affordable health insurance

How to Understand Health Insurance from the Marketplace

by ClaimLinxJune 23, 2022August 1, 2022Leave a comment

If you’re new to the world of health insurance, there are several technical terms that may make it seem very daunting at first, but we aim to clear things up within this article. The health insurance marketplaces has provided insurance coverage to millions of individuals over the years. Selecting the right insurance plan is important, because getting an expensive plan that doesn’t contain coverage for what you need is of no use.

The Health Insurance Marketplace

This marketplace offers visitors an opportunity to purchase all types of health insurance plans ranging from individual to family health plans. The primary benefit of this marketplace is that it allows users to compare plans to evaluate pricing, coverage and more. Each state has their own version of the marketplace, while some only utilize the federal one. There is an enrollment period every year where you can purchase plans in the marketplace.
The insurance marketplace stems from Obamacare through the ACA in 2010. As the years passed, around fourteen different states have chosen to create their own health insurance marketplace. One of the biggest benefits is that the plans listed on these health insurance marketplaces provide coverage for the ten necessary health requirements.

Categories of Insurance Plans in the Marketplace

There are 4 different categories, i.e. Bronze, Silver, Gold and Platinum. Platinum level plans are the most expensive, but they also provide the maximum amount of expense coverage. Users can view and compare the coverage of each plan alongside their costs.

While you do need to keep your budget in mind as well, it is important to remember that the price of healthcare in the US is extremely high. Getting a plan that provides better coverage is always the best option.
One important thing to remember is that the platinum level plans do NOT guarantee quality care. You need to go through the list of accepted healthcare professionals to see if the plan is a good fit.

You may also be eligible to obtain financial assistance for your plans if you meet a certain criteria. This can help take care of the high costs of monthly premiums. Once you select a plan, more details about financial assistance will be available to you on the health insurance marketplace.

Eligibility Requirements

To shop in the marketplace, you have to meet certain eligibility requirements. For example, you must be a lawful U.S. Citizen, or a U.S. National. Individuals who are incarcerated cannot purchase healthcare. Another important thing to remember is that you cannot be enrolled in Medicare when purchasing the health insurance marketplace.

Conclusion

If your current employer offers healthcare benefits, do evaluate those options first instead of purchasing directly from the marketplace. This is because employer-based premiums are normally lower with better coverage since the employer obtains them at bulk pricing.
However, if you’re handicapped or unemployed, purchasing directly on the health insurance marketplace is a perfect choice. With numerous options available for you to compare and select from, it is important to take your time to carefully evaluate coverage, premiums, and more.

The Benefits Of Hiring A Health Insurance Agent

by ClaimLinxMarch 30, 20222 Comments

Health insurance agents help people, just like you, navigate complex insurance options. Paperwork, exclusions, and inclusions make understanding what’s included in your insurance frustrating and confusing.

A health insurance agent helps make all of these complications trivial.

In fact, you’ll benefit from hiring an agent in many ways, including but not limited to the following:

5 Benefits of Hiring a Health Insurance Agent

1. Coverage for Price Considerations

Insurance companies make coverage options complex and difficult to understand. You might sign up for a more expensive plan while receiving fewer benefits than with a cheaper plan.

When you work with an agent, they’ll ensure that you maximize your coverage.

For example, if you can only pay $100 a month for insurance, the agent will work to find the absolute best plan in this price range so that your money goes as far as possible. Your agent will also have a better understanding of your healthcare needs and will find a plan that includes the coverage you need.

2. Local Insurance Knowledge

If you’re a business owner looking for insurance options for your small business, an agent is an invaluable asset to have by your side. Local agents:

Understand your business and its unique needs
Work with insurers that know your business and offer custom insurance options

Local insurance knowledge is ideal for business owners because the agent already has connections in the industry that can help.

3. Clear Options Presented to You

Insurance agents know that insurance is very complicated. When you work with an agent, they’ll spend the time to make coverage as transparent as possible. The agent will provide you with:

Multiple insurance options that fit into your budget
Transparent costs and coverage options

With so many insurance options available, agents make getting health insurance as simple as possible. Of course, you’ll still have many choices to make, but when they’re all presented to you clearly, it’s easier to find a perfect plan.

4. Personalized Service

Your agent provides personalized service that includes asking questions and getting answers from insurance companies. Since these professionals already have contacts at many insurance companies, they’ll rapidly narrow down your insurance options while offering a personalized service that can save you time and money.

5. Save Yourself Time

Finally, you’ll save yourself a lot of time when working with an agent. You won’t have to scour through dozens of plans, ask questions to insurers or do anything else. Instead, you only need to work with a single agent that handles all of these nuances for you.

Your agent is your point of contact, and since you hire them to find a plan for you, all you need to do is sit and wait for them to get back to you with plan options that you make prefer.

If you need health insurance and want to maximize your coverage while also paying the best price, hire a health insurance agent. These professionals know how to navigate complex insurance plans and make them simple to understand.

5 Reasons Small Business Health Insurance Is Critical For Employees

by ClaimLinxAugust 20, 2021August 31, 20214 Comments

Small business health insurance has a variety of programs. For example, personal plans, specific disease plans, etc., as appropriate, should be covered under one type of health insurance. This way, you can get financial help from the insurance company if there are any health problems.

Small business health insurance can be purchased by an employer. Here, the employer buys small business insurance from an insurance company by paying insurance premiums to ensure the health risks to employees in terms of the terms and conditions of the policy. Keep reading to find the value of small business insurance for employees.

There are many options available to businesses looking to provide medical insurance to employees, but usually, small business health insurance comes in the following form:

Health Benefits: Basic: Patient Care, Dependence, International/Regional Availability, Covered Circumstances.
Additional known benefits: maternity and birth control, vision, and dental insurance.
Extended / full benefits: Health screening and vaccination, general health support, and mental health support.

Small Business Health Insurance is health insurance bought by the owner of a small business that covers the company and its employees and provides numerous benefits.

Three characteristics make small business health insurance different from any other type of insurance

They are made functional specifically for a small group
It is available throughout the year.
The employer can contribute to the premium charged to the employee

Now we will look at these characteristics in detail.

Small Business Health Insurance designed for small scale companies:

First, small business insurance schemes are usually run by less than 50 groups. Company owners that have less than 50 full-time employees working under them are not obligated to provide their employee data under the ACA.

Most small business policies include groups of five or fewer people. If your employees were only 1099 contractors last year you may be eligible for health care for small businesses.

Purchase through the year

Second, a difference of small business health insurance is that it is available throughout the year to make purchases. With Small Business Health Insurance, you are not obliged to register during the special registration period open, as much as possible when purchasing special coverage.

Employer contribution to employee premium:

Third, for small business insurance, a business usually has to pay at least 50% of its employees’ monthly health insurance premiums. Exact percentages may vary depending on the situation or system.

It is important to remember that the money you pay in employee premiums is usually deducted from the rules of your business. Ask your auditor or tax adviser how you can save money in this way.

The main goal behind introducing small business health insurance is providing employees of the company a chance at better health facilities and assisting them in managing their health care expenditures. Other benefits, such as financial aid or educational benefits, can be beneficial, but effective medical insurance often adds to global wage benefits.

Most employees rarely ask you to pay for medical expenses out of your pocket, at least without making too much money for the savings they have. Protecting health insurance from your employees will cost less than what they bought for themselves – and, as a group, you will have more control and negotiation power to ensure that the money you spend on insurance is spent wisely.

The importance of small business health insurance for employees

The following points highlight the importance of a small business insurance scheme for employees.

1) Availability of basic insurance

Employees can benefit from basic insurance coverage such as hospitalization due to their employer. The employer usually pays the policy. Therefore, an employee can avail of the benefit of the insurance scheme free of cost.

2) Sub-conditions

Personal health insurance systems have stronger terms than group health policies. For example, the terms of the waiting period, health checkup, and maternity cover are not small compared to a group health plan.

3) Family coverage

With small business health insurance plans not only you can avail of the benefits but your family members are also secured In this way, the financial security attached to the coverage is extended to other family members. You can easily avoid a stressful situation by making the right decision at right time and secure your and your family’s future.

4) Insurance management

Once you are covered under the health insurance policy provided by your employer and after learning about the start and implementation of the plan, you can consider better coverage by opting for a single health insurance plan. For instance, a small business health policy offers all the facilities of basic health insurance ad allows you to buy a critical illness policy.

5) Peace of mind

A medical emergency can quickly lead to a financial emergency. This puts a lot of stress on the patient and family members. A health insurance policy can provide great assistance in difficult times like these.

Be informed

Covering only under the Health Team will not help you. You need to know its availability for insurance. That way, you know what’s included in the system and what’s not.

You must go through the details of the policy of small business health insurance thoroughly whether you are a company owner looking for an insurance company to buy insurance or an employee who is availing the coverage. Do not hesitate to ask the insurance company about your queries and ensure that you understand everything.

As mentioned above, small business health insurance is a quite helpful facility for employees as well employers. Where employees avail numerous benefits and are secured through this type of insurance, employers get a chance to grow their business by providing strength to the most important resource of their business. You must decide smartly and choose the right company along with the right package. Making the right decisions will help in the future and give good results. Go through policies before making any decision.

Reasons To Choose Claimlinx For Health Insurance In Ohio

by ClaimLinxJune 23, 2021July 23, 2021Leave a comment

Claimlinx Insurance Options

There are a variety of options that you can use to meet your insurance needs, no matter what your family situation and budget. Here are just a few of the most popular plans Claimlinx can help you get for your business, along with their benefits.

Flexible Spending Accounts (FSAs) is the plan in which you and your employer will be able to save tax-free money to cover health care. Money can be deducted from your salary if you want to.

According to the rules for the employer, He is not going to be able to transfer any unused funds to the next year. You can extend it to a certain amount.

Claimlinx provided amazing services to its customers to help them with deposits, withdrawals, and other necessary issues and assistance.

February 18, 2021. The Internal Revenue Service has provided employers with the option to transfer any unused amounts from 2020 and 2021 within an FSA plan due to the pandemic. They can also change the extension of the exposure period, the FSA plan year 2020, 2021, allow the retirement of the FSA plan to be eliminated, and leave in the middle of the year.

Health savings accounts (HSAs) are similar to FSAS, but the money is only to be used for medical expenses. People also use this account to raise money. The advantage of this is that you can still save money on a tax-deductible, as well as the use of lower-cost health insurance to high-risk. Insurance premiums for HSA plans are not taxable.

Health Reimbursement Agreement (HRA) plans are available to employers who can’t afford to get all the health benefits, but it provides some support to the health services providers. Employees will be paid by a pre-determined amount of money for special medical expenses for themselves and their families. The reimbursement of expenses for professional medical care is not subjected to tax.

The Health care Organization to Plan (HPO) provides comprehensive health care at a low cost by allowing participants to make use of the health care providers in the healthcare organization. The cost savings from the HMO plans can be significantly high.

A Preferred Provider Organization (PPO) plan is similar but has a bit more flexibility. With a PPO, you can go out health care organization for service, although a smaller proportion of the costs will be covered if you have to do it.

Services for Our Members

Claimlyix has a wide range of services for its clients. On the website, you will find the answers to all your questions, and find out the cost of a medical procedure, details of your subscription, you can make changes to your coverage plan, you can check the status of your application, find out the status of your account, you will get a replacement member ID card to gain access to all of the benefits and services to you.

Everything You Need To Know About Unitedhealthcare Insurance

by ClaimLinxJune 5, 2021July 23, 2021Leave a comment

Among the top five insurance companies, UnitedHealthcare is one with a lot to offer to you. Following are few important things you might want to know about UnitedHealthcare.

Business Fundamentals

With its headquarters in Minneapolis, UnitedHealthcare works under the supervision of the parent company, UnitedHealth Group. UnitedHealth Group started its operations in 1974 under the name Charter Med by a group of medical practitioners and doctors. In 1977, The United Healthcare Corporation was set up and became the parent organization of the Charter of the Med. In 1998, the United HealthCare Corporation known as the UnitedHealth Group started with six independent business divisions, one of which is UnitedHealthcare Today.
UnitedHealth Group is the second support line to Optum, a medical services platform, offering solutions for the people and the administration of the health care setup. Optum has three platforms-OptumHealth, OptumInsight, and OptumRx to provide health management services, consulting services, and management services, respectively.
David, and Wichmann, President, and Chief executive officer of UnitedHealth Group, are currently monitoring UnitedHealthcare’s business. He took up the position in February 2015, the then-UnitedHealthcare CEO of Gale Boudreau stepped down from her post for unknown reasons, after serving in the post since 2008.
UnitedHealth Group consists of approximately 168,000 people in 21 countries, including us, Australia, Canada, China, India, the Philippines, Ireland, Italy, Luxembourg, and the United Kingdom.

Financial statements

In the first quarter of 2015, UnitedHealth Group (including Optum financial), reported a turnover of 35.8 billion, which is 12.6% more than in the first quarter of 2014 i.e. $31.8 billion. In the first quarter of 2015, UnitedHealthcare’s revenue was 32.6 billion, which is 11.3% more than in the first quarter of 2014. UnitedHealth Group’s earned $1.4 billion in the first quarter of 20210, in comparison with what it earned in the first quarter of fiscal 2019 that is $1.1 billion.
Over the past three years, UnitedHealthcare has nearly tripled its payments to suppliers based on the costs incurred, which now amount to about $37 billion. The payer is expected to double that number in 2018, it paid $65 billion and is bound to have a better quality of results.

The information of the members

UnitedHealthcare is one of the largest networks with 45 million members around the globe. UnitedHealth Group’s services are in more than 6,100 hospitals and 855,000, doctors and health care providers.
UnitedHealthcare offers health benefits in five different groups. The heads of state and heads of government of the plan, the payer has to provide information to help manage the authority of solutions for the government’s Medicaid program. Both the employer and individual plans must provide benefits to the consumer. UnitedHealthcare facilitates medical care plans and retirement plans to people of age more than 50 years to the best of their capacity.
UnitedHealthcare offers its products on the 23 state franchises, including the 15 member states in which the payer may offer Medicaid plans.
Your payer will offer you the health plans that are designed for people with certain chronic medical conditions, such as diabetes. UnitedHealthcare began its specialized treatment of the diabetes program, and in 2009, making it the first-ever medical plan that is specifically for those with diabetes or pre-diabetes. According to this plan, it is the routine treatment of diabetes that has not yet been paid, but the participants are required to adhere to the preventative, evidence-based recommendations from the American Diabetes Association.
Research with Mark Associates indicates that UnitedHealthcare’s total membership was the only one of its primary competitors, growth declined in the fourth quarter of 2013 to the fourth quarter of 2014. According to the data obtained, UnitedHealthcare of the membership increase by 1 percent., while in the Etna, the membership was increased by 5.9 percent, Cigna, with 2.7 percent, and the National Anthem, with only 5.2 percent of the time.

Responsible Care Agreement

UnitedHealthcare plans to increase 250 more responsible organizations in the healthcare sector in the list of programs, bringing the total number of programs up by more than 720 ACOS. In February, the payer is well-known that more than 11 million participants, support-oriented values of the ACO.
A few of the latest relationship updates of Responsible Care are that, UnitedHealthcare, which contain the plan of Downers Grove, Ill., Attorney at law, Health care Expansion, the institutes are increasing to over 5,500 Medicare Advantage beneficiaries with more than 80,000 and UnitedHealthcare members, Raleigh, North Carolina, New York, New York WakeMed Key Community Care to improve care coordination for more than 175,000 beneficiaries receiving care from physicians WKCC, Mountain View, Ca, Palo Alto Medical Foundation for the launch of a new ACOS to more than 63,000 beneficiaries of the program.
UnitedHealthcare of this year and has been involved in a dispute between insurance companies and hospitals, as it was supposed to be working on a change to the contract with the Town, in the state of New York-based company-Carolina in the Health care system. The contract made between the two companies got ineffective by the date, February 28, 2015. It took about two months after the contract has expired to agree on a new one in April, but the agreement is retroactive to March 1, so that the beneficiaries will not experience disruptions in payments.
In 2009, UnitedHealthcare established a patient-centered medical practice in primary health care in Arizona, Colorado, Ohio, New York, and Rhode Island, New York. In this model, practitioners can act as individual health care coordinators, helping to reduce fragmentation across the country.

Ratings and reviews

In 2015, UnitedHealth Group scored the first position in the “World’s most Pre-Eminent Companies” list of the business of insurance and Managed Health care department for consecutively five years due to its outstanding performance. In addition, it has received a top score of 100% on the Human Rights Campaign’s Corporate Equality Index for the year 2015 and was named one of the Top 100 Military-Friendly Employers, and Military Spouse-Friendly Employers 2015 by Victory Media, the publisher and editor of the journals of ‘G. I. Jobs’ and ‘Military is Suffering’.