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 particular
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