October 31, 2018
2 minute read

Don’t Be Afraid to Make Health Insurance Claims

Health insurance claim formIt’s common knowledge that if you get into a lot of accidents (and therefore make a lot of claims), your cost for auto insurance will go up. If you file a homeowner’s insurance claim, your premiums may also rise – sometimes by hundreds of dollars! With many types of insurance, the more claims you file, the more expensive your insurance becomes.

This is not the case with health insurance. Your premiums won’t fluctuate throughout the year, so if you see a doctor two times or twenty times, you’ll still be paying the same premiums each month. You should never be afraid to go to the doctor, even if it’s just for a check-up. If you’re proactive, your physician will be better able to spot any warning signs or conditions before they get worse.

So how does a health insurance company decide how much your premium will be? The Affordable Care Act says that companies can only consider these factors:

  • Age – If you are older, you can be charged up to three times more for premiums than younger people. States can also limit how much this factor (and the others) influence premiums.
  • Location – Where you live will also impact your premiums. States regulate premiums differently, and if you live in an area with a higher cost of living, you might have to pay more for health insurance.

While you don’t have much control over your age and you probably aren’t going to change where you live, you do have control over the last three factors affecting your premiums:

  • Tobacco Use – If you’re a smoker or you use tobacco, insurance companies can charge you up to 50% more on your premiums.
  • Individual vs. Family Enrollment – As you might expect, it costs more money to cover more people. Your health insurance premiums are likely to be lower if you are the only one covered. If you want coverage for your spouse and/or your dependents, insurance companies can increase your premiums.
  • Plan Category – Health plans typically fall into one of five categories: bronze, silver, gold, platinum, and catastrophic. Each category splits the cost of healthcare between you and the health insurance company differently. Bronze plans typically have lower premiums (but higher out-of-pocket costs), while platinum plans tend to have higher premiums (and lower out-of-pocket costs). For more information, see our infographic about health plan categories.

These are the only five things that insurance companies can consider when setting the costs of your premium. It doesn’t matter if you’re male or female, pregnant, epileptic, dyspeptic, or diabetic. Insurers cannot charge you more money for any conditions you had before your coverage started.

If you’re not feeling well, don’t ever hesitate to see a medical professional. The Affordable Care Act was designed to protect consumers from escalating healthcare costs, so you can receive quality care at an affordable price.

At HealthMarkets, we know that health insurance can be confusing. We can help make shopping for health insurance simple. Call us today at (800) 827-9990 and speak to a licensed professional who knows the regulations in your area.

 

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© 2022 HealthMarkets Insurance Agency. All rights reserved.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1- 844-704-7357), 24 hours a day/7 days a week, to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMIA001191

© 2022 HealthMarkets Insurance Agency. All rights reserved.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1- 844-704-7357), 24 hours a day/7 days a week, to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMIA001191

© 2022 HealthMarkets Insurance Agency. All rights reserved.

To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1- 844-704-7357), 24 hours a day/7 days a week, to get information on all of your options.

Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in an insurance plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.

HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.

This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

HMIA001191