Does your health insurance plan cover everything you want it to? Is paying for your out-of-pocket healthcare costs becoming a burden? If you need help with these costs, then you might want to look into adding a fixed benefits plan to your existing insurance policy. Having one of these plans could save you a lot of money, which is something that My MedaHealth knows a lot about. Our agents can answer all of your questions and will work hard to compare all the plans available in your area. To get you started, we’ve detailed below how a fixed benefit plan works - if you think one might be right for you, get started with an instant quote!
A fixed benefits plan is an insurance plan that you can purchase as a supplement to your existing health insurance. These plans are not the same as regular health insurance and are not intended to be a substitute for comprehensive medical coverage. The purpose of these plans is to provide you with a fixed-dollar amount to help you pay for any costs associated with your healthcare.
You can use the benefits without restriction, for doctor bills, hospital bills, telemedicine appointments, prescriptions, or any other medical expenses. If you experience a loss of income during your treatment or recovery period, you can use the money for household expenses, educational costs, or any other non-medical expenses.
Fixed benefit plans are offered on a guaranteed issue basis, meaning that you will not be medically underwritten, and cannot be denied coverage due to preexisting conditions.

Benefits paid directly to you
Benefits that pay even if you have other health coverage
Discounted rates on care if you use your health insurance’s in-network provider
Settlement immediately following a medical event. For example, you will get the full insured amount upon the first diagnosis of a critical illness like cancer. If you are in an accident, then you or your beneficiaries will receive the settlement amount following your death or disability

Benefits that can be used in any way you choose to cover out-of-pocket expenses

A fixed benefit plan is ideal for people that want cash benefits associated with:

Inpatient hospital stays and covered surgeries
Outpatient surgeries, doctor visits, and tests
Prescription drugs and medical equipment
Covered injuries due to accidents (other than those that occur at work)

You will not receive any benefits for:

Any medical or hospital services not specifically covered in your health plan
Cosmetic surgery, including breast reduction
Custodial care
Experimental and investigational procedures
Infertility services
Non-medically necessary services or supplies

An indemnity plan, also known as a “fee-for-service plan,” is one of the most flexible healthcare plans around. These plans allow you to visit any doctor, hospital or provider you choose, which means not having to worry about getting hit with a giant bill for out-of-network care. If flexibility and choice are at the top of your list of insurance priorities this might be the best option for you. At My MedaHealth we can give you instant, accurate quotes on all of the indemnity plans available in your area and help you compare them to any other plan types you might be curious about. We’ll work hard to compare them, and will make sure you get the coverage you’re looking for, at a price that works with your budget.

You are looking for the freedom and flexibility of choosing which doctors and hospitals you want to go to.
You do not want to choose a primary care physician.
You do not want to get referrals to see specialists.

Some indemnity plans cover preventive care services, such as annual exams and routine office visits, while others do not. Some plans will cover a portion of these costs, and some will not allow preventative care to count towards your deductible. If preventative care is important to you, then make sure that you know how these services are covered before choosing a plan.

With an indemnity plan, you don’t have to worry about staying in a provider network, choosing a primary care physician, or getting referrals to see specialists. You probably will have to pay upfront for services, and then submit a claim to your insurance company for reimbursement. You also have to meet your annual deductible before they will pay your claims.

With some types of healthcare plans, like PPOs and HMOs, there is a network of providers you can see, and your insurance company will negotiate with that network to lower the costs of medical services. Indemnity plans do not have networks, so there is no negotiating for lower prices. Instead, your insurance company will pay a percentage of your costs (after you meet your deductible). But they will not actually pay the bill that you get from your provider, they will pay a percentage of the bill based on the UCR.
Most insurance companies set their UCR charges at the 80th percentile. That means that 80% of the medical providers in a given area charged equal to or less than the insurance company’s UCR rate. If your bill is higher than your insurance company’s UCR rate, you may need to pay the difference. In order to help break it down, here is an example:

Let’s say you have a medical procedure done and receive a bill of $2000, but your insurance company’s UCR for that procedure is $1500. If your insurance company usually pays 80% of your bill before you meet your deductible, they would cover 80% of $1500, and you would have to pay the other 20% plus the remaining $500.

As an employer, it falls on you to find the right healthcare plan for your employees. Choosing a plan is a major decision, and sorting through all of the many options can be confusing. But look at it this way: the more options you have, the more chances you have to find the right plan at the right price.
You can contact us directly to have all of your questions answered. My MedaHealth knowledgeable agents will go over all the group health plans available, compare coverage and prices, and get you instant quotes. We’ll even sign you up for free when you’re ready. Let’s find you a plan that will keep your employees healthy and happy, as well as keep more money in your pocket.

Health Maintenance Organization (HMO) Plans offer affordable, comprehensive health coverage with low out-of-pocket costs. The one caveat of these plans is that employees need to stay in-network, or they will end up with big bills.
Preferred Provider Organization (PPO) Plans have higher premiums than those of HMO plans because they offer larger networks and more flexibility.
Point of Service Plans (POS) are the middle ground between HMO and PPO plans. Their premium prices fall somewhere in between those of HMOs and PPOs. They combine the lower costs of HMOs with some of the flexibility of PPOs.
The Small Business Health Options Program (SHOP) offers Affordable Care Act (ACA) plans to employers who have between 1 and 50 employees. You can choose from Bronze, Silver, Gold, and Platinum plans.

If you decide to go with a SHOP plan, you could be looking forward to a tax credit. You qualify for this credit as long as you:

Have fewer than 25 full-time employees
Offer health insurance to all full-time employees
Pay your employees less than around $50,000 per year

When figuring out which kind of plan works best for your business’ needs, you have to assess who you will be covering, what benefits are important to them, and how much cost sharing you can afford.
After you have made these assessments, the next step is comparing options. There are a lot of factors to consider, such as:

Monthly premiums
Deductibles, copayments, and coinsurance
Provider networks
Prescription drug coverage
Add-ons such as dental and vision

A Short Term Medical plan might be just right for you.
Short Term Medical plans let you decide how much coverage you want and for how long, with individual and family options available.
And you can enjoy quality of life benefits like telemedicine and discounts on a variety of everyday items and services through a LIFE Association membership (varies by state).

Policies that range from 30-days to a year, some with renewal or consecutive options
Plan options that include benefits for office visits and urgent care, and some with prescription benefits
A wide range of deductibles, coinsurance, and benefits, so you can get the coverage you want
Access to large national networks such as Aetna Open Choice® or Cigna, so you can find quality care near you.

For complete limitations & exclusions by state for Short Term Medical insurance, click here. Plan options vary by state.
This coverage is not required to comply with federal market requirements for health insurance, principally those contained in the Affordable Care Act. Be sure to check your policy carefully to make sure you are aware of any exclusions or limitations regarding coverage of pre-existing conditions or health benefits (such as hospitalization, emergency services, maternity care, preventive care, prescription drugs, and mental health and substance use disorder services). If this coverage expires or you lose eligibility for this coverage, you might have to wait until an open enrollment period to get other health insurance coverage.
This policy does not meet the definition of qualifying previous coverage or qualifying existing coverage. As a result, if purchased in lieu of a conversion policy or other group coverage, you may have to meet a pre-existing condition requirement when renewing or purchasing other coverage.

Your oral health is closely linked to your overall health, so regular visits to your dentist are very important. Having dental insurance means that you and your family can get checkups, cleanings, and routine dental care without having to worry about big bills. If you’re worried about the hassle of looking for another insurance policy, or about the expense, just spend a few minutes with My MedaHealth. There are a number of dental plans available that offer different types of coverage at different price points, so we guarantee we’ll find you the right option at the right price.

Basic Services: includes fillings, extractions, and emergency treatment.
Major Services: bridges, crowns, and root canals. Usually you will first need to meet the plan’s deductible for these services to be paid for.
Large Dental Network: you can visit thousands of dental offices within your network.
Direct Payment Plan: your bills are paid directly to the provider with no need to submit claim forms.

As with any insurance plan, you need to weigh how much coverage you want against how much you are willing to pay. Some dental insurance plans offer more benefits than others, but come with a bigger price tag. If you want root canals and retainers covered with little to no out-of-pocket costs, then you will have to pay a little more in monthly premiums.

PPO Plans: fewer limitations on which dentist you can see. You do not need to go to in-network dentists, but you will pay more out-of-pocket if you choose to see an out-of-network dentist. These plans have an annual deductible that you need to meet, as well as copayments for procedures, but there is an out-of-pocket maximum.
DHMO Plans: a very limited choice of dentists. With these plans, you need to choose one dentist from the plan’s network, and any out-of-network treatment will not be covered. There is no annual deductible or out-of-pocket maximum, but you will pay a copay for certain procedures.
Indemnity Plans: fewer limitations; you can see any dentist you want. You pay your dentist directly for any services, and then submit a claim to your insurance company for reimbursement. Your insurance company will generally cover a percentage of the total cost.
Dental Discount Plans: no coverage network. Visits to your dentist are discounted, but paid for entirely out-of-pocket. You pay an annual fee instead of a monthly premium, and this annual fee gets you a dental discount card which you present at each visit. There is no deductible or out-of-pocket maximum for these plans.

Life insurance is extremely important: having enough coverage means that you can continue providing for your family even if you are no longer with them. As long as you pay your monthly premiums, then your insurance will pay out after your death to your designated beneficiaries, helping them keep up with mortgage payments, pay off debts, care for your children, and more.

Term Life Insurance is only active for a certain time period, such as 10, 20, or 30 years. If you die during this period, your beneficiaries will get the cash payout outlined in your policy. Term life is a less expensive option; it is also renewable.
Permanent Life Insurance is a type of policy that does not expire, but costs more than term life, because it offers additional features like a cash value. There are 2 main types
of permanent life insurance:
Whole Life Insurance features premium prices that are locked in when you buy the policy.You can keep this policy, at the same price, for your whole life. The younger and
healthier you are, the cheaper the payments.
Universal Life Insurance offers flexible policies that allow you to pay your premiums at any time, in any amount, after the initial payment is made. You can also reduce or increase your death benefit.
Final Expense Life Insurance is also referred to as burial insurance, and helps cover funeral expenses or medical bills.

In order to find the right life insurance policy for you, first determine how much coverage your family needs versus how much you are willing to spend per month. Take into consideration whether your job offers life insurance, and whether you would like an extra policy that covers more than the one your employer offers. Decide whether you need coverage for a limited time or for longer. There are a number of different plans with different coverage and price points to choose from, so make sure you contact one of My MedaHealth agents to make sure you’re not missing anything. Tie in getting an agent to help reminder they are called MedaHealth.

Benefits build up differently and can have certain conditions that must be met before they can be paid out. In order to make a more informed decision, speak with one of My MedaHealth knowledgeable agents. They will go over your needs and help you determine which plan is best for your family and your budget.

Medicare Part B only covers 80% of your medical costs, leaving you to pay the other 20% out-of-pocket. Medicare Supplement Plans help pay these out-of-pocket costs that Medicare does not cover. Their premiums range from $70 a month to $270 a month, depending on the plan. Generally, the higher the deductible, the lower the monthly premiums. Plans with lower deductibles have higher monthly premiums.
If you’re unsure which plan is right for you, one of our agents will do all the research, comparing, and pricing for you. We will work to help you understand all of your options and see which fits best with your lifestyle. Agents work with your schedule and your time, a call with one of us can answer as few or as many questions that you have until you are comfortable with your options.

The best time to get a Medicare Supplement Plan is during your open enrollment period, which automatically begins the month you turn 65 and are enrolled in Medicare Part B. During this 6-month period, you can buy a plan without facing medical underwriting or possible denial due to poor health.

If you miss your open enrollment period, you may still be able to sign up for a Medicare Supplement Plan, but you might end up paying more for coverage if you have pre-existing conditions

See any doctor who accepts Medicare.
No referrals needed to see a specialist.
Guaranteed coverage for life (as long as you pay your premiums).
Coverage that travels with you all over the U.S.

As mentioned earlier, there are 10 different types of Medicare Supplement Plans. Each plan has an assigned letter, and offers different options. For the most part, they all cover the basics. Plans N and G are the most popular plans at the moment. The reason that these plans are the most popular is that they cover 100% of some medical costs, while other plans only cover 75%.

In order to figure out which plan will work best for your budget and healthcare needs, you should speak to an experienced My MedaHealth agent. Our Medicare agents can compare all of your local plans in minutes and help you to understand exactly what is covered. This will allow you to see what level of coverage you need, and help you find a plan that fits your budget.

You’re enrolled in Original Medicare (Parts A and B)
You want extra coverage to pay for the costs Medicare does not cover.
You plan to enjoy your retirement traveling the U.S. and beyond (some plans cover international traveling).
You’re enrolled in Original Medicare (Parts A and B)aYou would like the flexibility to see any doctor who accepts Medicare without a referral.

Accidents happen and life can change in an instant. An accidental injury can leave you with large medical bills that your health insurance doesn’t fully cover. Our agents understand your needs and know how important it is to be supported when the unexpected happens. My MedaHealth will help ease the burden of these medical out-of-pocket expenses by helping you with a customized supplemental accident plan.

No matter how careful you are, accidents can happen. Your health insurance plan will only pay for so much, and the rest is your responsibility. This is where supplemental accident coverage can help. Supplemental insurance not only helps pay your out-of-pocket medical bills, but it can also be used for living expenses.

If you’ve been injured in an accident, you may not be able to work or pay your bills. The coverage that supplemental accident insurance provides can protect you from falling into debt if you can’t work. As with most insurance policies, you pay a monthly premium and, if you are in an accident, you will receive a cash benefit that can be spent on anything it is needed for.

You can claim your benefits as long as you are injured due to an accident. Even sport injuries are covered, as long as the sport in question is not considered high-risk, like skydiving. Some companies will not cover skiing or snowboarding, so make sure to check the details of the plan. You will not be covered if your injuries are due to:

Sickness
Reckless activities
Self-inflicted injuries
Committing a crime
Being under the influence of drugs or alcohol

Injuries that were sustained before you bought the plan will also not be covered.

Even if your health insurance plan covers 100% of your accident, you can still claim the benefits from your supplemental plan. Some other benefits of supplemental accident coverage are:

Coverage begins immediately- no waiting around for a week or two before benefits kick in.
Benefits are paid directly to you and not to a healthcare provider.
You own the policy, so if you switch jobs, you can take it with you.
Premiums do not increase as you age.
No network restrictions.
24/7 protection.
There is no penalty for claims; you can enter as many claims as you want without worrying about a reduction in benefits, or rise in your premiums.

Accident insurance can cost anywhere from $5 to $50 a month. Premium prices depend on the type of plan you choose and how much coverage you want. Paying a small monthly amount
is worth the financial protection you get from supplemental accident insurance.