HAVE QUESTIONS ABOUT HEALTH INSURANCE?
WE ARE HERE TO HELP!
Health Insurance has become a struggle for families around the country. Beehive Insurance understands how important health insurance is to protecting the financial stability of your family. Our first priority is to educate our clients on the vast array of options available, allowing them to make well‐informed decisions that meet their personal needs.
CONTACT US to get FREE enrollment and plan selection HELP!
Health Maintenance organizations (HMOs)
HMOs may limit coverage to providers inside their networks. A network is a list of doctors, hospitals, and other health care providers that provide medical care to members of a specific health plan. If you use a doctor or facility that isn’t in the HMO’s network, you may have to pay the full cost of the services provided.
HMO members usually have a primary care doctor and must get referrals to see specialists
Preferred Provider Organizations (PPOs) / Point-of-Service Plans (POS)
PPOs and POS give you a choice of getting care within or outside of a provider network. With PPO or POS plans, you may use out-of-network providers and facilities, but you’ll have to pay more than if you use in-network ones. If you have a PPO plan, you can visit any doctor without a referral.
If you have a POS plan, you can visit any in-network provider without a referral, but you’ll need one to visit a provider out-of-network.
High Deductible Health Plan (HDHP) / Health Savings Accounts (HSA)
High Deductible Health Plans typically feature lower premiums and higher deductibles than traditional insurance plans. As of 2013, all HDHPs must have a minimum deductible of $1250 per year for individual coverage and $2500 for family coverage.
If you have a HDHP you can use a Health Savings Account (HSA) or Health Reimbursement Arrangement (HRA) to pay for qualified out-of-pocket medical costs. This can also lower the amount of federal tax you owe.
Catastrophic Health Insurance Plan
- A Catastrophic Health Insurance Plan covers essential health benefits but has a very high deductible. This means it provides a kind of “safety net” coverage in case you have an accident or serious illness. Most of these plans do not offer coverage for prescription drugs or shots as well as Co-pays, etc.
- Premiums are usually much lower than traditional health plans but deductibles are usually much higher.
- Available only to people under 30 and to some low-income people who are exempt from paying the fee.
- Marketplace Catastrophic Plans cover 3 annual primary care visits and preventative services like physicals, shots, screening tests, etc. at no cost.
- After the deductible is met, they cover the same set of essential health benefits that other traditional plans offer.
- People with Catastrophic plans are NOT eligible for lower costs on their monthly premiums or out-of-pocket costs (Tax credits, Subsidies).
What is a Premium?
A premium is a fixed amount you pay to your insurance plan, usually every month. You pay this even if you don’t use medical care that month.
What is a Deductible?
If you need medical care, a deductible is the amount you pay for care before the insurance company starts to pay its share. Once you meet your deductible, your insurance company begins to cover some costs of your care. Some plans have lower deductibles, like $250. Some have higher deductibles, like $2,000.
What is a Copayment?
A copayment is a fixed amount you’ll pay for medical service before or after you’ve met your deductible, depending on your plan.
What is Coinsurance?
Coinsurance is similar to copayment, except it’s a percentage of costs you pay. For instance, you may pay 20% of the cost of a $100 medical bill. So you would pay $20 and the health plan would pay the rest.
The maximum dollar amount per year of eligible medical charges that the insured must pay.
In-Network vs. Out-of-Network?
Use of a health care provider that is a member of the plan’s provider network is called In-Network. Use of a healthcare provider that is not in the plan’s provider network is called Out-of-Network. The medical plans generally pay reduced benefits for Out-of-Network services.
What is a Health Savings Account (HSA)?
A high-deductible health plan is a health insurance plan with lower premiums and a higher deductible than a traditional health plan (HMO or PPO). Being covered by an HDHP is also a requirement in order to have a Health Savings Account (HSA).
What is a High Deductible Health Plan (HDHP)?
A Health Savings Account is a tax-free savings account that belongs to you. Money deposited into your HSA account can be a combination of employee and/or employer contributions. You can use HSA funds to pay eligible medical, dental, and vision expenses. The money in the fund rolls from year to year, so if you don’t use it you will not lose it.
HOW TO GET STARTED?
Our goal is to educate Utah individuals and families about their health insurance options. We understand that health insurance can be overwhelming; we want to eliminate the confusion and help you find answers, and it’s FREE!
Contact Us to receive local information on products and services available to Utah residents.
We try and make enrollment as easy as possible. We can help you with the two keys enrollment objectives:
DO YOU QUALIFY FOR A SUBSIDY?
You may be eligible for significant premium subsides based on your household income and size. Programs like Medicaid and CHIP can also be determined based on qualifications. Have Beehive Insurance help you ensure that you utilize all subsidies available to you and your family.
WHAT PLAN, CARRIER OR NETWORK DO I CHOOSE?
What network of doctors and hospitals do you want? How about traditional plans vs. HSA plans? Most importantly what will they cost? We can help with this critical step. Making a mistake on you plan choice can be costly down the road.
In addition to enrollment assistance, would you also like Free Service & Support after enrollment? An Beehive Insurance Agent provides you with a NO COST personal advocate for network questions, policy claims and all other insurance needs. The servicing fee is built in to your premiums whether you have an Agent or not. Fill in the Beehive Insurance NPN # and User ID when completing your enrollment.
Brokers/Agents work diligently to help Utah Residents understand their healthcare options and get enrolled with affordable coverage through the Federal Marketplace on www.healthcare.gov
|Do it |
|Broker / |
|Required Federal Marketplace Training||5 hrs|
|Required State Licensing and continuing education||12 hrs|
|HealthCare.gov Enrollment website open to public|
|Federal Call Center Support|
|Assistance navigating HealthCare.gov|
|Certified and regulated by DOI in partnership with Marketplace|
|Adhere to Federal privacy & security standards|
|Application and Enrollment assistance|
|Act in Consumers "Best Interest" - unbiased consolation|
|Basic Education on the benefits of health insurance|
|Refer Enrollees to Agents for Additional Plan Information and Support|
|Education on insurance terms (premium, deductible, co-insurance, etc.)|
|Conduct Outreach and Enrollment Activities/Marketing|
|Plan Selection Guidance:|
|Assistance in determining Premium Tax Credit/Subsidies availability|
|Assist & advice Consumers in State Insurance enrollment (Medicaid, Chip)||Limited|
|Eligibility qualification for Medicaid, Chip||Limited|
|Refer Enrollees to CAC / Navigators for Medicaid and Chip Enrollment/Help|
|Coverage Questions and personal plan selection|
|Enrollment options outside of the Marketplace if applicable|
|Cost Benefit analysis (HSA v. Traditional?)|
|Carrier Network Evaluations - What works best for where you live?|
|Educate Consumer on best coverage and carrier options|
|Provide information about Premium Tax Credit/Subsidies available|
|Service/Support (After Enrollment):|
|Claim dispute resolution - Help Consumers resolve claim disputes|
|Local Customer Service (same day response/communication)|
|Advocacy - Only an Agent can work for you with the insurance companies|
|Plan coverage questions|
|Renewal Options and Questions|
Getting health insurance on your own can be a complicated and oftentimes overwhelming process. Seeing if you qualify for a premium tax credit or cost sharing subsidy can be difficult enough. Choosing a plan design from the 90+ plan options once your subsidy is calculated can be next to impossible. Let us provide you with FREE support as you try and navigate the enrollment process.
In addition to FREE enrollment help we can also provide FREE post-enrollment servicing and support on your new coverage.
We act as your advocate with the health insurance companies to ensure that you receive fair and honest service. Whether you enroll on your own or with a Beehive Insurance Agent your premium cost is the same.
MAKE SURE TO TAKE ADVANTAGE OF THE RESOURCES AVAILABLE WITH A BEEHIVE INSURANCE AGENT.
This diagram helps show the roles that each group may offer.
User ID: BEEHIVEINSURANCE