Understanding Health Insurance: Key Takeaways for Young Adults in Quakertown, PA

For young adults, navigating the realm of health insurance can be daunting and perplexing. Typically, around the age of 24-25, young adults roll off their parent’s insurance, and it’s time to find their own coverage. At R&R Insurance Group LLC, serving Quakertown, PA, and its surrounding areas, we strive to simplify this aspect of adulthood for you. Here are some commonly asked questions about health insurance relevant to your needs.

Is Health Insurance Really Necessary?

Yes, it is. The current costs of medical care are generally too high for the average person to pay for out of pocket. You require the financial shield of health insurance to bear these types of expenses. If you have a chronic health condition, having reliable health insurance coverage in place is crucial to safeguard your financial security.

What are Premiums and Deductibles?

When shopping for health insurance, you’ll encounter two recurring terms – premiums and deductibles. A premium is the monthly rate you pay to be a part of an insurance plan. The deductible, however, is the amount you need to pay out of pocket for your medical care before your insurance policy begins covering costs. In general, a higher deductible equates to a lower monthly premium.

How Do I Get Signed Up for Coverage?

The easiest and fastest way to get enrolled for coverage is to consult an insurance representative. If your employer offers insurance coverage, you’ll likely discuss options with an HR professional at work to get registered. If you plan to acquire coverage independently, it’s advisable to contact a reputable insurance provider in your local area.

To learn more about health insurance, please get in touch with us at R&R Insurance Group LLC, serving Quakertown, PA, and its surrounding regions.

The Many Facets of Health Insurance

Health insurance promises numerous benefits, encompassing preemptive and actual medical attention. Numerous health insurance policies provide reimbursement for regular check-ups and treatment options during sickness or emergencies. However, it is common for individuals, especially the younger and healthier demographic, to question the necessity of health insurance. Despite this, health insurance remains beneficial for individuals of all ages. At R&R Insurance Group LLC, we are devoted to helping Quakertown, PA residents understand the advantages of health insurance.

Defining Health Insurance

Much like many other types of insurance, health insurance amalgamates several benefits under one policy. Many individuals are unprepared to bear out-of-pocket doctor visits and emergency medical care expenses. Health insurance serves as an effective strategy to manage the high costs synonymous with medical care. Generally, health insurance covers preventative services, sick visits, and emergencies. Health insurance essentially entails an agreement with a health insurance company, which involves monthly premiums or payments that secure ongoing health services and benefits.

Is Health Insurance a Worthy Investment for a 21-year-old Healthy Individual?

Locking in a health insurance policy at a young age typically helps to secure a lower rate. This is particularly advantageous as health insurance becomes increasingly expensive as you age. For this reason, investing in health insurance at a young age is often considered a good idea, especially if future investment in health insurance is part of the plan. Young individuals often perceive investment in health insurance as superfluous, especially when they’re in good health. However, health insurance protects health during sickness and emergencies, as well as in a preventative capacity. In other words, health insurance helps individuals maintain their health, even when they aren’t ill. Regular visits and check-ups are often part of health insurance. This is yet another reason to consider investing in health insurance at a young age, in addition to the financial benefits.

For any queries relating to the benefits of health insurance, feel free to contact R&R Insurance Group LLC in Quakertown, PA. We’d be pleased to assist you.

Healthcare in the United States can get pretty expensive. That’s why you need health insurance, to pay off any medical bills you accrue due to illness or injury. It may seem confusing with all the legal mumbo-jumbo, but really it isn’t. What you really need to understand is that under the Affordable Care Act, there is a set of ten categories of services that health insurance plans must cover. 

Health Insurance Services

Ambulatory Patient Services 

Health insurance will cover the bill if you need an ambulance. 

Emergency Services

If you need to go to the emergency room, health insurance will take of most or all of the bills. 

Hospitalization 

If you need to stay in the hospital overnight or longer health insurance can help pay for this expense. 

Maternity and Newborn Care

If you are pregnant or recently had a baby health insurance can help pay for the medical care you and the child need. 

Mental Health and Substance Use Disorder 

If you need rehab, psychological therapy or institutionalization for these illnesses health insurance can help pay for it. 

Prescription Drugs

If you need medication to be prescribed for any ailment health insurance can pay all or most of your pharmacy bill. 

Rehabilitative Services and Devices

If you need a cane, orthopedic shoes, or any mobility device health insurance can at least defray the cost. 

Laboratory Services

If you need bloodworm, urinalysis, a CAT scan, or anything similar, health insurance can aid in paying that off. 

Preventive and Wellness Services and Chronic Disease Management

Health insurance can pay for preventative measures and treat chronic diseases.

Pediatric Services

If your child needs health care, including vision and oral care, it can be paid off with health insurance. 

R&R Insurance Group LLC Serving Quakertown, PA

If you need health insurance and live in the Quakertown, PA area, then don’t hesitate to get in touch with R&R Insurance Group LLC. We’ll do all we can to help you. 

At R&R Insurance Group LLC in Quakertown, PA, we know that there are a number of misconceptions when it comes to health insurance. That’s why we are here to provide our clients with all of the tools that they need to make a truly informed decision. Let’s take a closer look at the most common misconceptions when it comes to health insurance so that all of the most prevalent myths can be debunked in short order.

Health Insurance Myths

Health Insurance Cannot Be Used Too Often

This is a common misnomer, as policyholders often believe that they will be unable to use their insurance on a regular basis. However, health insurance is not like car insurance. There is no reason to worry about these types of concerns. You do not have to remain concerned about the frequency at which you are utilizing your health insurance policy. Our experienced team of professionals is happy to dispel these types of notions for you.

These Policies Only Matter If You’re Sick

Once we are sick or injured, that’s when we take the time to think about a health insurance policy. This is the wrong approach to take, as it will behoove a potential policyholder to be as proactive as possible. A health insurance policy is not purchased because you have fallen ill; it is purchased as a safety measure to keep you from getting sick in the first place.

Mental Health Assistance Is Not Included

This is a myth that has kept numerous Quakertown, PA residents from pursuing the health insurance policy that works best for their needs. In reality, mental health assistance is included in a wide range of potential policies. When you speak to our team of experts, we are able to provide you with the mental health care access that you need.

Schedule A Consultation Today

If you have any additional questions about the complexities of health insurance, please be sure to reach out to our helpful professionals as soon as possible. The good folks at R&R Insurance Group LLC are here to help. Schedule a consultation as soon as you are ready to learn more.

Almost everyone benefits from having health insurance. You never know when you’ll be involved in an accident or come down with severe sickness, and having insurance can prove to be of the utmost value. Health insurance provides compensation for your medical bills and can also cover a loss of income in some situations. Keep reading to learn more about your healthcare options in Quakertown. PA or contact R&R Insurance Group LLC.

How to Get Healthcare?

Once you choose to get health insurance, you’ll need to consider your options. There are several ways to get a policy, each of which presents its own pros and cons. Here’s a look at four ways you can get insurance today.

Individual Health Insurance

You can buy a health insurance plan for yourself or your family from a health insurance company or through the Affordable Care Act marketplace. When you use this option to get health coverage, you don’t have to worry about being tied to a certain job. Since the insurance isn’t coming through your employer, you’re able to switch jobs and industries as much as you like without compromising your coverage benefits.

Medicare

Medicare insurance provides a wide range of comprehensive coverage. You can only qualify for this type of insurance if you are over 65 years old. If you’re under 65, you must have a disability or suffer from ALS or end-stage renal disease.

Medicaid

Medicaid is available to those with low or no income. Certain individuals with low or no income automatically qualify for this type of insurance. These qualifying individuals include women who are pregnant, elderly adults, people with certain disabilities, and children.

Employee-sponsored Plan

An employer-sponsored health plan is chosen and paid for by your employer. Many employers allow you to insure yourself as well as your spouse and children through employer-sponsored plans. You may be responsible for a portion of the health plan premiums, but the employer usually pays the bulk of them.

Want to learn more about your healthcare options in Quakertown, PA? Contact R&R Insurance Group LLC today.

Managed care is certainly the most common type of health care that is available today. It uses a network of providers who have contracted to provide services at a predetermined price. This makes it easier for both providers and for patients. You know ahead of time what things will cost. At R&R Insurance Group LLC in Quakertown, PA, we are here to help our customers to make the right decision about their health insurance. As independent insurance agents, we can provide more options and we offer a variety of different companies and products. 

Types of Managed Care

HMO

The initials HMO stand for Health Maintenance Organization and this type of managed care is the one that most people have. It is usually the least expensive, which may explain why it is popular, even though it is the most restrictive. An HMO requires that you choose a primary care physician from within the network. You need to check before you pick your health insurance that your primary care doctor is in the network. You need them to refer you to any specialist you may need to visit. 

PPO

If you like having more control over your health care, a Preferred Provider Organization is the better option for you. With this type of plan, you don’t need to have a primary care physician managing your medical care. You won’t need a referral to see a specialist but you will get the best rate for staying within the network. But if you want, you can go outside the network. 

POS

Point of Service managed care is a combination of both HMO and PPO. You can go outside the network but you need a primary care physician and referrals to visit a specialist. 

Contact R&R Insurance Group LLC in Quakertown, PA when you are ready to discuss your health insurance. 

Health insurance is one of the most important decisions you make every year and probably the one that is the most confusing. So many terms that you may or may not completely understand.  Abbreviations that might as well be a foreign language are enough to make you throw up your hands in frustration. At R&R Insurance Group LLC in Quakertown, PA, we are here to take the stress out of choosing health insurance. We are an independently owned agency that works with 14 top-notch carriers to provide our customers with choices. 

Network

The network is the providers who have contracted with the carrier you have chosen to provide services for their customers at a negotiated price. Every plan has a network. What you need to determine is whether your preferred provider is in the network for the plan you want to purchase. 

Deductible

The deductible is the amount you will have to pay out of pocket before services will begin to be paid for. The higher the deductible, the more reasonably priced the plan will be. Keep in mind this also means you will pay more out of pocket and could possibly not get anything paid for the entire year. 

HMO

The initials stand for Health Maintenance Organization. This is a type of managed care where health care services are provided through a network. Healthcare outside the network is usually not covered unless it is an extreme emergency situation. 

POS

POS stands for Point of Service. It is a managed healthcare plan that has a network of providers. You will receive the best rates from the providers in the network, but you will have some coverage for providers outside the network. 

When you are ready to choose your health insurance plan for the year, contact R&R Insurance Group LLC in Quakertown, PA at our office or on the telephone.