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Find the Right Health Insurance for You

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Fairshot Financials partners with America’s best Insurance companies

Step 1: Decide How Much Coverage You Need

When choosing a health insurance plan, it’s essential to assess your specific healthcare needs. Coverage options can vary significantly, depending on the type of health insurance plan you select and your state’s regulations. Most health plans offer a range of coverage options, from basic care to more extensive coverage for hospital stays, surgeries, and specialist visits.

You may want to consider:

  • Basic Coverage: Includes preventive care, emergency services, and doctor visits.

  • Comprehensive Coverage: Offers additional benefits like prescription drugs, mental health services, and maternity care.

  • Additional Plans: Depending on your needs, you may want to consider supplemental plans, such as dental, vision, or wellness coverage.

Step 2: Gather Information and Documentation

Before contacting health insurance companies for quotes, ensure you have the necessary information at hand. This will help you get accurate and timely quotes:

  • Personal information: Name, date of birth, and address.

  • Household members: The number of people you want to include in your plan.

  • Health history: Any pre-existing conditions or ongoing health concerns.

  • Income information: Some plans are income-based, especially for government-assisted programs like Medicaid.

  • Employer insurance: If you have employer-sponsored insurance, make sure to have those details.

  • Prescription needs: If you require prescription medication, it’s important to share this information as well.

 

Step 3: Research and Compare Health Insurance Plans

When looking at health insurance plans, you’ll find several options depending on your preferences and needs. Here’s how to compare:

  • Cost: This includes the monthly premium, deductibles, co-pays, and out-of-pocket maximums.

  • Network: Ensure the plan covers your preferred doctors and healthcare providers.

  • Coverage: Understand what’s included in the plan. For instance, some plans cover maternity care, mental health, and preventative care, while others may not.

  • Prescription Drug Coverage: Make sure your prescriptions are covered under the plan.

  • Flexibility: Some plans require you to choose a primary care physician, while others allow more flexibility.

  • Customer Service: Research customer reviews and ratings for the insurer’s customer service and claims process.

Step 4: Choose the Right Plan

After comparing various plans, choose one that meets both your healthcare needs and your budget. Consider the following:

  • Network and Access to Healthcare Providers: If you have a preferred doctor, ensure they’re in-network.

  • Cost vs. Coverage: A higher premium might save you money on medical services in the long run if you expect to need frequent care.

  • Government Programs: If you’re eligible for government-funded insurance like Medicaid or the Affordable Care Act (ACA), check out available subsidies to help with costs.

Step 5: Apply for Your Health Insurance Plan

Once you’ve selected the best plan, it’s time to apply:

  • Online Application: Most health insurance providers allow you to apply online, where you can submit your information and receive an instant decision.

  • Paper Application: Some insurers may offer paper applications, which may take longer to process.

  • Verification: Expect the insurer to verify your information, including income and health history, before finalizing your coverage.

The Fairshot Financial Way to Compare Health Insurance

Comparing health insurance plans can be overwhelming, but with Fairshot Financial, it’s easier than ever. By completing a simple form, you’ll get personalized health insurance quotes from a variety of providers, both big and small. This means you can compare prices, coverage options, and additional benefits in one place, without the hassle of contacting each company individually.

Photo Health insurance card

How FairshotFinancial Works

Complete a Quick Questionnaire

We’ll ask you some questions about yourself, driving history and the insurance coverage you want.

2. Find Coverage

Review the offers and choose the policy that best fits your coverage needs and budget. The best part: It’s 100% free and only takes a few minutes.

3. Compare Rates

We’ll sort through over 200 insurance companies large and small (so you don’t have to) and find the best rates available in your area.

Health Insurance FAQs

Here are some frequently asked questions to help guide you through the process of selecting health insurance:

  • What factors affect my health insurance premium?

    • Your premium can be influenced by your age, location, tobacco use, and the type of coverage you choose.

  • Can I change my health insurance plan mid-year?

    • Typically, you can only make changes during the open enrollment period or if you experience a qualifying life event (e.g., marriage, birth of a child, loss of job).

  • What is the difference between HMO and PPO?

    • HMO (Health Maintenance Organization) plans require you to choose a primary care doctor and get referrals for specialist care. PPO (Preferred Provider Organization) plans offer more flexibility and don’t require referrals.

  • Are pre-existing conditions covered?

    • Yes, under the Affordable Care Act, health insurers cannot deny coverage for pre-existing conditions.

  • What’s the difference between a deductible and a premium?

    • A premium is the amount you pay monthly for your health insurance. A deductible is the amount you pay out-of-pocket for covered services before your insurance starts to pay.

Health Insurance Plan Comparison Table

Plan Type Monthly Premium Deductible Out-of-Pocket Max Covered Services Flexibility
HMO (Health Maintenance Organization) $300 – $600 $1,000 – $3,000 $5,000 – $8,000 Preventive care, emergency services, doctor visits, prescriptions Requires PCP and referrals for specialists
PPO (Preferred Provider Organization) $400 – $800 $500 – $2,500 $4,000 – $7,000 Wide range of services, including specialists, hospital stays No referrals needed, more flexibility
EPO (Exclusive Provider Organization) $250 – $500 $1,000 – $2,000 $3,000 – $6,000 In-network services only, urgent care, prescriptions No out-of-network coverage
POS (Point of Service) $350 – $700 $1,500 – $3,000 $4,500 – $6,500 Preventive care, doctor visits, emergency, prescriptions Requires PCP for referrals
HDHP (High Deductible Health Plan) $200 – $500 $2,500 – $7,000 $5,000 – $10,000 Preventive care, emergency services, prescriptions Lower premiums, but higher deductibles

Key Insights:

  • HMO: Lower premiums and deductibles but requires a primary care physician (PCP) and referrals to see specialists.
  • PPO: Greater flexibility, no referrals needed, but higher premiums and deductibles.
  • EPO: Lower premiums, but no out-of-network coverage—must use in-network providers.
  • HDHP: Lower monthly premiums but much higher deductibles before coverage starts.

Additional Factors That Affect Your Health Insurance Rates

In addition to the basics like location and age, insurance companies may also consider these factors when calculating your health insurance premiums:

  • Pre-existing conditions: Having a chronic condition or ongoing health issues may impact the cost of your premiums.

  • Family size: The more members you add to your plan, the higher the premium.

  • Lifestyle choices: Tobacco use or an unhealthy lifestyle can increase your premiums.

  • Income: Some health insurance plans, especially through the ACA, adjust premiums based on income.