It’s difficult to understand the ins and outs of health insurance, with all the different private and state-sponsored marketplaces and requirements laid down by the Affordable Care Act. Because of this, you may have unanswered questions about the subject. While there are many case-specific variables to health insurance, some common questions can be answered, helping you understand what to expect.

FAQs About Health Insurance

What does health insurance cover?

Coverage varies depending on the plan. Most policies cover office visits, hospital stays, emergency room care, and routine preventative services. Some procedures, such as surgeries or chiropractic care, are covered by some plans but not others. Other possible types of coverage include MRIs and vision and dental care. Before purchasing a plan, be sure you understand what is and is not covered.

How does health insurance work?

Most plans pay some or all of regular health care costs but often require some expense on your part. For instance, you may have a deductible—or an out-of-pocket amount you must pay—before your insurance kicks in. You may also have a coinsurance or copayment amount, either a percentage of the fee or a flat fee, for each procedure.  

Why is health insurance so important?

Health care costs can add up to extraordinary amounts, and health insurance protects you against the crippling financial burden of a serious illness or injury. By paying a monthly premium and smaller co-pays and deductibles, you make sure you won't face a catastrophic hospital bill in the event something goes wrong.

Where can you buy health insurance?

You can buy coverage through your state's health insurance marketplace during the open enrollment period from November 1 to December 15, 2018. After open enrollment closes, you can still buy a plan through a reputable insurance agency, although you won't be able to take advantage of any state-sponsored, need-based tax credits.

To discuss your health insurance options with an experienced professional, contact Toohey Insurance Service, a trusted insurance agency in Somerset, KY. They've been serving clients in and around Pulaski County since 1983 and specialize in health, life, and business insurance. Visit their website to view directions or call (606) 678-0540 to speak with a friendly, helpful agent.