Question 1

Who is HealthMarkets?

Accepted Answer

HealthMarkets is an insurance agency that is licensed nationwide, except in Massachusetts. Agents licensed with HealthMarkets have access to different types of insurance plans sold by multiple insurance companies. This means they can search through your options for you and help you find a plan that meets your priorities and stays within your budget.

Question 2

How do I know which insurance company is right for me?

Accepted Answer

There are many elements to consider when choosing an insurance carrier, including price, physician network and benefit design. Some carriers have smaller networks than others. Some carriers may require referrals to see physician specialists. Your agent can help you sort through these items to choose the best insurance carrier for you.

Question 3

How do I choose a health insurance plan?

Accepted Answer

You need to determine what benefits are important to you. Some important considerations include:

Question 4

What is a deductible?

Accepted Answer

A deductible is a specific dollar amount that your health insurance company may require that you pay out-of-pocket each year before your health insurance plan begins to make payments for claims.

Question 5

What is the difference between in-network and out-of-network providers?

Accepted Answer

An in-network provider is one contracted with the health insurance company to provide services to plan members for specific pre-negotiated rates. An out-of-network provider is one not contracted with the health insurance plan. Typically, if you visit a physician or other provider within the network, the amount you will be responsible for paying will be less than if you go to an out-of-network provider. Though there are some exceptions, in many cases, the insurance company will either pay less or not pay anything for services you receive from out-of-network providers.

Tiffany Spagnola

Frequently asked questions