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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.​

Saving Money on Health Insurance With Negotiated PricingPin

Saving Money on Health Insurance With Negotiated Pricing

The majority of health insurance companies have a contract with a network of hospitals and other providers. In this contract, there are negotiated rates for different services. This negotiated rate is generally lower and sometimes significantly lower than what a provider would charge someone who is paying out of pocket.

 

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Out of Pocket Maximum

Your out-of-pocket maximum is the most you’ll have to pay for covered services in a policy period (one year), each January 1st it starts over again, and that includes cost of medications too. After you reach this amount, your health insurance plan will pay 100%.

Qualifying Life Event

If you experience a major life change, then such a change is often considered a qualifying life event. Such life events affect your existing health insurance coverage and can make you eligible to change your coverage during the special enrollment period.

Signs You Should Go See Your Doctor

Sometimes, deciding whether to see a doctor is a gray area, but it’s better to err on the side of caution. If you are experiencing a serious injury or illness, it is easy to justify making a call to your local medical office. However, it is important to remember that early detection generally leads to better outcomes.

Does Health Insurance Cover Dermatology?

Health insurance pays for dermatology appointments in the same way that it does any other visit with a specialist. If the treatment you are seeking is “medically necessary”, and you have followed your plan’s rules for getting referrals or seeing in-network providers, you will not have to pay for your care entirely out of pocket.

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