IMPORTANT HEALTH INSURANCE TERMS TO KNOW
When shopping for affordable health insurance in Florida, especially for the first time, you may get confused pretty quickly due to the many insurance terms out there. But don’t worry – you’re not alone. Health insurance is a foreign language in itself. Fortunately, at Apollo, we want to make things as simple as possible, which is why we’ve compiled a list of some of the most important health insurance terms to know when shopping for health insurance in Florida. Coinsurance A percentage you owe for covered medical expenses after meeting your deductible. For example, say you meet your $2,500 deductible for the year and your coinsurance is 20%. This means if you visit the doctor and your bill was $100, you would pay 20% of that, and your health insurance in Florida would pay the rest. Copayment A copay is the fixed dollar amount you pay when you receive certain medical care, such a doctor appointment or filling a prescription. Copays vary based on the service you receive. For instance, your copay for a doctor visit may be lower than visiting a specialist, but higher than a generic prescription. Deductible A deductible is the annual amount you pay out of your own pocket for health services before health insurance companies in Florida begin paying their share. Deductibles vary from plan to plan, but say you have an annual deductible of $1,000. Your health insurance plan may not start covering its share until you’ve paid that $1,000 on healthcare in a given year. Network Every health insurance company has a network of healthcare providers and hospitals that they work with to provide care at a discounted rate for carriers. Staying in your health insurance company’s network is the best way to keep your healthcare costs low. Open Enrollment Even though you can enroll for health insurance in Florida anytime during the year (given specific circumstances), open enrollment is the dedicated period when anyone can enroll in a plan on the health insurance marketplace. For most states, open enrollment runs from November 1st to December 15th, but some states have extended it until January. For more information, check out our blog on what you need to know about open enrollment here. Out-of-Pocket Maximum Your out-of-pocket max is the maximum amount you could pay each year toward health care costs, including your deductible, coinsurance, and copay. Once you’ve met your out-of-pocket max, your health insurance companies in Florida will pay the remainder of your care. Premium Your premium is the fixed fee you pay your insurance provider to have an active health insurance plan. Most people pay their premiums monthly, but some pay once a quarter or once a year. Need health insurance for you or your family? Get a health insurance quote in Florida from Apollo today! Fill out our online form or give us a call at (913) 279-0077.

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Scott Eckley

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Jordan Eckley

Chief Strategy Officer

Luke Eckley

Chief Revenue Officer

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