2018 Open Enrollment Options in WA

Save this link and come back when the FINAL 2018 Rates & Plans have been released…and for any updates throughout Open Enrollment.

The 2018 proposed Individual Health Insurance rates have not been officially 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 through an employer.

2018 Overview: Avg Increase 24%

The changes going through congress 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 Health Insurance Carriers

  1. Kaiser Permenate (formerly Group Health Cooperative) will have HMO plans only.
  2. Molina lost a lot of money in 2016. Deductibles are going up and no Bronze plans.
  3. Premera is quite expensive in 2017 and will probably be about the same upper price for 2018.
  4. AM Better will have similar narrow networks, yet probably the lowest cost for 2018.

Discontinued Plans (for the most part), at least in King, Snohomish and Pierce counties:

  1. Regence has decided to pull out of MOST of Washington State (will be in a few Eastern WA counties).
  2. LifeWise has pulled out of King, Snohomish, and Pierce counties.
  3. Kaiser Permenente (formmerly Group Health Cooperative) is discontinuing the Access PPO (First Choice Network) Plans

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

Only Kaiser Permenente will have HMO plans you can buy Direct from the carriers, so most will need to buy through the WA Exchange.

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

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

2017 Open Enrollment for Health Insurance

Renewing Coverage for 2017 is as Simple as 1, 2, 3

Open Enrollment from NOVEMBER 1st 2016 to JANUARY 31st 2017.

For 2017 Individual Health Insurance there has been some dramatic changes in Hospital Networks, Doctors & Plan Layouts.

Not understanding the changes can cost you money now (premiums) or later (benefits); which is why it’s important to work with Achieve Alpha Insurance. We will navigate the complex options with you and find a plan that will best fit you and your family’s needs.

2017 Video about Health Insurance Plan Changes

You can book a time with Tamara Chandler, Justin Cross or Gary Franke. We can all assist you with your 2017 plan options!

ONLINE CALENDAR: Book Your Health Insurance Appt Here 

health-insurance-coins

2017 Rate Increases:

Premera = 19.9%
Regence =13.3%
Group Health [PPO] (First Choice) = 26.0%
Group Health [HMO only Network] = 12.6%
Coordinated Care (AM Better) = 7.4%
Molina 7.3%

 

1. SERVICE LEVEL AGREEMENT FOR OUR CLIENTS

At Achieve Alpha Insurance, we have always provided a high level of service and now want to match that with transparency. The following items are what you can expect during your fee based partnership with us:

1. We will respond to emails or phones call (425-802-2783) within 2 business days (usually 1 day).

2. Claims, premium payments and network concerns are all part of what we do to ensure coverage is accurate for your needs.

3. We will never sell or disclose your information to a third party.

4. Life Changes such as moving, job changes, family changes and medical conditions, are all part of our conversation with you to ensure coverage is accurate for your needs.

5. Monthly notifications of any changes or highlights about the plan you have.

2. BROKER FEES

NOTE: If you purchase a Life or Disability Insurance policy, we will waive the Broker Fee for 2017.

We are changing our business model to make up for the commissions we are losing from carriers for the same plans we’ve written for years. To be transparent, we want to explain what that looks like. We’ve had our income per client cut by 62% as carriers are trying to cut their expenses as the Affordable Care Act (ACA) requires them to do. They don’t pay insurance brokers a salary, just commissions. Some carriers are paying 0% in 2017. So, for 2017 health insurance plans we are charging a broker fee to clients (by making the same as we did back in 2015). You can see below that we are recouping about half of lost revenue with this fee. Our fee structure is very similar to what you would pay an Accountant, Attorney or Financial Advisor.

By charing a Broker Fee this enables us to provide you unbiased advise, as we’ve heard many agents will NOT tell you about the plans paying them 0% (can you blame them)…but we will since we are here to represent YOU to find the best deal for your needs, not the insurance carriers!

broker-fee-breakoutThere are 2 Options for 2017:

1. Do it Yourself: Stay on the same plan or switch on your own (no Broker Fee). During the year you need assistance, we are here to help (pay the broker fee with assistance for the remainder of the year). At least you can upgrade later if needed.

2. Full Service Assistance: Pay Broker Fee, we will help you select a plan for 2017. Access to our client Website, Videos & Blogs. Our amazing 2017 secure web portal will educate you and help you understand your options. We will support you throughout the year with any questions, updates or simply figuring out any billing issues.
2017-broker-fee-structure

Paying a new fee for insurance can be annoying, but no business can operate with a 62% decrease in income in just a few years. Thank you for understanding. If you have any questions, please let us know.

NOTE: If you choose a plan from LifeWise or a Group Health Cooperative Access PPO plan there is an additional fee of $100 per person. This is due to these carriers paying us a 0% commissions, as other carriers pay us a monthly commission.commissions-per-carrier-2017

3. HOW DO I RENEW COVERAGE FOR 2017?

To streamline the process, we have created a secured website with videos and blogs for our clients. This will enable you to do research on doctors, prescriptions, networks and all the plan layouts with Pros & Cons for each option.

There are 3 steps for us to help you renew coverage.

1. Give us a call to 425-802-2783 to get a time scheduled, Open Enrollment starts November 1st.

2. Once you have paid your Broker Fee, you will receive an email to access the Website, Videos & Blogs and our online Calendar will be available to schedule a time to talk over health insurance options for 2017.

3. During our meeting we will continue your education, answer questions and get you enrolled!

We look forward to assisting you in finding the right Individual Health Insurance plan for 2017!

Below are my 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