Your Trusted, Local Source for Health Insurance Expertise in Moore, Oklahoma

Your Trusted, Local Source for Health Insurance Expertise in Moore, Oklahoma

Your Trusted, Local Source for Health Insurance Expertise in Moore, Oklahoma

Health Insurance Plans

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Get the Health Coverage You Need for You and Your Family

Selecting the right health insurance can be confusing, stressful, not to mention expensive in today’s health insurance landscape. Determining the right health coverage really depends on your situation. We are here to help. We consider your anticipated healthcare needs and if you qualify for financial help (tax subsidies), or if you have a pre-existing condition, we may recommend a comprehensive health plan from one of our top carriers on or off the Marketplace(Healthcare.gov).  No matter your situation, our experienced health insurance agents are here to help you find affordable healthcare coverage.

Types of Major Medical Health Plans

Today’s comprehensive major medical plans are typically categorized as Bronze, Silver, Gold, and Platinum, which differ in their premium and cost-sharing amounts, with Bronze being the most affordable with low premiums, but higher deductibles, and Platinum offering the highest level of coverage and the lowest out-of-pocket costs for users, but also the highest monthly premiums.  Click the tabs below to learn more.

A Health Maintenance Organization plan (HMO)  offers lower premiums and a significant savings on routine and preventative healthcare. However, this type of health plan requires you to appoint a primary care physician and to use doctors and facilities that are affiliated with the HMO. Thus, if you use healthcare service providers outside of the HMO, there is a good chance those charges won’t be covered by your policy. But, the great thing about an HMO is that the only charges you incur, outside of your premiums, are co-pays for doctor’s visits and other services such as procedures and prescriptions.

A Preferred Provider Plan (PPO) will save you money on services if you use the preferred providers within the network. Keep in mind that deductibles must be met on this plan before some services will be covered. The good thing about a PPO is they generally will allow a certain amount of services annually outside of the deductible with a small co-pay, and most often the PPO has a large network with quality care providers and excellent prescription drug coverage.

POS plans combine features of HMOs and PPOs. Most Point of Service Plans (POS) plans require members to choose a primary care physician from within the POS network, but allow them to use out-of-network specialists with a referral from a primary care physician. Co-payments will be higher for out-of-network services.

A Health Savings Account Plan (HSA) works by tying a tax-advantaged bank account to certain high-deductible health plans. It allows you to use tax free dollars to pay for allowable health expenses, such as copays, prescription drug costs and more.

Per rules of the Affordable Care Act, most insurers include wellness benefits in their comprehensive coverage, designed to improve lives and keep members healthy.  Your plan from the Marketplace will generally include services like preventative screenings, free or discounted gym memberships, diet advice, disease management, telehealth, and much more.

Health Insurance FAQs

Marketplace plans and private health insurance plans are very similar. Both plans follow the rules of the Affordable Care Act (ACA), meaning they must contain essential standard coverage. This typically includes basic wellness and preventative benefits at low or no cost. The main differences are the subsidies that reduce your monthly premium, if you purchase your plan from the Marketplace (Government Exchange) and qualify based on your income. You are also guaranteed coverage, regardless of pre-existing conditions. Private plans, also known as "off-exchange" plans, are purchased directly from insurance companies. If you qualify for a subsidy, you must purchase your plan from the Marketplace. You can purchase your Marketplace plan through our platform at no additional cost.

CLICK HERE to learn more about the Marketplace and the Essential Benefits of the ACA.

Whether you qualify for a subsidy and buy your plan from Healthcare.gov (the Federal Marketplace), or a private carrier it’s important to know that you can only purchase comprehensive health plans during the annual open enrollment which is November 1 to January 15th of each year, or unless you qualify for the special enrollment period. Missing this time frame means you’ll have to wait until the next year to buy your coverage.

There are special times when you can enroll in a health insurance plan outside of open enrollment. This is referred to as Special Open Enrollment. <br<
You can still sign up for health insurance after the deadline if you meet any of the following qualifying events:

-change in legal marital status
-a change in the number of dependents
-a change in place of residence and the -current carrier is not available
-significant cost or coverage change
-a change in coverage of a spouse or dependant
-a COBRA qualifying event
-legal judgements, decrees and orders
-entitlement to Medicare or Medicaid

Currently, most people are not required to purchase health insurance. The ACA “shared responsibility payment” and the individual mandate has been eliminated by the Trump Administration for 2019 and beyond. However, some states have established their own individual mandates, so you still may be subject to your specific state tax penalty, if any. Oklahoma is part of the Federal program and there is not individual mandate for Oklahoma.

Unbiased FREE Guidance

We work with many of the top Health Insurance carriers to offer plans that suit different healthcare needs and budgets. Our guidance is completely free, and your premiums are never higher when working with one of our experienced Health Insurance agents.

Annual Open Enrollment

November 1st to January 15th

Buy & Enroll in Plans Online

Our Marketplace platform let's you compare plans and enroll online.

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