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  Understand your Individual California health insurance quote

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INDIVIDUAL HEALTH QUOTE
 
INDIVIDUAL FAMILY

Specific information for individual family coverage

 
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SMALL BUSINESS

Specific information Small Group coverage for 2-50 employees
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SENIOR

Specific information for Seniors eligible for Medicare Supplement


Understand your California individual health insurance quote

You can run instant quotes all over the net but understanding what you get back is a different story.  There are many different plans from a multitude of carriers presented.  The first step is to understand the seemingly foreign language the quote is written in.

Before you get your Individual health insurance quote

Health insurance rates are based on area and age at the individual and small group level.  In California, gender does not play a role.  Before you can get the rates, you will need to enter your residence zip code and the ages of those you wish to cover.  After a few seconds, you will be see a list of health plans.  Typically, the most popular plans (three or four) will come up with the option of expanding the plans by type of plans (PPO, HMO, etc) or carrier (Anthem Blue Cross, Blue Shield of California, etc) or certain ranges (deductible under $1000). 

A quick look at the actual individual health quote

The plans are listed in ascending monthly premium amounts (far right).  From left to right, let's go through a sample plan, the Right Plan $40 from Blue Cross.  You can sort the plans by California health carrier, plan type etc at the very top.  This helps to narrow such a large amount of information.



First you have the health carrier (i.e. Anthem Blue Cross).

Type.  Next you see the "Type" Column.  This essentially means In-Network (such as PPO if a PPO plan) or HMO.  HSA stands for Health Savings Account but most HSA plans are actually PPO.  Benefits can be quite different in or out-of-network.  You can get a good explanation of HMO versus PPO.

Deductible. 
This is the amount you must pay for medical services each year before your insurance begins paying.  Usually office and prescription copays are not subject to the main deductible except for HSA plans and some lower priced PPO plans.  Click on the "View Plan Details" to see what is subject to the deductible.  You can also get more information on understanding how health insurance deductibles work. 

Dr. Copay  The portion of charges you pay to your provider for covered health care services in addition to any deductible.  For example, $20 for an office visit.  You can also get more information on understanding how copays work. 

Inpatient Hospital  Once you have met your deductible, you pay coinsurance for additional medical care.  It is a percentage of the billed charge.  For example, your insurance company might pay 60%, and then you would pay 40%.  It is similar to a co-pay, but is a percentage instead of a dollar amount.

Rx Card  This tells you if prescriptions coverage is included.  You can click on the "View Plan Details" for more information.  When you look at the details, you will see the copay amounts listed if applicable.  The copay is the fixed amount you pay for medications.  "G" means generic.  For example this plan has a $10 copay for generic.  "BF" stands for Brand Formulary (brand name drugs on the carrier's allowed list).  For example, the Right Plan $40 has a $30 copay.  Sometimes there is a separate deductible for Brand Name drugs.  This part
icular plan also has a $500 brand deductible per calendar year. 

Maternity  This tells you if the plan covers maternity.  If maternity coverage is a need soon or in the future, it's important to choose a plan that will cover it.  Maternity can be very expensive so it's important to have it covered.

View Plan Details  If there is a plan you are interested, make sure to check the details.  For that page, you will also be able to download the actual carrier plan brochure and exclusions.

View Doctors & Hospitals  You can check to see if your doctor and or hospital participates in a given plan.  This is very important to make sure you get the most out of your plan. 

Apply for this Plan  Once you decide on your chosen plan, you can click on this button to gain access to the downloadable or online application.  The link to the application page can always be found at the very top of the page as well.

Hopefully, this helps explain the Individual health insurance quote but you can always contact us with any questions you have.  As independent brokers and agents, we can save you quite a bit of time and energy while finding the right health plan for you.   

Other important concepts to help you understand your California health insurance quote are:

Individual health insurance underwriting
The concept of health insurance
A quick introduction to California health insurance history
Understanding health insurance costs
California health insurance carrier comparison
 


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