Individual and Family Health Insurance is designed to pay for a major part of your medical expenses and limit your liability for large medical issues. Health Insurance is broken up into four categories now, Bronze, Silver, Gold and Platinum. The Bronze is the baseline coverage with the highest deductibles and the lowest monthly cost. The Platinum is at the other end of the spectrum. Most people will typically chose in the Silver category. Some people with chronic conditions may choose the Gold Plan. At Brauer Insurance we can help you strategize what is best for you and your family, whether you are in San Jose or anywhere in California.
Comprehensive Health Insurance
At Brauer Insurance, located in San Jose, we offer comprehensive health insurance plans for families and individuals. We provide in-depth information and guidance on all of the plans available. There are over 100 plans to choose from, but realistically there are about 15 plans that most people find affordable and comprehensive. We help you translate ObamaCare into English for individuals and families.
Affordable Health Insurance for Families and Individuals
When you are looking for an affordable Health Plan, you have many things to consider. Not every plan will work for everyone. I rarely, if ever, recommend a Platinum plan for anyone. It just doesn’t make sense for most people. There are some personal issues to consider when choosing a health plan to make if more affordable. You may want a Bronze plan and then bank the savings each month that you save with a cheaper, more affordable plan. If you have chronic issues, you may want a gold plan to cover more of your specific issues. At Brauer Insurance, we are one of the Bay Area leaders in Health Plans for Individuals and Families.
Health Insurance Rates and Benefits
When comparing rates and benefits, consider the following major points:
- Office Visit Co-Pays
- Percent co-pay for other medical expenses
- Maximum out of pocket
- Prescription drug co-pay
Types of Health Insurance
HMO (Health Maintenance Organization)
HMOs are health plans that offer good benefits to people but they are restricted to a specific network of doctors and hospitals. Kaiser is probably the most famous HMO, and again, if you have Kaiser, you are restricted to using only Kaiser facilities. For Individuals and Families, the HMO selection of health plans
is very limited except for Kaiser. Sometimes HMOs are cheaper than PPOs, sometimes not, it really depends on the benefits within the plan.
PPO (Preferred Provider Organization)
PPOs are well suited for Individuals and Families that want the freedom of choosing their doctors and hospitals. With a PPO, you can stay in the robust network or if you choose, you can go to an “out of network” provider, at a higher cost. Again…some PPOs are inexpensive and some are not. It all depends on the level of benefits within the plan.
EPO (Exclusive Provider Organization)
An EPO is a PPO where your network is restricted to ONLY in network doctors and hospitals. You have no benefit outside of the PPO network whatsoever. There are some caveats to that, but for the sake of this writing, it is the most restrictive network only plan available. The costs for an EPO plan are usually a little less than a traditional PPO, but not considerably less like you would think.
HSA (Health Savings Account)
HSA plans are basically PPOs (in most cases) where you can bank tax free money into a savings account and can use for any out of pocket costs. The banked money can be used for Health, Dental, Vision, Prescriptions, Chiropractic, Massage, and many other things. The government is very liberal when it comes to the uses for HSA money. When HSAs made their debut in 2004, HSA plans were priced ridiculously low. With ObamaCare, and all of the mandates, the prices of HSAs in many cases, are equal or more than some traditional PPOs. This is still a good option for people that want a tax break and don’t mind the HSA plan design.