Keep Your Head From Spinning
[pree-mee-uhm] (noun)
A monthly fee paid to an insurance company or health plan to provide health coverage.
[ dih-duhk-tuh-buhl ] (noun)
A specified amount or capped limit you must pay first before your insurance will begin paying your medical costs.
[ koh-pey ] (noun)
A flat fee that you pay when you receive specific health care services, such as a doctor visit or getting prescription drugs.
[ koh-in-shoor–uhns, –shur– ] (noun)
The percentage of a medical bill that you may be responsible for paying after reaching your deductible.
The set amount of money you will have to pay in a year on covered medical costs
[ net-wurk ] (noun)
A list of the doctors, other health care providers, and hospitals that a plan has contracted with to provide medical care to its members.
[ fawr-myuh-ler-ee ] (noun)
A list of generic and brand name prescription drugs covered by your health plan. Your health plan may only help you pay for the drugs listed on its formulary.
A tax-advantaged account to help people save for medical expenses that high-deductible health plans do not cover. The funds contributed to an account are not subject to federal income tax at the time of deposit.
A set of ten benefits, defined under the Affordable Care Act of 2010, that must be covered by individually-purchased health insurance.
Minimum essential coverage is health insurance coverage that satisfies the Affordable Care Act‘s guidelines. Although there is no longer a federal penalty for not having minimum essential coverage, the individual mandate still exists and the concept of minimum essential coverage is still important.
Plans that qualify as minimum essential coverage include employer-sponsored plans, individual major medical plans (including new ACA-compliant plans, grandfathered plans, TRICARE, Medicare, most Medicaid plans, and a few others.
Enrollment Periods for Individual and Family Coverage Options Navigating your insurance options can quickly feel overwhelming with all the jargon and knowing when to start acting. Typically,
Is an HSA Right for Me? In 2003, Health Savings Accounts were created to help individuals with high deductible health plans (HDHP) receive tax-preferred treatment
Am I Eligible for Free COBRA Benefits? Breaking Down American Rescue Plan Act Many of us saw this as another round of economic impact payments
Preventative care is health care that prevents disease, injury, or illness, rather than treating a condition that has already become catastrophic or acute. The goal of preventive care is to help people stay healthy.
Preventive care can be different based on age and gender. To see a full list of preventive care we have included a helpful link below. To see if a service you are inquiring about is considered preventive, check out our link below!
Open Enrollment is a specific timeframe every calendar year when you can sign up for health insurance.
If you do not sign up for health insurance during open enrollment, you typically cannot sign up for insurance until the next open enrollment period, unless you what’s called a qualifying event.
Special Enrollment Periods, also known as a Qualifying Life Event – are an event that triggers a special enrollment period for an individual or family to purchase health insurance outside of the regular annual open enrollment period.
Examples of Qualifying Life Events Include:
Metal tiers are a quick way to categorize plans based on what that split is. Some people get confused because they think metal tiers describe the quality of the plan or the quality of the service they will receive, which is not true.
The advanced premium tax credit reduces the amount you pay for monthly health insurance premiums if you bought your insurance on the Marketplace. The amount of the credit is determined by your income. It is calculated and sent directly from the federal government to insurance companies.
MNsure is Minnesota’s health insurance marketplace where individuals and families can shop, compare, and choose health insurance coverage that meets their needs. MNsure is the only place you can apply for financial help to lower the cost of your monthly insurance premium and out-of-pocket costs.
