The majority of Americans get their health insurance through their employer or the employer of a family member. Many people don’t realize that health insurance is issued differently for different types of employers, and that since insurance is regulated at the state level, health insurance requirements for different types of employers can vary significantly from state to state.
Throughout the year, brokers assist employers – and employees – with claims, concerns or benefits inquiries in addition to helping the employer get the best plan to fit the employer’s and employee’s benefit budget and needs.
Approximately 5% of Americans do not get their health insurance coverage through an employer or through a government program but instead purchase private individual or family coverage. This type of coverage is regulated differently by each state, which can have a tremendous impact on health insurance products available to consumers in each state.
Purchasing health insurance is one of the most important financial decisions a person makes. A broker can help you find a plan that meets your budget and – more importantly – offers access to the type of medical care that you need. A broker can identify whether your preferred doctor or hospital participates in the insurance network, whether your prescription drug is covered by the plan and whether you have access to any specialists that you require. And, if you use medical care and have questions about how a claim was paid, the broker is there to help!
More than 50 million Americans receive health benefits through Medicare. Recent legislative and regulatory changes to the program have many beneficiaries asking questions. Most people eligible for Medicare have options. They can choose to add a supplement to Medicare, a drug plan through Medicare Part D or a Medicare Advantage plan. Your health insurance broker can help you assess what options work best to fit your budget and your medical needs.