Short Term Plans Right For Your Clients?

Have you done your client’s Medicare review? As we move through the enrollment season more clients are looking for changes due to their new life circumstances. One of those changes might be in health, income level, or new needs. Due to these changes, it might be a good idea to look at options you can present to your clients. Specifically, those in need of Alternatives to plans such as the ACA. With changes to the ACA plan over the past few years, reviewing your client’s needs might be important to help find solutions to any problems that might arise this year with their current plan. Have you thought about introducing them to a short-term plan?

Short-Term Plans Pros

Short-term plans are an alternative you can offer to your clients for temporary medical coverage in certain situations. Short-term can provide coverage up to a year offering them an alternative outside the enrollment period. The plans depending on providers cover essentials such as preventive care, doctor visits, urgent care, and emergency care. These plans are usually cheaper than ACA cost due to their limited coverage as well as being canceled whenever giving your client the ability to get out without penalties. Some companies you might consider getting contracted with for their stand-out plans are Pivot Health as well as IHC.

Short-Term Plans Cons

Although short-term insurance has many pros it also comes with its fair share of cons. For one, plans usually have a higher deductible than traditional health plans. As stated above, the plans only cover a small group of care. Anything done outside of them will cause your client to pay out of pocket. Your client will also have to go through underwriting to a certain extent to make sure they are healthy enough for the plan.

Short-term insurance has its pros and cons, but if needed it can be a great alternative for your client. If they need a cheaper plan, if they need a short-term solution, maybe they are relatively healthy and don’t need a lot of coverage these plans are up for consideration.

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ACA 2019-2020: Is It Right For Your Client?

With the 2020 selling season slowly approaching, you might be looking for new plans to better fit your clients. Agents might have been avoiding the ACA in hopes to find a plan that better fits their client’s financial needs. Affordable Care Act plans have been known for their high deductible prices and monthly premiums despite being a full coverage plan. Looking ahead of 2020, according to the rate filings for this year, it seems that rates didn’t fluctuate as much as previous years. Does this mean that ACA will be a viable option for your clients?

What Is The ACA?

The ACA, also known as Obamacare, is a health reform law that provides Americans with access to affordable health insurance. However, in the past decade, health insurance prices have been all but affordable for most Americans. The plan attempts to accomplish the above through a number of regulations, taxes, tax breaks, mandates, and subsidies.

Those In the Federal Poverty Level

When deciding if your client would be a better fit for an ACA plan instead of other alternatives, you must first judge your client’s current situation. There are two groups best served by an ACA plan. The first group of people are those within 250% of the federal poverty level. The plans are offered to these people at a low-cost coverage premium through the ACA’s Tax Credit. Those who fall into this category also have lower deductibles as well as co-pays because of cost sharing reimbursements.

Serious Health Complications

The other category of clients who might be a better fit for the ACA than other plans are those with certain health conditions. The Affordable Care Act is a guaranteed issue, which means everyone who applies is accepted. Other Health providers usually have a system of underwriting which can cause certain clients to not be accepted into certain plans. Clients with serious health conditions that might not make it through underwriting will receive acceptance into an ACA plan. Clients who also have high bills due to their conditions also might want to enroll with an ACA plan due to it actually helping lower the expensive bills.

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