Health Insurance for Individuals & Families

What is Health Insurance?

Health insurance is a contract between a beneficiary and a payer. Payers have contracts with service providers that have agreed to a fixed price. Further, the funds collected by the payer are gathered into a risk pool to cover extraordinary expenses so no one person has to may more than a certain amount. If you don't use the insurance the funds are paid to providers to cover the expenses of others. The rates charged are based on how much was paid for health care services and administrative costs. Part of those administrative costs include paying brokers a commission on business they help place with a company. Health insurers are required to perform a review every year to see if they paid 80% of the premium revenues received out in claims to the beneficiary. If the insurer paid less than 80% of premium revenues in claims then they must rebate the consumers. It is important that you understand how your insurance works when seeking services. Many companies have contractual requirements to request help from the company to control the costs before accessing services or claims could be denied. This should be viewed as a win-win situation. If you have problems getting approval for medical problems or you feel you are paying too much for services please contact me at the number above.

Here is a 5:24 minute video from the Kaiser Family Foundation to help explain health insurance:

Here is another YouTube playlist that explains basic concepts about health insurance
Understanding Health Insurance

I do business in Washington and Oregon.

Do you need to enroll in coverage mid Year?

Find out if you qualify for a Special Enrollment Period

I HIGHLY RECOMMEND CHECKING YOUR INCOME ON THE
ADJUSTED GROWTH INCOME CALCULATOR
BEFORE STARTING AN APPLICATION ON AN EXCHANGE.

Your broker and agent for these (and other) carriers. (Not available in all states).

In Washington and other states the widest selection of choices and the best place to search, once your application is finished, is through Washington Healthplanfinder (Washington only) or healthcare.gov.