The essence of health insurance lies in offering tranquility amid life’s uncertainties. It shields you and your family from the financial strain of unforeseen illnesses, accidents, or injuries. With health insurance coverage, medical expenses become manageable, providing the peace of mind you deserve.
Prioritize Your Well-being with Comprehensive Health Insurance
Regardless of age or current health status, having health insurance is paramount. It serves as a safety net, offering financial protection when unexpected health issues arise. Without coverage, the burden of medical expenses falls squarely on your shoulders, potentially leading to financial strain and hardship.
Stay Compliant with the Affordable Care Act (ACA)
Since 2014, the Affordable Care Act (ACA) mandates that everyone maintains health insurance that meets minimum standards outlined by the legislation. Failure to comply may result in tax penalties, with increasing ramifications in subsequent years. Understanding the ACA can be complex, but rest assured, Schultheis Insurance’s Certified Application Counselors are equipped to demystify the program and assist you in navigating the application process.
Confidence in Business Coverage with Schultheis Insurance
For business owners, navigating ACA policies is a crucial aspect of ensuring compliance and providing valuable benefits to employees. At Schultheis Insurance, our certified agents specialize in crafting ACA policies tailored to meet the needs of businesses. Trust in our expertise to safeguard your business’s interests while prioritizing employee well-being.
WE’RE BUILDING RELATIONSHIPS
Don’t leave your health and financial security to chance. Contact Schultheis Insurance today to explore our comprehensive health insurance options. Let us guide you towards a future free from worry, where you and your loved ones are protected against life’s uncertainties.
Expert Guidance for Your
Individual Health Insurance Needs
Individual health insurance is more than just a policy; it’s your safety net in times of need. Whether you’re self-employed, between jobs, or seeking coverage outside of employer-sponsored plans, we’ve got you covered. Our team will tailor a plan to fit your unique lifestyle and budget, ensuring you receive the coverage you deserve.
Protect Your Loved Ones
with Family Health Insurance
Your family’s health and well-being are paramount. With our family health insurance plans, you can rest easy knowing that your loved ones are protected. From routine check-ups to unexpected emergencies, Schultheis Insurance provides comprehensive coverage for every member of your family.
Customized Solutions for
Group Health Insurance
As a business owner, providing quality health insurance for your employees is vital. Our group health insurance plans offer flexible options to meet the diverse needs of your workforce. Let us help you create a customized plan that promotes employee wellness and satisfaction while keeping costs manageable for your business.
Safeguard Your Income
with Disability Insurance
Unexpected accidents or illnesses can disrupt your life and financial stability. Disability insurance provides a crucial safety net, offering income protection when you’re unable to work due to a covered disability. Schultheis Insurance can help you find the right disability insurance plan to safeguard your income and peace of mind.
Clear Vision, Comprehensive Coverage
with Vision Insurance
Good vision is essential for your overall health and well-being. With vision insurance from Schultheis Insurance, you can ensure regular eye exams, prescription eyewear, and corrective procedures are within reach. Don’t compromise on your vision health – let us help you find the perfect vision insurance plan.
Maintain Your Oral Health
with Dental Insurance
A healthy smile is a priceless asset. Dental insurance from Schultheis Insurance makes it easy to prioritize your oral health. From routine cleanings to major procedures, our dental insurance plans offer comprehensive coverage to keep your smile bright and healthy.
Where Can I Get Affordable Health Insurance?
Many employers offer group health insurance to their employees. This insurance will cover medical expenses for the employee and eligible family members and will most likely be the most cost-effective coverage available because premiums are based on the power of group insurability and because the employer may pay part or all of the insurance premium.
If, however, your employer does not offer health insurance coverage, you should obtain individual family health insurance. You may be insurable through a group such as an organization of which you are a member; or, if you’re over 50 years old, you may qualify for insurance through membership in the American Association of Retired Persons (AARP).
The Affordable Care Act (ACA)
Under the Affordable Care Act, individual and family healthcare policies are available through various online insurance exchanges. The policies offered, and the costs for each, vary widely; however, income-based subsidies are available to help lower-income individuals offset the cost. The Certified Application Counselors at Schultheis Insurance are trained to explain the program and certified to help you complete an application for coverage.
Saving Money
While all healthcare policies are now required to meet certain minimum standards, you may also make insurance decisions that will affect the amount of your premiums. For example, you may choose a higher deductible amount that you would pay before the insurance coverage begins. Your Schultheis Insurance Agent can help you make the decisions about the type of coverage you need and can advise you about the companies whose plans best suit your needs.
What Types Of Coverage Are Available?
Health insurance coverage is basically divided into two types: Fee-for-Service and Managed Care.
Fee-for-Service, also known as traditional health insurance, operates on a simple premise: medical professionals are compensated a predetermined fee for each service rendered to the patient. Under this policy, the insured or healthcare provider submits a claim to the insurance company, which then reimburses the provider accordingly. Reimbursement amounts are influenced by factors like the insured’s deductible, co-payments, and the insurer’s predefined limits on service payments (often referred to as “usual & customary” charges based on regional data). This insurance model appeals to many individuals due to its flexibility, allowing them to select their preferred doctors and medical facilities.
Managed Care includes several types of plans, such as HMOs (health maintenance organizations), PPOs (preferred provider organizations), and POS (point of service plans). Each of these plans is slightly different, but the common factor is that they provide comprehensive health care services to their members, and they require members to use specific in-network providers or pay a larger fee for using healthcare professionals or facilities that are not part of the specific organization.
There are several other types of specialized health care insurance. You may wish to consider a Medicare Supplement policy if you are over 65 and depend on Medicare as your primary health insurance. You may want to look into special dental or vision insurance coverage if these costs are not addressed by your healthcare insurance. In addition, you may wish to add coverage against certain catastrophic health conditions, such as cancer, with a specialty insurance policy.
Your Schultheis Insurance Agent can help you evaluate your health insurance needs and select the policy that will provide you with the coverage you require.
What should I know about additional insurance coverage for seniors?
As you plan for your retirement, you should consider the amount of income you’ll need to maintain your lifestyle. In addition, you’ll want to consider healthcare coverage for those expenses not covered by Medicare Part A (hospitalization) and Part B (doctors’ expenses and other related medical fees). Finally, since you will no longer be covered by your employer’s group policy, you may wish to consider additional life insurance, disability insurance, nursing home insurance, and long-term care insurance.
What types of coverage are available and why do I need them?
Medicare Supplement
Medicare Supplement, or Medigap, insurance, is health insurance sold by private insurance companies to fill gaps in the Original Medicare Plan coverage. This type of medical insurance helps pay for costs such as coinsurance, co-payments, or deductibles not covered by Medicare Parts A or B. There is a wide variety of Medigap policies offered for different types of costs (labeled Parts C – J), but all insurance companies are required to offer the same type of coverage for each plan. Your Schultheis Insurance Agent can help you determine which of the Medigap plans is most appropriate for your needs and locate a policy provider offering the most cost-effective coverage.
Long-Term Care Insurance (also known as Nursing Home Insurance)
Medicare and most health insurance plans offer limited coverage for long-term care, leaving you vulnerable to significant financial strain if you require extended care. Long-Term Care Insurance fills this gap by providing coverage for healthcare needs in facilities or at home, when suitable. It’s advisable to purchase this coverage in middle age, before the need arises. Even if you’re currently healthy, securing long-term care insurance safeguards your family’s finances against unforeseen illness or disability. Let your Schultheis Insurance Agent guide you through the options, ensuring you find the most comprehensive coverage at the best value.
Guaranteed Issue Life Insurance
If you have been turned down for life insurance coverage because of pre-existing conditions or other risk factors, it may still be possible for you to have life insurance with a guaranteed issue life insurance policy. You are usually asked few questions about your current health and not required to have a health check-up before you receive your insurance coverage. However, guaranteed issue life insurance usually has limits on face value and term, and the premiums may be comparatively high. Ask your Schultheis Insurance Agent to help you locate the life insurance coverage that will protect your family from devastating financial situations.
Annuities
Annuity accounts can be established to provide a regular income to supplement your pension and Social Security income. This type of account allows you to invest in your future with the possible addition of a life insurance feature. Your Schultheis Insurance Agent can help you determine the type of annuity that best fits your financial planning situation.
How much coverage should I plan for?
Your decisions about the types and amounts of insurance coverages will depend on many factors. As a general rule, you should review your financial situation and the amount of income and insurance coverages you have and what you are likely to need in addition. Then you should purchase the coverages you will need. Your Schultheis Insurance Agent will spend the time with you to help you determine your needs and then will review what is offered by a number of insurance companies to get you the coverages you need at the most cost-effective rates.