Marketplace Comprehension Analysis
Our analysis will assess what you already know and where you are in your Marketplace coverage journey
Marketplace Comprehension Analysis
Our analysis will assess what you already know and where you are in your Marketplace coverage journey
Marketplace Comprehension Analysis
This analysis will evaluate exactly where you are at in your Marketplace coverage journey. It will help us better know what knowledge you already have and what you are still needing to learn and accomplish to get the most out of coverage.
Marketplace Comprehension Analysis
This analysis will evaluate exactly where you are at in your Marketplace coverage journey. It will help us better know what knowledge you already have and what you are still needing to learn and accomplish to get the most out of coverage.
Our Analysis covers different areas of medicare comprehension:
Our Analysis covers different areas of medicare comprehension:
Necessary Terminoligy
Knowing the terminology and the different phrases can help better your experience and help make decisions with your healt1hcare coverage easier.
What you know
What you need to know
How to become even more familiar with the process and terms
Getting this kick-start at the beginning will make the whole process simpler.
Your Costs
Cost is a crucial thing when it comes to healthcare coverage. You need to know where the costs are coming from.
Different types of costs
What exactly is covered by you versus insurance
Additional costs like prescriptions
Knowing where the different costs accrue will help you make the best decision for your healthcare coverage.
Necessary Terminoligy
Knowing the terminology and the different phrases can help better your experience and help make decisions with your healthcare coverage easier.
What you know
What you need to know
How to become even more familiar with the process and terms
Getting this kick-start at the beginning will make the whole process simpler.
Your Costs
Cost is a crucial thing when it comes to healthcare coverage. You need to know where the costs are coming from.
Different types of costs
What exactly is covered by you versus insurance
Additional costs like prescriptions
Knowing where the different costs accrue will help you make the best decision for your healthcare coverage.
Schedule a Clarity call below to get started:
Schedule a Clarity call below to get started:
Common health insurance terms and definitions to help you on your journey:
Premium:
The amount you pay for your health insurance plan, often monthly.
Deductible:
The amount you pay out-of-pocket for covered medical services before your insurance plan begins to pay.
Copayment (Copay):
A fixed dollar amount you pay for certain covered services, like a doctor's visit.
Coinsurance:
Your share of the costs of a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, after you've met your deductible.
Out-of-Pocket Maximum:
The most you will have to pay for covered services in a plan year.
Out-of-Network:
A provider who does not have a contract with your insurance plan.
Formulary:
A list of prescription drugs covered by your health insurance plan.
Claim:
A request for payment of benefits from your insurance company after receiving treatment or services.
Explanation of Benefits
(EOB):
A statement sent by your insurer after you receive care that details what the company paid and what you owe.
Prior Authorization:
The process where your health insurance company decides whether to cover a specific medical service or procedure before it happens.
Balance Billing:
When an out-of-network provider bills you for the difference between the amount they charge and the amount your plan pays.
Cost-Sharing:
The amount you pay to cover your share of costs for a covered health care service, in addition to your premium.
Common health insurance terms and definitions to help you on your journey:
Premium:
The amount you pay for your health insurance plan, often monthly.
Deductible:
The amount you pay out-of-pocket for covered medical services before your insurance plan begins to pay.
Copayment (Copay):
A fixed dollar amount you pay for certain covered services, like a doctor's visit.
Coinsurance:
Your share of the costs of a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, after you've met your deductible.
Out-of-Pocket Maximum:
The most you will have to pay for covered services in a plan year.
Out-of-Network:
A provider who does not have a contract with your insurance plan.
Formulary:
A list of prescription drugs covered by your health insurance plan.
Claim:
A request for payment of benefits from your insurance company after receiving treatment or services.
Explanation of Benefits
(EOB):
A statement sent by your insurer after you receive care that details what the company paid and what you owe.
Prior Authorization:
The process where your health insurance company decides whether to cover a specific medical service or procedure before it happens.
Balance Billing:
When an out-of-network provider bills you for the difference between the amount they charge and the amount your plan pays.
Cost-Sharing:
The amount you pay to cover your share of costs for a covered health care service, in addition to your premium.
We do not offer every plan available in your area. Please contact www.medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or your local State Health Insurance Program (SHIP) to get information on all of your options.