Quality Missouri health insurance doesn't have to be expensive.


The coverage I am about to describe is not for everyone.  Some of you will feel a little "over-exposed" to claims. However, the bottom line if there isn't much difference between a high deductible plan with 100% coinsurance and a co-pay plan.  The plan I am about to describe can save you thousands of dollars in your health insurance premium. This type of plan isn't for everyone and will only appeal to those of you who are a little older and in relatively good health.  The plan comes from a major national health insurance carrier that is a Fortune 500 company.

Let's cut to the chase with an example:

First our subject:
A 45 year old male in good health, non smoker, and 6'0" weighing 175 pounds.  We will look at rates in St. Louis, Missouri.

The Plans:
The first plan has a $30 doctor visit copay and a separate $500 deductible for brand prescriptions.  It has a $5,000 out-of-pocket maximum ($2,500 deductible and then $2,500 coinsurance).  

The second plan has a $7,500 deductible and then it pays 100% of claims with a separate $1,000 deductible for prescriptions and it covers an annual physical (pap smears for women and mammograms) without any deductible.

The Cost:

The 1st Plan costs $466/month in St. Louis. 

The 2nd Plan costs $228/month in St. Louis.

That's a savings of about $240 bucks a month or about $2,880 bucks a year in your health insurance premium.

How will it affect my health insurance coverage

Co-pays:

Well, on the first plan you have a $30 copay for primary and a $40 copay for specialists doctor visits.  On the 2nd Plan, with PPO discounts and negotiated rates etc., your cost for a typical doctor visit is down around $60 a visit.

And remember, your annual physical has no deductible and if you see the doctor once or twice a year for something else you're only out $50-$100, but remember I'm saving you $1,800 a year in premiums.

Prescriptions:

Most generic prescriptions can be had for under $20. This compared to a copay of $15 on the more expensive plan with co-pays. Both plans have high deductibles for Brand prescriptions neither of which you are likely to hit unless you come down with a catastrophic illness. 

Deductibles:

$2,500 vs. $7,500. But, the first plan has coinsurance of 80/20 which means you pay 20% and in this case for an additional $2,500. The less expensive plan has 100% coverage after the deductible is met.

The underlying fact is that the more expensive plan has an out-of-pocket max. of $5000.

Most people only visit the hospital (or have a catastrophic illness or accident) once in eight years...if that. The difference in out-of-pocket expenses is $2500 between the two plans which I have saved you in premium in about a year to a year and a half.  The pay off is quicker if more then one person has the coverage.

Lifetime Maximums

Both plans have $5,000,000 lifetime maximum coverage.

When your Missouri health insurance coverage isn't worth it.

1) Review your current Missouri health insurance coverage - what co-pays do you have, what is your deductible, do you have coinsurance - most of this can be obtained from your insurance card, your policy, or the insurance company.

2) Decide if you are willing to make changes to save money. Do you really need co-pays? Family deductible or individual deductible? Are you willing to change doctors or do you want to keep the one you have?

3) Gather information - to get a quote from an insurance company they will need to know the following things: name, sex, age, tobacco user or not, height, weight, information about any medications you may be taking, any surgeries in the last 10 years. You will need this information for yourself and all family members who will be insured.

4) Get a quote - you can do this on-line via our instant online health insurance quoting system or by calling me (407) 425-9347.  You will need to have all the above information. The more info you can give me; the better I will be able to help you.    

The name of the game is being able to afford Missouri health insurance.  If you lose you can potentially end up losing a lot more then health insurance.  Going without health insurance is never a good option. What I have described is a realistic, safe way to make your health insurance premium affordable.  I can only offer solutions that have saved my clients thousands of dollars in premiums over the years. Call today for more information (407) 425-9347.


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Hegeman Insurance Brokerage
Independent Life & Health Insurance Brokers since 1996

Ph: (407) 425-9347 | Cell (407) 342-9945

Missouri Health Insurance License #PR370650