plans to be purchased. Most significantly, individuals now have access to these health insurance plans.

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What Are Association Health Insurance Plans?Pin

How Are Association Health Plans Different from ACA Plans?

Association Health Plans may have fewer benefits but will most likely have lower premiums, making them an attractive option for those who are young, healthy, and on a budget. These AHP plans will be different than the current ACA (Obamacare) health insurance plans, where insurers offering these plans cannot deny coverage for people with pre-existing conditions or charge them a higher rate based solely on their health status or history.

Association Health Plans, however, don’t have to provide the “essential health benefits” outlined by the ACA. (Maternity, Prescriptions, Pediatric Dental and Vision, Mental Health, etc.) Insurers offering Association Health Plans CAN base premiums on an individual’s age, gender, or industry.

 

Is This Coverage Enough?

This is where having an experienced, educated and knowledgeable licensed health insurance agent comes into play. Having an agent look at available plans and discuss the pro’s and con’s of each plan offered, and match your needs with what’s available or offered to you with your current and past health needs is critical. Even the healthiest person can become seriously ill or injured. If that happens, then not only will they deal with stress from the condition itself but also with the financial consequences of medical treatment.

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Let Nevada Insurance Enrollment Advise You

Our Las Vegas, Nevada Health Insurance Agents are here to help you get the best coverage you can afford. Call us today to discuss your healthcare needs and budget, and we’ll help you find the plan that’s right for you and your family.​

Things Potentially NOT Covered By Your Health InsurancePin

Things Potentially NOT Covered By Your Health Insurance

To be fair, in recent years, health insurance companies have made strides towards transparency. If you have an ACA-compliant plan, there are many services that your health insurance is legally required to cover, taking some of the guesswork out of budgeting for health expenses.

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Medical Loss Ratio

This Medical Loss Ratio states that when a family or individual buys a medical plan, 80% of every dollar collected and paid to an insurance company MUST pay medical claims/research. So that leaves the insurance company to pay ALL of their expenses with the remaining 20%. .20 cents on the dollar for their employees, buildings, broker costs, etc.

 

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Health Insurance, Vision Insurance or Both?

Vision insurance pays for a portion of expenses such as basic preventative care, including vision tests and eye exams. It also covers eyeglasses, including the lenses and the frames, and/or contacts. Depending on your plan, there may be additional benefits, such as coverage for daily disposable contacts.

Comparing Medicare Advantage To Medicare Supplement

During the Medicare Annual Election Period (AEP), which is from October 15th through December 7th each year, many people may ask the question, “Do I want a Medicare Advantage Plan or a Medicare Supplement Plan (Medigap)?”

Can You File for Medical Bankruptcy?

The short answer is yes; medical debt is considered non-priority unsecured debt and can be discharged in bankruptcy. While you cannot target medical debt in bankruptcy, this process can help lower payments or eliminate the debt altogether.

Understanding Your New Health Insurance Plan

If you’ve recently enrolled in a health insurance plan, there are several things that you can do while you’re waiting for your coverage to begin. Being proactive while you’re waiting for coverage can ensure that you receive quality healthcare.

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