What happens if you need out-of-network providers for medical care? It happens. Maybe you need to see a specialist who isn’t in your plan’s network. Maybe you have established relationships with out-of-network healthcare providers. Maybe it’s logistically more convenient to see out-out-of-network providers. For example: You’re in the process of moving. Your health plan recently […]

If you’re eligible to receive Medicare coverage, you may still be responsible for some Medicare out-of-pocket costs. Depending on the plan you choose and your yearly income, you will have more or less to pay in healthcare expenses. HealthMarkets can help break down those expenses for each Medicare part. What Are Medicare Out-of-Pocket Expenses? Premiums, […]

Here’s something you can look forward to this year: an end to unexpected, or “surprise,” medical bills. That’s thanks to the new federal No Surprises Act, which took effect January 1, 2022. “Many people reasonably assume that they won’t get billed by some random provider they had no role in choosing. So they may not […]

If you’ve never had health insurance, you might not be familiar with the difference between a copayment and coinsurance. Understanding these two terms can help you better understand your out-of-pocket expenses for the health insurance plans you’re considering so you can choose a plan that is right for your needs. Copayment and coinsurance are both […]

Understanding health insurance terminology can help you choose the right plan for yourself or your family members. One issue some people find confusing is the difference between a plan’s deductible vs. the out-of-pocket limit, both of which represent points at which the insurance company pays for all or some of your care. Why are the […]

Medicare Part D, also known as a Prescription Drug Plan (PDP), helps people with Medicare pay for their medication. These plans are purchased from private health insurance providers and come with a variety of benefits and premiums. But for some high-usage Medicare enrollees, they can also come with unexpected expenses, called the Medicare Part D […]

The Affordable Care Act (ACA) expanded healthcare coverage to include preventive services1. These services are provided without a deductible, copay, or coinsurance. By following a recommended vaccination schedule, you can help to protect yourself from diseases. Medicare also covers several vaccines for enrollees. You can find a comprehensive list here. Below is a list of […]

The U.S. government provides federal subsidies for health insurance to qualified individuals to make health insurance more accessible for Americans with lower to moderate incomes. These Affordable Care Act (ACA) subsidies, sometimes referred to as “Obamacare subsidies,” help reduce the cost of health insurance premiums and come in two basic forms: premium tax credits and […]

Whether you’ve recently changed health insurance plans, purchased health insurance for the first time, or aren’t sure if the health insurance you already have has changed from last year, there are a few crucial numbers you need to know so you can understand and budget for your health care costs this year. Premiums and Deductibles […]