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 651-488-0172 or email us at info@tcunderwriters.com.

Glossary of Terms

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.

Health Insurance Plans

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:

Bronze Plan

Good for those who don’t visit the doctor or pharmacy very often
Lower monthly premium
Higher deductible

Silver Plan

Good for those who aren’t sure how often they’ll go to the doctor or pharmacy
A balance between monthly premium and deductible

Gold Plan

Good for those who frequently visit the doctor or pharmacy
Higher monthly premium
Lower deductible

To learn more about the different tiers and plans, contact us at Twin City Underwriters.

FAQs

Can I change my health care coverage for the rest of the year outside of my enrollment period?

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.

How are health insurance premiums determined?

Some common factors insurance companies use to determine your premiums include your
age, location, tobacco use, who is on your plan (spouse and/or dependents), and the type of
plan you want.

What is an HSA-compatible plan?

An HSA-compatible health plan is a health insurance plan that meets the guidelines set by the IRS regarding deductibles, out-of-pocket expenses, and acceptable coverage. An HSA allows you to set aside a portion of your earnings pre-taxed to pay for qualified medical expenses.

What is a catastrophic coverage plan?

A “catastrophic plan” is a qualified health plan offered through the Marketplace that covers essential health benefits and requires the highest level of cost-sharing allowable for essential benefits.

How do I know if my doctors are in the network?

Call your insurance company, check online, or reach out to your agent. You provide both the specific plan name you are referencing and the doctor’s name to confirm whether or not the provider is in the network.

Health Insurance

Health Insurance Plans

FAQs

Do you have questions about Health Insurance?