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Archive for the ‘Individual Health Insurance’ Category

World Insurance and American Republic Exit Market; Customers Left Scrambling for Texas Health Insurance

Saturday, October 29th, 2011

american enterprise group closes - texas health insurance plansObamaCare has struck again, and the latest victim is American Enterprise Group – parent company of World Insurance Company and American Republic Insurance Company. American Enterprise announced that it’s closing its individual major medical insurance business, which provides health insurance in Texas and across the country to approximately 35,000 policyholders. The decision was based on the company’s inability to meet regulatory changes imposed by the Patient Protection and Affordable Care Act.

“It’s a fairly predictable consequence of the regulation,” said Michael Abbott, president and CEO of American Enterprise Group. “The regulatory environment’s getting really complicated.” One specific stressor is the legislation’s impact on medical loss ratios, which mandate that insurers must spend at least 80 percent of premiums on medical care. Given the intensive time and high cost of administering health plans, such mandates can kill company’s operating costs and profits, driving them out of business.

In an attempt to keep its customer base insured, American Enterprise has negotiated an arrangement with Celtic Insurance Company, who will offer guaranteed-issue policies to American Enterprise customers. This is one route for consumers to take, but it allows little choice and personalization of policies. It pushes people into a plan rather than allowing them to choose one that’s best for their specific health needs and budget.

Consumers affected by the closing of American Enterprise’s individual insurance business are encouraged to explore their options. Custom Health Plans offers a variety of individual health insurance plans and family health insurance plans that can be tailored to fit our clients’ needs. Losing your health insurance can be very stressful, but we can help consumers navigate through the confusion.

Give us a call to discuss your options – (469) 361-4032

And stay tuned next week as we detail several alternative options to American Enterprise Group for finding an affordable health insurance plan that’s right for you.

A Dummy’s Guide to Buying Individual Texas Health Insurance

Tuesday, December 14th, 2010

individual texas health insuranceWhether we get it from our employer or the individual market, we all need to obtain and maintain a Texas health insurance plan.  If you can’t rely on your workplace to offer a quality health insurance plan, then it pays to shop around the individual Texas health insurance market to see what plans are available, and at what prices. Below are some tips on finding and buying a health plan on your own.

Choose your preferred type of plan – There are PPOs, HMOs, health savings accounts and more. All those acronyms can sound confusing, but they’re just descriptors identifying a particular type of plan. One good factor in determining which plan type is best for you is whether you have an existing doctor you wish to keep.  If yes, then a PPO plan will allow you to stick with that doctor. An HMO will dictate which doctors you can see.

How much do you want to pay each month? – Health plans can be very flexible in pricing. If you pay more each month, then your out-of-pocket costs for doctor visits and prescriptions will be lower. But if you’re generally healthy, then you might opt for higher out-of-pocket costs to save you money on your monthly premiums.

Who needs coverage? – Are you looking to obtain coverage for just yourself or your family too? An individual health insurance plan is a bit of a misnomer, as it can cover more than just one person. Of course, it costs more to cover a family than one person, but it’s worth it to ensure your spouse and kids are covered should health issues or an emergency occur.

For personalized support in choosing an individual health insurance plan, consider enlisting the services of a Texas health insurance broker.  A broker can walk you through various plans and options, and it’s all free to you, as a broker’s fee is paid by health insurance carriers, not individual consumers.

Finding Affordable Texas Health Insurance Quotes

Wednesday, June 30th, 2010

finding texas health insurance quotesFinding a good Texas health insurance quote can be tricky if you don’t know where to look.  And these days, with costs rising and employers dropping group coverage, more and more people must find and secure their own Texas health insurance plans.  More than just coverage for doctor visits and prescriptions, health insurance protects your way of life and financial future.  It may seem costly now, but Texas health insurance can save you thousands of dollars in the long run.  The following tips offer hassle-free steps to finding an affordable quote.

Don’t pay for it

There are so many options for obtaining free Texas health insurance quotes that there’s no reason to pay for one.  If a company wants your money before giving you a quote, then move onto the next company.

Shop around

These days it’s very easy to obtain a Texas health insurance quote.  Simply go online and companies are eager to provide you with what you need, but make sure your quote is coming from a health insurance provider licensed to operate in your state, or from a reputable, certified broker.

The Lowest Price Isn’t Always the Best

While a low cost quote is very attractive on the surface, it’s important to consider value, rather than just price.  If the plan doesn’t cover the services you require, like prescriptions or maternity care, or if it doesn’t cover your preexisting condition, then you’ll end up paying much more money in the long run.  Anyone can give you an inexpensive quote, but unless it’s for a Texas health insurance plan than offers the benefits and services you need, keep on looking.

And a High Price Doesn’t Mean it’s Good

Similar to how a low cost quote isn’t always a good bargain, a high priced quote doesn’t mean you’re getting the best coverage. An expensive health insurance plan can offer comprehensive services and benefits, but unless you’re going to use those benefits, you’re wasting your money.  Make sure the Texas health insurance plan you select isn’t stuffed with services you’ll never use, or you’re just throwing money away.

Comparing an Individual Texas Health Insurance Plan to Your Employer’s Plan

Tuesday, June 8th, 2010

individual texas health insurancePeople typically obtain their Texas health insurance by one of two methods: participating in their employer’s health insurance program or purchasing an individual health plan on their own. Steep unemployment rates, recent legislation leading to fewer employer-sponsored plans and the desire for greater personalization and control over health care costs has led more and more people to choose individual Texas health insurance plans over group plans.

Employer-sponsored health insurance plans operate under group rates and maintain a one-size-fits-all dynamic.  This blanket coverage results in certain individuals paying for coverage they don’t need in order to subsidize those employees who require more extensive health care.  Since these extra costs are absorbed by all employees, group plans are unnecessarily expensive for certain workers.  Such workers may benefit from an individual health insurance plan, which can be tailored to fit one’s particular needs and budget.

Another benefit of an individual Texas health insurance plan is that it’s portable.  When an employee loses his job, changes his job or branches out on his own, his benefits will lapse, leaving him and his family defenseless against a major medical emergency.  An individual health insurance plan, however, stays in place regardless of a change in employment status, ensuring coverage during tumultuous times.

Since money is tight, the job market jobs remains uncertain and increases in health care costs continue to outpace wages, there’s no better time to consider an individual Texas health insurance plan for personalized, affordable and portable health coverage.

Texas Health Insurance for the Self-Employed

Tuesday, June 1st, 2010

self employed texas health insurance Everyone needs health insurance, and while the majority of Texans simply receive their Texas health insurance through an employer’s benefits package, many self-employed individuals must purchase it on their own.  This creates a unique set of challenges, but when joining the ranks of the self employed, there are plenty of opportunities and options to keep you covered at a good price.

1. Individual Texas health insurance – Purchasing individual Texas health insurance allows you to customize a plan that fits your health needs and budget, without paying for unnecessary items that were bundled into your group plan.  You can choose between a variety of plans, including PPOs, HMOs, fee-for-service plans and even a Texas health savings account.

2. COBRA – Those who leave their job for self-employment may be eligible to continue their coverage through COBRA.  The Consolidated Omnibus Budget Reconciliation Act of 1985 allows workers to extend their employer benefits for up to 18 months after leaving a job, but since the employer is no longer subsidizing the plan, this can be a very pricey option.

3. Join your spouse’s plan – If you’re married and your spouse’s employer offers solid health insurance, consider joining his or her plan.  It may be cheaper than purchasing insurance on your own, and group health plans will usually accept you regardless of health history.

4. Put a broker to work for you – A certified Texas health insurance broker can sift through all the clutter to help you find the best plan for you.  Brokers are eventually paid by the health insurance company you choose, so their services are free to use.

5. Short-term health insurance – If self-employment is only a temporary stop in your career, then a short-term Texas health insurance plan may be a good option.  It will keep you covered at a reasonable price until you move onto a job with employer-subsidized benefits.

How to Choose an Individual Texas Health Insurance Plan

Monday, May 17th, 2010

individual texas health insuranceWhile most Texas health insurance plans are issued by employers as part of an employee’s health benefits, many people choose to purchase insurance on their own.  Those who are self-employed, have jobs that don’t provide insurance or have lost their jobs often opt for individual Texas health insurance plans to guarantee they’re covered should medical needs arise.

When selecting an individual Texas health insurance plan, you can choose between indemnity, or fee-for-service plans, health maintenance organizations (HMOs), point-of-service (POS) plans, preferred provider organizations (PPOs), and even Texas health savings accounts (HSAs).  Run through the benefits, services and price structures for each type of health insurance plan to decide which plan best conforms to your health needs and budget.

One of the biggest advantages of purchasing individual Texas health insurance is that you have the freedom to pick and choose the benefits and services you want.  Whether it’s low monthly premiums paired with a high deductible, or higher monthly premiums matched with no deductibles or copays, you can customize individual plans to meet your needs and budget.  This is in contrast to group plans that offer broad coverage for a broad range of people, which can result in you paying for services you don’t want or need.

Another advantage to obtaining individual Texas health insurance is that it’s portable. Employer sponsored coverage ends when your job ends, but an individual plan goes with you, so regardless of job status, consumers can rest assured that they’re covered.

For personalized support in choosing the best individual Texas health insurance plan for you, try working with a Texas health insurance broker.  A broker can guide you through various plans and options as well as make suggestions that align with your medical background and health care needs.  And since health insurance rates are regulated, the rates obtained through a broker are the exact same as rates received directly from the insurance company.  Plus, because a broker’s fee is paid by the health insurance carrier, there’s no extra cost to you; and if you need some help along the way, you’ve got a local advocate to navigate the health insurance maze on your behalf.