Proposed 2018 Health Insurance Increases

The 2018 proposed Individual Health Insurance rates were just released. So we wanted to prepare you for what is to come. The rate increases are horrible due to healthier people dropping out and simply losing money on individual plans, yet they still make money on group plans.

The changes going through congress right now are not projected to impact 2018 plans since health insurance carriers have already submitted their plans and rates, but you never know. There would most likely be some changes for 2019 or 2020 plans.

2018 Overview: Avg Increase 22.3%

The carriers told us that the core structure of their plans are going to stay the same for Gold, Silver and Bronze plans, yet the prices are going to jump substantially. Most other aspects should stay the same.

Exchange ONLY plans for 2018, so you will not be able to buy plans Direct from the carriers.

There will be ZERO plans with a PPO “In-Network” coverage outside of WA, as will be an Emergency Only network like most plans now. Sorry, but no work arounds here. For those that intend on being outside of WA for more than 6 months really should get a plan in that other state or country if possible.

How to Keep Costs Lower for 2018

One good way to keep costs lower for 2018 is to buy an”Accident Plan” and “Bronze Plan” with a $6,000 deductible. If you are on a Gold or Silver plan and don’t use as many prescriptions this is the best way to keep costs in check.

Check Out the Accident Plans Here!

From our experience, most people that significantly use their health insurance are due to injuries or accidents, thus this plan would help cover up to $15,000 for accidents that occur! They are cheap and have a simple structure for paying out. However they only cover new injuries or new accidents.

Give us a call now about the NEW Accident Plan and let us help you “pre-plan” for 2018.

Below are our areas of expertise:

Gary Franke, Tamara Chandler, Justin Cross
Independent Broker
Achieve Alpha Insurance, LLC 
13500 Bel-Red Rd, Ste 4
Bellevue, WA 98005
(425) 802-2783
health@achieve-alpha.com
www.achieve-alpha.com

2018 Projected Health Insurance Changes

We wanted to give you an initial taste of changes coming for 2018 individual health insurance plans, which is about as fun as going to the dentist when you have a sore tooth.

First of all, any changes going through congress right now are not projected to impact 2018 plans since health insurance carriers have already submitted their plans and rates, but you never know. Most likely any changes would be for 2019 or 2020 plans.

2018 Overview

The carriers have told us that the core structure of their plans are going to stay the same for Gold, Silver and Bronze plans, yet the prices will be going up (as usual). Most other aspects should stay the same…except the increasing prices.

For most people the ONLY option will be buying through the WA Exchange, as those in King, Snohomish and Pierce counties won’t be able to buy a plan direct from the carrier.

The PPO plans with “In-Network” coverage outside of Washington State are going away, yet there will continue to be the Emergency Network if you have a major medical issue while out of state. For those that intend on being outside of WA for more than 6 months really should get a plan in that other state or country.

If you live in Klickitat or Grays Harbor county there are no proposed plans. If none of the carriers step in those people would be offered a plan through the WA High Risk Pool.

2018 Health Insurance Carriers

  1. Regence has decided to pull out of MOST of Washington State (will be in a few Eastern WA counties).
  2. Kaiser Permenate (formerly Group Health Cooperative) will have HMO plans only.
  3. Molina lost a lot of money in 2016. It seems like their plans will stay the same at this time yet be prepared for larger increases since they were the cheapest in 2017.
  4. Premera and LifeWise are quite expensive in 2017 and will probably be about the same upper price for 2018.
  5. AM Better will have similar narrow networks.

Below are our areas of expertise:

Gary Franke, Tamara Chandler, Justin Cross
Independent Broker
Achieve Alpha Insurance, LLC 
12507 Bel-Red Rd, Ste 103
Bellevue, WA 98005
(425) 802-2783
health@achieve-alpha.com
www.achieve-alpha.com

 

Get an Accident Plan to Cover your Deductible!

If you are accident prone, often get injuries, or simply participate in activities where you could get hurt this is plan was made specifically for you, really it has your name on it!

Many people meet their Health Insurance Deductible and this is a way to get those bills covered. It’s a simple way to get reimbursed once you have had medical expenses due to ONLY an accident.

By now you already know if this plan is a good fit for you, or someone in your family. So give us a call after giving this blog a quick read.

Call for a Quote at 425-802-2783 or

Click here to Email health@achieve-alpha.com

This Accident Plan is a direct reimbursement plan that is not linked to a health insurance plan, so it will pay up to the policy maximum.

Due to the increasing prices of health insurance more people are getting a Bronze plan, yet being exposed to a $6,000 Deductible is a bit scary. This solution would help ensure that in an accident you would have extra financial protection. However, it will not cover ongoing illnesses, sicknesses, medications, or cancer. It’s only for those NEW acute injuries or accidents.

To be very honest, this Accident Plan with AIG is the best bang for the buck in Washington State, yet not an immediate payout structure like Aflac. They pay out quicker, yet often their coverage is more expensive (not a bad plan, just costs you more). If that is what you want then go right ahead. There is no such thing as one best company, it’s which one works best for you!

Example AIG Accident Policy Quote

Accident Plan Coverage Examples

Sporting events are another activity where an accidental injury may occur. A baseball pitcher who develops a rotator cuff injury during the act of pitching would not qualify as an accidental injury. However a batter who is hit on the wrist by a pitch, which causes a fracture, has sustained an accidental injury. Joggers who develop ligament strain and tears during the course of their running routine have not suffered an accidental injury. However, if they misstep off a curb and fracture their ankle they have suffered an accidental injury. Clearly the demonstration of the “accidental” event within the course of normal participation in an activity can be made and an injury associated with that event would be covered if “care” as defined within the terms of the policy contract is provided.

Dollar-for-dollar reimbursement for:
• Emergency Room
• Hospital
• Urgent Care Center
• Surgery
• Diagnostic Exams
• X-rays
• Physical Therapy

Here is an overview of the rules:

  • Initial care must be received within 72 hours (3 days) of the accidental injury.
  • Accident Emergency Care Benefit: such treatment or attention must be received from an Emergency Room, Hospital, Urgent Care Center or Physician’s office and in the United States.
  • Accident Follow-up Care Benefit is also covered, up to three visits which must be completed within 30 days of the accidental injury or discharge from the hospital. Outpatient surgery is covered as one of the three visits under the Follow-Up Care Benefit.
  • Fractures sustained as a result of a covered accidental injury must be diagnosed within 14 days of the accidental injury.
  • One Major Diagnostic Exam per accidental injury will be covered if completed within 14 days of the accidental injury. Major diagnostic Exam is limited to: CT Scan, MRI, or EEG (electroencephalogram).
  • Physical Therapy visits received as a result of an accident as prescribed by a physician, rendered by a physical therapist must begin within 30 days of the accidental injury or discharge from the hospital.
  • X-ray covered due to an accidental injury if completed within 14 days of the accidental injury.

CLICK HERE FOR SIGNIFICANTLY MORE DETAILS

Talk to you soon!

Below are our areas of expertise:

Gary Franke, Tamara Chandler, Justin Cross
Independent Broker
Achieve Alpha Insurance, LLC 
12507 Bel-Red Rd, Ste 103
Bellevue, WA 98005
(425) 802-2783
health@achieve-alpha.com
www.achieve-alpha.com

Achieve Alpha