Simplifying the Process of Buying Individual Health Insurance

Buying health insurance doesn’t have to be a complicated process. By following the right steps, you can find healthcare coverage that fits your budget and provides the benefits you need. Here are three important factors to consider when shopping for individual health insurance: 

1. The Affordable Care Act (ACA)

Individual health insurance policies are sold on Affordable Care Act marketplaces and exchanges. These policies are designed to provide easy access to critical health care resources at an affordable price. Plans are ranked by cost and coverage level, making it easier to select one that meets your needs. 

• Bronze: Lowest level of coverage, with lower premiums but higher out-of-pocket costs. 

• Silver and Gold: Mid-range coverage levels with varying premium costs. 

• Platinum: The highest level of coverage, ideal for those who want comprehensive benefits. 

Platinum plans, for example, cover 90% of healthcare expenses while maintaining reasonable premium payments. ACA plans must provide coverage for essential health services, including: 

• Hospitalizations 

• Outpatient care 

• Preventive care 

• Maternity services 

• Pediatric services 

• Lab tests 

• Rehabilitation services 

• Mental health treatment 

• Prescription drugs 

• Emergency services 

• Ambulatory services 
  
  

2. Individual Health Plan Costs

To maintain your health plan, you’ll need to pay monthly premiums and other associated costs. Payment options include monthly installments or paying the full amount upfront, which may qualify you for a discount from your insurer. 

• Deductibles: The amount you pay for medical services before your insurance coverage begins. 

• Copayments and Coinsurance: Fixed amounts or percentages of costs that you pay when receiving treatment. 

Understanding these costs ensures you can budget effectively and make informed decisions about your health coverage. 

3. Provider Networks

Most insurance policies require you to seek care within a specific network of covered providers. When evaluating a provider network, consider whether your preferred doctors, specialists, or facilities are included. Research the network’s quality by reading reviews, checking accreditation, and verifying the proximity of providers to your location. Choosing a network that aligns with your healthcare needs can ensure a smoother experience and better overall satisfaction with your plan. Receiving treatment outside this network could mean paying the full cost out-of-pocket. However, some plans may offer limited out-of-network coverage, which could reduce the financial burden. Additionally, individuals can explore negotiating payment plans with out-of-network providers or inquire about discounts for paying upfront. Understanding these options can help minimize costs when seeking care outside the network. 

Don’t wait to get the health insurance you need. Schedule a consultation with Trusted Senior Specialists now to explore your options and find the right coverage for you. Get started on the path to better health care today! 

If you have questions or need assistance finding an ACA plan, call one of our Licensed Agents at Trusted Senior Specialists.

There is no cost or obligation for a consultation! 

We are available Monday through Friday from 8 AM to 8 PM CST,
and on Saturday by appointment.

You can reach us by calling: 1-855-952-1941 TTY: 711
 By calling this number you may be connected with a licensed agent.