Whether you are looking for your first individual health plan, a plan for your family, or coverage to carry you over to Medicare, we are here to assist you with selecting the policy that best suits your needs. At Twin City Underwriters we work with several different health insurance carriers to provide you with options.
Our licensed agents help you determine the ideal plan for your individual needs. All health insurance plans offer different benefits, levels of coverage and utilize unique networks; with this in mind we work with you to ensure the plan you choose provides suitable coverage. For more information or to get a quote give us a call at 651-444-1190 or email us at info@tcunderwriters.com.
Allowed Amount – The maximum amount a plan will pay for your covered health care services.
Copay – The set dollar amount you pay each time you receive a service or prescription.
Coinsurance – A set percentage you pay toward health care after your deductible has been
met.
Premium – The amount that must be paid for your health insurance or plan. Typically paid
monthly, quarterly, or yearly.
Deductible – The amount you owe for health care services your insurance plan covers before
your plan begins to pay.
Annual Out-of-Pocket Maximum – The most you pay during a policy period before your health
insurance plan pays 100% of your allowed amount. This doesn’t include your premium, balance-
billed charges, or health care that your plan doesn’t cover.
Premium – The amount that must be paid for your health insurance plan.
Marketplace – A health insurance marketplace or health insurance exchange is where
consumers in the U.S. can purchase private health insurance plans and receive income-based
subsidies to make coverage and care more affordable.
Most health insurance plans offer three different levels of coverage and cost-sharing. Each plan pays a different amount toward medical coverage and prescription drugs. The plan you choose will be determined by how often you visit the doctor, how much you want to pay (deductibles, premiums, coinsurance, etc.), where you go to the doctor and how much you want to pay before your health plan begins.
Many plans are structured into 3 different tiers depending on the type of coverage you need:
To learn more about the different tiers and plans, contact us at Twin City Underwriters.
Yes, you can change your health coverage if you qualify for:
1) A Special Enrollment Period due to a life change –Certain life events, like losing your health care coverage, moving, having a baby or adopting a child, or a marriage or divorce, may qualify you to enroll in or change health plans outside the yearly enrollment period.
2) Medicaid, CHIP, or a new Special Enrollment Period based on income – Individuals, families, and children with certain incomes may qualify for Medicaid, the Children’s Health Insurance Program (CHIP), or health insurance through the Marketplace. Eligibility is based on your estimated household income, and you can apply at any time.
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