Easy-to-use, quick, hassle-free

Competitive Prices

Affordable and Efficient services

Multiple Options

Wide range of Insurance carriers

Welcome to InsuGuru Insurance Services

Insuguru Insurance Services is a fully licensed, independent insurance agency specializing in employer and individual insurance plans. Our experienced agents strive to give our clients excellent plan choices, competitive rates, and superior customer service. InsuGuru Insurance Services is the right choice when it comes to designing and executing a comprehensive insurance package.
InsuGuru Insurance Services specializes in Business Insurance, Group and Individual Health Insurance, Student Health Insurance and Visitors/Travelers Health Insurance

Why InsuGuru Insurance Services?

We’re an independent agency which means we don’t work for the insurance company, we work for our customers. We can offer you a wide range of insurance plans at competitive prices.

We represent all the major US insurance companies. That lets us deliver distinguished plans at the best rates. InsuGuru Insurance Services isn’t there just to sell you a new policy but to help you maximize your coverage.

Our Offerings

To provide consultancy for preparing of all sorts of insurance services


Health Insurance is Investment-Worthy!

Uncertainties are real when it comes to health. We make it certain to have your back when situations are beyond control.
We have a team of highly vetted and dedicated professionals at InsuGuru Insurance Services. Our team takes all possible actions to ensure that your health is protected from all kinds of risks. Although health emergencies are unpredictable, we help you deal with the financial consequences after an unwanted episode.

At InsuGuru Insurance Services, we know that the healthcare industry is ever-evolving. We strive to make it more accessible and easy to navigate for our customers by providing relevant information about the intricacies involved.

When an employer offers health benefits to its working squad, the former happens to build a loyal workforce. InsuGuru Insurance Services understands the importance of building a committed team. We help you get affordable and suitable health insurance policies as per your needs.

Let us take a look at the products under our Health Insurance Umbrella!
Dental Insurance

InsuGuru Insurance Services knows that really good dental plans keep employees smiling and makes their employer happy too.

Quality dental coverage will keep your employees
Bright, white smiles look great but having healthy teeth and gums is far more important than merely aesthetics. Serious conditions, including diabetes and heart disease, can be discovered in their beginning stages through regular oral exams. Being sure to maintain regular dental screenings can prevent minor problems from becoming major health concerns.
InsuGuru Insurance Services will keeps employees smiling with coverage from the very best dental insurers. Our knowledgeable agents and superb customer support will make sure your employees are getting the dental protection they deserve.

InsuGuru Insurance Services offers the following types of employer dental plans:

  • Preferred Provider Organization (PPO)
  • Dental Maintenance Organization (DMO)
  • Participating Dental Network (PDN)
  • Indemnity Plans

InsuGuru Insurance Services will give you a reason to smile
Dental insurance is a wonderful addition to any employer medical benefits package. Helping your employees maintain good oral health will also help prevent chronic ailments that can result in high medical costs and missed work days.
InsuGuru Insurance Services recommends making dental coverage part of your standard employee benefits program. Our agency will provide comprehensive dental protection for your employees. We have dental plans that will give you a reason to smile.

Vision insurance

Sight is one of the five critical senses that we must preserve. Visual impairments can negatively influence an employee’s ability to safely and accurately perform job duties.

All eyes on vision insurance
Most of us take our eyesight for granted. We forget that eyes are vulnerable to diseases like glaucoma, cataracts, diabetic retinopathy, dry eye, and macular degeneration. Regular appointments with an optometrist is necessary to secure new eyeglasses and contacts, as well as make sure you’re not suffering from any other medical conditions. The best way to be sure employees take care of their eyesight is by providing low cost and robust vision insurance benefits.

InsuGuru Insurance Services offers a wide variety of inclusive vision plans which offer:
  • Annual vision screenings with very low copayment
  • Visit the optometrist of your choice or select a doctor from our network
  • Discounts on the newest eyewear styles
  • Great deals on contact lenses
  • Markdowns on replacement eyeglass lenses and frames
  • Savings on Lasik eye surgery
  • Excellent customer support

Affordable vision coverage from InsuGuru Insurance Services
InsuGuru Insurance Services will help you see how an affordable vision plan will benefit you and your employees. Vision insurance coverage makes a wonderful supplement to any company’s benefits package. Monthly premiums are low so that your employees can enjoy vision coverage without any concerns.

Keep an eye on costs and benefits
Contact InsuGuru Insurance Services today for a free consultation.Our experienced insurance agents will guide you through the process of securing a vision insurance plan that’s generous and affordable. You’ll be able to keep an eye on the costs while your employees enjoy their comprehensive vision coverage.

Employee Life insurance

Employees shouldn’t spend time at work worrying about how their families will manage financially should they pass away. Your employees may be distracted with concerns over how their loved ones will pay for daily needs like mortgages, car payments, and medical bills. In addition, your employees may wonder how their children will pay for college or their spouse will pay for retirement without having that extra paycheck.

Providing your valued staff members with life insurance plans will empower them and their loved ones. Life insurance coverage is the easiest way to be sure employees have a plan for their beneficiaries upon their passing.

InsuGuru Insurance Services offers employers and their employees a diverse collection of life insurance products.

Term Life
The most common type of employer paid life coverage is Term Life Insurance. Term is easy to get and inexpensive since it usually pays a low benefit amount. Your employees will appreciate skipping the medical exams and lengthy questionnaires since neither are required.

Whole Life
Whole Life Insurance is an excellent investment since policyholders can earn dividends which may increase the overall benefit amount. The premiums are a bit higher than Term Life but the named insured will be covered for the rest of their life and not a set period of time (like a Term policy).

Universal Life
Universal Life Insurance allows policyholders to adjust premiums and the death benefit amount. Additional features like cash value accumulation and guaranteed protection are included.

Variable Universal Life (VUL)
This type of universal life coverage allows the policyholder to grow the policy’s value so your beneficiary can receive an increased payout. VUL insureds are able to do so by investing the policy funds into stocks and bonds.

Life insurance benefits are the last gift your employees can give to those they love. That’s why InsuGuru Insurance Services only offers the highest quality life policies. We always make the process of buying life insurance easy for you and your employees. Contact us today to schedule your consultation with one of our experienced agents. InsuGuru Insurance Services is an independent insurance agency that can offer you the largest selection of competitively priced plans.

Gap Insurance

Kaiser Foundation conducted a survey which revealed 1 out of 4 US adults have struggled to pay for basic healthcare or know someone that has experienced this problem. We can’t forget that about sixty percent of all US bankruptcy filings is prompted by medical debts.

Some medical insurance only pays a limited amount of the employee’s medical bills. The additional expenses which are not covered by the insurance company will quickly become the employee’s responsibility. Often times the amount due to the medical providers is far more than the employee can afford. That’s why InsuGuru Insurance Services makes sure their clients have the opportunity to bridge the gap between what an employee needs to pay and what they can pay.

GAP Insurance Helps With Out-Of-Pocket Costs
Employers are always looking for health plan options that helps them control insurance costs while giving their employees great coverage. However, all health insurance has benefit limits and expects the insured to contribute towards a percentage of the medical expenses. Gap insurance is the bridge between what the medical policy pays and the total healthcare costs. This type of policy will give your employees relief from the strain of meeting their monthly household budgets while also paying down medical bill balances.

InsuGuru Insurance Services Fills the Gap
InsuGuru Insurance Services rounds-out their strong assortment of employee insurance plans with Gap protection. Although this is a fairly new insurance option, it is undeniable how beneficial Gap coverage really is. InsuGuru Insurance Services can provide you with plenty of information and answer all your questions prior to selecting a Gap insurance policy for your employees. Plus, InsuGuru Insurance Services is there for you and your staff long after the policy is sold. We offer excellent customer service including assistance during the claims process.

InsuGuru Insurance Services agents are waiting to provide a free consultation. We are glad to show you the advantages of buying a Gap insurance plan for you and your employees.

Group Health Insurance

Did you know as many as 54.4% of insured Americans get health insurance cover under group policies offered by their employers? Yes, it is what the 2020 Census data reads.
So, what is a group health insurance policy? Also known as employer-based or employment-based coverage, group health insurance is a health cover offered by an employer to their employees.

Generally, the members, policyholders, or beneficiaries of a group health cover receive the protection at a reduced rate. The reason? The potential risk of the insurance provider is dispersed across multiple beneficiaries.

Here are some most prevalent group health insurance policies available for organizations or businesses:

HMO (Health Maintenance Organization) Plan:
It is a group health insurance arrangement where the beneficiaries get comprehensive coverage via a network of healthcare service providers who agree to offer services to the former (beneficiaries). The extent of preventive medical care with HMO plans is broader than other plans. So, the policyholders can take a sigh of relief. Check out the below pointers to understand how these plans work:

  • As an HMO group member, you will have to select a PCP (Primary Care Physician).
  • The PCP you choose will make sure to take care of your healthcare needs.
  • However, if you need to go to a specialist, you will need to obtain a referral from your current PCP.

Although you will find many insurance plans, HMO allows the beneficiaries to reduce their out-of-pocket expenses on healthcare.

PPO (Preferred Provider Organization) Plans:
Although PPO plans are similar to HMO policies, the former offers more flexibility. It also comprises a network of healthcare facilities and providers. However, with PPO plans, the beneficiaries get the freedom to choose a doctor or hospital outside the network.

POS (Point of Service) Plan:
It is a managed-care health insurance policy. It combines both HMO and PPO plans. With this plan, the group members can choose an in-network doctor or facility as their PCP like HMO or visit a doctor or hospital outside the network like PPO. When the policyholders seek a healthcare provider outside the grid, they will have to bear most of the expenses or shell out a higher out-of-pocket unless their PCP has referred them to an out-of-network provider.

HSA (Health Savings Account) Plan:
It is a tax-free savings account. It helps the beneficiaries save for healthcare costs that health insurance policies with high deductibles do not cover. It is an employee account that both the employer and employee can fund over time. The employees can use the contributions to pay for the covered medical expenses. The balance amount is carried forward from one year to another.

401 (K) Plan

A 401(k) plan is a defined contribution, tax-free, and employer-sponsored retirement account. This pension account gets its name after the subsection of the Internal Revenue Code, called the 401(k). Employees can fund their 401(k) accounts directly off their automated payroll withholding, and the employers may match all or some of the funds.

There are two types of 401(k) plans. Refer to the pointers given below:

  • Traditional 401(k): The contributions under a traditional 401(k) are tax-free until the employee makes a transaction (after retirement).
  • Roth 401(k): The contributions made under a Roth 401(k) plan can be tax-advantaged.

Short & Long Term Disability Insurance

Short Term Disability Insurance
Why do you need a short-term disability insurance (STDI) plan? The odds of suffering a short-term disability is more than most people realize. Have a look at the below pointers:

  • The latest stats from the CDA (Council For Disability Awareness) shows that more than 1 in 4 working Americans are likely to suffer a disability before their retirement.
  • Every year nearly 5% of employees will encounter a short-term disability because of injury, health condition, or pregnancy.
  • Besides, around 46% of the working American population will not be able to pay for even a $400 emergency outlay without borrowing, taking out a family loan, or using their credit cards.

What if you are unable to work (earn) because of a short-term medical issue? How would you bear the expenses for it?

A short-term disability insurance policy reimburses your income for a short time if you suffer a disability due to covered reasons. Here is a break-up for you:

What is a disability? It is a health condition that restricts your working abilities. Disabilities occur mainly due to workplace accidents. It is an utter misconception. The reality is - most disabilities happen due to chronic medical conditions, including heart ailments, cancer, back injuries.
Some employers also categorize pregnancy as a disability. It allows working pregnant women to continue earning when they are on leave.

Although an STDI plan is likely to cover around 80% of your total income, the extent of an STDI coverage may not last for the entire term of the disability. The benefit term of this insurance policy ranges between 3-months to 6-months.

Long-term Disability Insurance
Did you know - according to the U.S. Census Bureau, an employee has 1 in 5 odds of getting disabled?

In light of this estimate, long-term disability insurance (LTD) is crucial to the insurance profile of all working Americans.

This insurance policy covers the policyholder against loss of income due to a long-term disability caused by an accident, illness, or injury. Some statistics opine - generally, an average worker with a long-term disability is likely to miss work for up to 2.5 years. This duration (without the protection of a long-term disability insurance policy) is more than enough to devastate a family on the financial front.

A long-term disability insurance plan does not cover work-related injuries, accidents, or illnesses. These are typically covered under the worker’s compensation insurance. However, an LTD plan will cover you in case of a personal accident, like slip and fall, road collisions, etc. An LTD policy also ensures that the policyholder will get a percentage of their salary if they are unable to resume work due to a disabling illness or injury.

Individual Insurance

Many individuals are not eligible to avail of group health insurance plans. Some of the main reasons include the following:

  • Their employers do not offer any group health insurance plan to them
  • They have their businesses
  • They are students and are visiting the US to pursue higher studies

We offer the following services to them via our empanelled insurance carriers:

  • Life Insurance
  • Health Insurance
  • Vision Insurance
  • Dental Insurance

Business Insurance

Safeguard Your Business. Take a Sigh of Relief!

Every business should operate with sanguinity and enthusiasm and hope for the best. However, at the same time, they should be prepared to deal with the unwanted scenarios that life often brings along. Situations may sometimes go out of control. However, with proper planning in place, you can surely sail out the unanticipated circumstances like a pro.

InsuGuru Insurance Services offers a range of practical loss prevention products to help small and medium-size businesses cope with whatever comes their way. Our business insurance advisors are skilled, experienced and knowledgeable about the nationwide rules & regulations. They will have your back and protect you against all perils concerning you at every walk of your business. No wonder we are your Business Guards.

InsuGuru Insurance Services has the following business insurance plans for you:
Commercial General Liability

Also known as CGL, it is a type of business insurance plan that covers a business against the following scenarios:

  • Bodily injury to a third party involving business’s operations, products
  • Personal injury to a third party caused by products or business’s operations
  • Third-party property damage due to the business’s operations, products
  • Injuries to a third party that occurred inside the business's premises

There are two kinds of Commercial General Liability plans:
  • A claims-made plan: It covers claims, irrespective of the time and place the event happened.
  • Occurrence policy: It covers the claims where the event happened during a given time.

Businesses can include other companies in their commercial liability insurance plan as additional insured.

Cyber Liability

As the name suggests, a Cyber Liability insurance policy is a specialized insurance product that safeguards individuals and businesses from Internet-based perils and dangers associated with Information Technology (IT) infrastructures.

This plan protects your business's liability for any kind of data security breach comprising sensitive information about customers, including health records, social security numbers, bank account numbers, credit card numbers, and driver’s license numbers, to mention a few.

Errors & Omission

Errors and omissions insurance (E&O) plan is a professional liability that covers businesses, their workers, and associates from claims of neglectful actions or insufficient work done during the tenure of services.

Errors and omissions coverage does not come under general liability insurance. So, the plan generally covers legal costs and settlements (if any) up to the amount mentioned in your insurance certificate.

Workmen Compensation

This insurance policy offers medical and wages replacement benefits to employees if they are injured while working (tenure of occupation) in exchange for a compulsory withdrawal of the right of the employee to sue their employer for the act of negligence.

A majority of states ask every business to buy a Workmen Compensation insurance plan as soon as they recruit their first worker. What if your state does not need it? Still, you should purchase this plan to cover your business against the hefty medical bills incurred due to lawsuits and work-related injuries.

In monopolistic states, including Ohio, Washington, North Dakota, and Wyoming, businesses must get this insurance coverage from the state funds.

Workmen Compensation insurance plan also cover the following:

  • Cost of emergency room bills, ambulance
  • Physical therapy, medications, and other recurring costs
  • A portion of the wages lost while a worker is recovering
  • Legal costs if a worker files a lawsuit against your business over the illness or injury

Umbrella Liability

Umbrella liability insurance plan is an all-encompassing policy that covers your business beyond the current limits and protections of CGL, Workmen Compensation, and non-hired and hired auto plans.

This insurance plan offers protection against claims that are likely to be excluded by other liability insurance plans. It includes claims like libel, false arrest, slander, and liability cover on rental units owned by you.

Commercial Auto

This loan is designed to offer protection to small businesses if, unfortunately, their company vehicles are damaged, stolen, lost, vandalized, or involved in an accident.

Under a commercial auto insurance plan, the policyholder gets funds to replace or repair the vehicles, associated medical costs and property damage (third-party).

Employment Practices Liability

Employment practices liability insurance plan guards a business if a worker sues it for unlawful employment practices or any other work-related problem.

Such issues have become quite prevalent in the USA. Having this insurance policy means that the business does not need to shell out for legal expenses out-of-pocket if an employee or a group of workers file a compensation claim for employee rights violation.

The employment practices liability insurance needs to be active and valid when the claim was filed and when the incident happened.

The plan cover business accused of the following:

  • Wrongful firing
  • Unlawful hiring
  • Discrimination
  • Breach of employment agreement
  • Benefit mismanagement
  • Sexual and workplace harassment
  • Privacy infringement

1st & 3rd Party Crime Bond

First-party commitment (fidelity) bond covers a tech company when a worker commits a crime, such as a forgery, theft, or fraud.

In case your employees can access your valuable assets and finances, a first-party fidelity bond can provide you with mental peace and financial compensation if an employee pockets from your business.

Third-party fidelity bonds cover your clients against forgery, theft, or fraud by one of your employees. This plan reimburses the third party (your client) if your employee(s) steals a property or pockets money from them.

Director & Owner Insurance

Directors and Owners or D&O liability insurance plan is designed to cover individuals against personal losses in case they are sued for serving as an owner or director of a company.

This insurance plan also pays for the legal fees and other related expenses a company incurred due to a lawsuit.

D&O liability insurance plan offers financial coverage to directors and owners if they are sued given the execution of their duties related to the company, such as conflict of interest, violation of fiduciary duties, operations mismanagement, asset mismanagement, misrepresentation company asset sale, etc. It is also known as management E&O.

Accounts Receivable Insurance

Accounts receivable insurance policy covers a business from financial losses as a result of its AR (accounts receivable) records. This coverage is crucial because the loss of AR records may make a company unable to collect funds the clients owe.

Visitors Insurance

Secure you life & future with ensure.

The United States prides itself on the world-class quality of its state-of-the-art medical care. The problem is that all of the research, technology, and education that it takes to deliver that high-quality care makes healthcare in the United States very expensive. This country does not have universal health visitor insurance. If you visit the United States without valid medical insurance, you’re taking a risk.

InsuGuru Insurance Services protects your business by providing following insurance policies
Student Health Insurance

Just about one million international students travel to the United States to attend colleges and universities. These foreign students may need health insurance in order to register for classes and satisfy student visa requirements. Even more important, foreign students need a medical plan to make sure they can access and pay US medical providers.
Your own country’s healthcare system may work very differently than the healthcare system in the United States. Without US insurance, you run the risk of generating huge medical bills if you should get sick or injured.

InsuGuru Insurance Services has been serving the community for many in providing visitor insurance through our subsidiary Visitors Guru.

Usa Visitor Medical Insurance

The United States prides itself on the world-class quality of its state-of-the-art medical care. The problem is that all of the research, technology, and education that it takes to deliver that high-quality care makes healthcare in the United States very expensive. This country does not have universal health visitor insurance. If you visit the United States without valid medical insurance, you’re taking a risk.

If you need to visit a doctor, clinic, or hospital, you can expect to pay very dearly for your treatment. If you plan to visit the United States, you should consider buying visitor travel health insurance to make sure you can access and afford good doctors just in case you get sick or injured.

These plans offer you short-term visitor health insurance that can help pay for a variety of medical services. Some examples include hospital stays, doctor’s office or emergency room visits, lab tests, and prescriptions. Most plans will also help you find care if you need it and some also offer non-medical benefits as well. They will only cover a new illness or injury that happens during the covered period and not a pre-existing condition.

InsuGuru Insurance Services has been serving the community for many in providing visitor insurance through our subsidiary Visitors Guru.

International Travel Insurance

If you live in the United States, you should know that your government advises international travelers to consider purchasing travel health insurance for foreign trips. Most American health insurance policies only cover domestic medical providers. This includes both Medicare and most Obamacare medical plans. Also, you can buy travel medical policies that provide you with other valuable benefits that will protect you when you venture far away from home.

InsuGuru Insurance Services has been serving the community for many in providing visitor insurance through our subsidiary Visitors Guru.

Schengen Visa Insurance

Schengen (a region with 26 European countries) is one of the destinations that mandates international travelers to carry a travel medical insurance plan. It is an integral part of the visa process, and it keeps your medical expenses in check.

Insuguru Insurance Services has been serving the community for many in providing visitor insurance through our subsidiary Visitors Guru.

Value Added Services

ERISA Filing

The ERISA (Employee Retirement Income Security Act of 1974) is a federal tax and labor law prevalent in the United States. This law determines the minimum standards for voluntarily established retirement (pension plans) and health insurance plans in the private industry to cover the beneficiaries.

It offers an SPD (summary plan description) that talks about the terms and conditions of the plan to all enrolled members.

Are you giving a maintained and consolidated written plan (ERISA document) to your workers or new employees within 90 days of plan change? If your answer is no, you are not law-abiding and are likely to get subjected to penalties.

If you have more than 100 enrolled members in a health insurance plan, ERISA also requires you to file the IRS form 5500.

POP/Cafeteria Filing

Are you deducting the premium amount from the salary of your employees on a pre-tax basis? If yes, then you must have a POP document to prove yourself compliant.

Your employees contribute to their dental, health, and life insurance policies before the related taxes are calculated. POP helps them to save FICA (Federal Insurance Contributions Act tax) and federal income tax by up to 30% on their deductions with each paycheck.

If POP is not in place and the employer is deducting tax on a pre-tax basis, employers can save on the FICA by 7.65%. It is non-compliant and subject to fines. POP is also known as Section 125/Cafeteria plan.

COBRA Administration

COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) is a Federal law. It is compulsory for group health insurance policies funded by employers with 20 or more workers. It provides the employees and their families (who have lost their health coverage benefits) with the freedom to continue with the health benefits offered under their group health insurance policies for a specified time under specific situations. These situations include - a reduction in the hours they have worked, involuntary job loss, voluntary job loss, death, switching between jobs, divorce, and other instances.

Non Discriminative Testing

To become eligible for tax-favored status, a benefit policy must not differentiate in favor of key employees and HCEs (highly compensated employees) in terms of benefits, eligibility, and contributions. According to federal regulations, requirements for every benefit policy are specified under the IRC Section 125, IRC Section 105, and IRC Section 129. Evidence compliance annual tests and related results must be documented for every benefit policy.

ACA Reporting

Every employer should report information on Health Insurance Offer and Coverage to the IRS (Internal Revenue Service) and a couple of select states by the end of the year. According to the ACA (Affordable Care Act), companies with ALE (Applicable Large Employees) 50 or more, must produce the IRS with ACA reporting using IRS form 1094-C and 1095-C explaining what advantages they provided. If a company has 49 or lesser employees, they are not required to report the same unless they are insured on their own. We provide this VAS (value-added service) to our clients to ensure completing these fillings to the IRS while keeping them tension-free.

Health Saving Account

It is a tax-free savings account that allows people to save for their medical costs that health insurance policies with high deductibles are less likely to cover.

Health Reimbursement Arrangement

A Health Reimbursement Arrangement or an HRA is a tax-free, employer-sponsored, IRS-approved health benefit. It is used for reimbursing employees for their personal health insurance premiums and medical expenditures that they made out of their own pockets.

Always remember! HRA is not a health insurance plan. You may define it as a monthly allowance of a tax-discounted money provider to employees by their employers. Then, the former purchase the healthcare services they wish, including health insurance coverage, and the latter pay them according to the allowance limit.

Health Reimbursement Arrangement is a great way to offer health insurance benefits and let employees pay for a range of medical conditions and costs not under their insurance plans.

This plan is excellent for small businesses that are less likely to pay for group health insurance.

Flexible Spending Account

A Flexible Spending Account, also known as FSA or flexible spending arrangement, is a savings account that offers specific tax advantages to the account holders. This account is created by an employer for their employees. This account helps the workers to contribute a part of their regular income to shell out for covered expenses associated with dental and medical expenses.

A type of FSA called a dependent-care flexible spending account, is used to cover childcare expenses for kids up to 12-years of age or less. It can also be used to take care of eligible adults, such as a spouse, who cannot take care of their health needs.

Form 5500 Filing

Claims Facilitation

Reach out to us for free quotes

Frequently Asked Insurance Questions

We answer the most frequently asked insurance questions here.

Health insurance plans pay for medical expenses. Health insurance protects you against unforeseen medical bills caused by injury or illness, as well as examinations and prescription drugs. Health insurance comes in a wide assortment of benefits and prices. In the United States, many employees get health insurance through their jobs as a special perk. Otherwise, individuals in the United States will buy their own individual health insurance for themselves and their families.

Regardless of age or health condition, everyone benefits from health insurance coverage. That’s because a sudden injury or unexpected illness may present itself at any time. Medical insurance will protect you from absorbing the entire cost of medical treatment. In addition, a health insurance plan will often give you access to preventative routine care. Under Federal law (Affordable Care Act or ACA), everyone in the United States is expected to have medical insurance. If an individual is not covered then they may be subject to a federal tax or fee for every month the individual goes without proper coverage.

In 2010, President Obama signed into law the Patient Protection Affordable Care Act (ACA) which is also commonly known as “Obamacare”. The ACA is a federal law designed to provide all Americans with access to affordable, quality healthcare even for those suffering from a pre-existing medical condition. In short, ACA was established to expand the protections, rights, and benefits for insureds while also regulating medical costs via the insurance companies. ACA resulted in an online health insurance marketplace (aka “exchange”) where Americans can shop for insurance plans that provide federally approved plans at reasonable rates.

Many US employers provide their employees with health insurance, although enrollment is restricted to specific periods during the year. Check with your employer’s HR department to better understand what kinds of coverage your employer offers and if you qualify. Americans not offered an employer-sponsored health insurance plan will have to purchase a policy for themselves. One way is to buy an Obamacare health plan via the ACA’s marketplace.

Under the ACA law, insurance carriers can’t deny an individual health insurance because of a pre-existing medical condition. The insurance companies are also unable to drop individuals when they become chronically ill or charge an individual more (aka a rate up) than their peers because of a health issue.

The annual period of time designated for enrollment in a new health insurance plan. Typically the open enrollment period for ACA insurance plans is from November 1 to December 15 each year. Employer-sponsored health insurance tends to have different open enrollment periods established by the company. So check with your company’s HR department to find out when the company will have their next open enrollment period. If you do not enroll in a qualified health insurance plan during the open enrollment period then you might still be able to do so depending on your circumstances. For example, a special enrollment period is available for individuals that are newly married, having a child, relocating to a new zip code, or losing their current health insurance. If you or your family qualifies for Medicaid or the Children’s Health Insurance Program (CHIP), you may enroll in either program any time during the year.

Individuals that enroll in an ACA health insurance policy may qualify for government tax credits and/or subsidies to help lower the premium cost and other out-of-pocket expenses.

Deductibles are predetermined amounts you’re expected to pay before the insurance company will begin paying your medical bills. The deductible amount you’ll be asked to pay varies among insurance plans. Usually, a higher deductible amount means a lower premium. It is possible to buy a medical insurance plan that does not have a deductible. Keep in mind, your premium may be quite a bit higher than a plan with a deductible.

Your copayment (or “copay”) is the flat fee you’ll pay each time you visit a provider, pick-up a prescription, or receive a medical test. Remember, copayments don’t count toward your deductible but they usually do count towards the total “out-of-pocket” cost you’re expected to pay for the policy year.

Health Maintenance Organization (HMO) medical insurance plans allow you to pick your primary care doctor. HMO coverage expects you to rely on the primary care physician of your choice to refer you to specialists, order tests, and manage your overall medical care. This structure helps control costs for your health care services.

Preferred Provider Organization (PPO) medical insurance plans furnishes the most freedom in selecting health care providers. A PPO health insurance plan lets you receive treatment from any professional you prefer, even if they don’t participate in the healthcare network. Of course, by visiting a network provider you’ll be able to maximize your policy’ benefits and avoid paying more out-of-pocket costs.

Gap insurance bridges is a supplemental policy that doesn’t replace your health insurance. Instead you can use the gap insurance policy to collect lump sum payments towards covered illnesses and accidents. The funds a gap plan will pay you can be put towards the deductible and out-of-pocket expenses owed to your primary health insurance carrier.

Get A Quote

Insuguru Insurance Services gives clients free insurance quotes so they can make an informed choice