It’s crucial for Missouri residents to have health insurance protection, but selecting the right plan can be difficult. InvoBH is here to make it easy. We’ll make the calls, compare your options and rates, and find you an affordable solution that suits your health needs.
Our licensed professionals are also a personal resource for you, so you can call us anytime you need assistance with your coverage. We’ll help you navigate the healthcare system, one-on-one, so you don’t have to deal with getting put on hold with insurers for hours at a time.
A healthcare reform law was enacted in 2010 to make it easier for Americans to access affordable health insurance. It’s called the Affordable Care Act or “Obamacare”, and it provides subsidies that lower costs for low-income households.
After the ACA, a buying or enrollment service (Marketplaces) was made to help individuals and families who don’t get offered health coverage by a large employer. You’ve probably heard of the health insurance Marketplace, which is run by the government and varies by state.
ACA Plans and Network Types
Under Obamacare, most health insurance plans are either HMOs or PPOs. Other types include the less popular EPO or POS.
Health Maintenance Organization (HMO)
These plans will require you to see doctors within their provider network and choose a primary care physician (PCP) who will coordinate your care.
Preferred Provider Organization (PPO)
These plans do not require you to choose a primary care doctor or get referrals. You can also go out-of-network to receive care, it’ll just be at a higher cost.
Exclusive Provider Plans (EPO)
With an EPO, you can exclusively use the care providers within the plan network. You don’t need a referral to see a specialist. An EPO plan may be the right choice for you if you want a lower negotiated monthly premium than what you’d get with a PPO or an HMO plan.
Point-of-Service Plans (POS)
A POS plan is a sort of HMO/PPO mixture. Like an HMO plan, you’ll have to name a PCP who will make referrals to specialists in the plan’s network when you require them. And similar to a PPO plan, you may get care from providers who are out of network but pay higher out of pocket costs.
Receiving Employer Coverage
Many Americans get health insurance through their employer. Employers may offer various options and allow their employees to select the plan that aligns most with their health needs. Some individuals that have employer coverage still choose to purchase another insurance plan to fill all the gaps.
Health Insurance Costs
The cost of a health insurance policy will vary, depending on whether you qualify for premium tax credits (subsidies).
The four basic types of plans are bronze, silver, gold, and platinum. While plans can blend different premiums, deductibles, and co-pays, you’ll be able to estimate what your out of pocket costs will be in each type.
Also, don’t let concerns about cost keep you from getting coverage. Health insurance is vital for peace of mind, and should you experience an unexpected health emergency, it pays to be insured.
Don’t Settle For Anything Less.
Get The Coverage You Deserve!
Find the Health Insurance for You, Your Family, and Your Budget.
Looking through all the different options can be overwhelming. As an independent agency, InvoBH works in the U65 sector on the health insurance marketplace. Contact us to get help—it won’t cost you anything extra!