Florida medical insurance coverage is comprised of two most important classes: Florida particular person medical insurance coverage and Florida group medical insurance coverage. These two classes have many similarities however but many vital variations as properly.
Many Florida residents are fairly aware of giant group medical insurance coverage by way of their employer if they’ve ever labored for a big company (in Florida a big group is taken into account an organization or group that has greater than 50 staff). Nonetheless, relating to understanding particular person medical insurance coverage in Florida and the way it works and even understanding small group medical insurance coverage in Florida and the way that works it seems to be considerably completely different than the big group medical insurance coverage plan that almost all have recognized so properly for therefore lengthy.
Particular person medical insurance coverage in Florida is completely different from group medical insurance coverage in Florida due to the truth that the underwriting departments at every Florida insurance coverage firm will scrutinize very intently any pre-existing situations that an applicant has of their well being historical past (going again as much as 10 years) if they’re making use of for a person coverage.
This scrutiny is geared in direction of discovering any antagonistic well being situations or precursors to well being situations equivalent to diabetes, excessive ldl cholesterol, coronary heart illness, weight problems, most cancers, and so on. Circumstances equivalent to diabetes, most cancers, coronary heart illness and extreme weight problems will trigger a Florida medical health insurance firm to mechanically decline an software for protection with a person medical insurance coverage coverage.
Much less extreme pre-existing well being situations equivalent to excessive ldl cholesterol, hypertension, delicate weight problems, and heartburn/acid reflux disease will usually end in a rider being positioned on the accompanying coverage that may exclude protection for something associated to that particular pre-existing situation. Riders are usually levied on an indefinite foundation or a brief foundation (12-24 months typically).
There are a number of insurance coverage firms in Florida (considered one of them presently being Aetna) that don’t subject riders on the person medical insurance coverage aspect as is most typical however will as an alternative “charge up” an applicant they deem presents extra danger resulting from pre-existing situations. This “charge up” merely implies that they may provide to cowl the delicate pre-existing situations however they may give you a charge elevated premium quantity that may be 10% greater than was initially quoted you, 25% extra, 50% extra; all of it is determined by the underwriting division on the insurance coverage firm as to what premium quantity that they may give you in the event that they determine to just accept you 부천손해사정사.
Florida group medical insurance coverage is way less complicated in that usually there may be not as a lot scrutiny in direction of an applicant’s well being historical past and pre-existing situations. That is good or unhealthy relying in your current well being situation. It’s good if you’re an unhealthy individual with some main pre-existing situations as a result of it permits you to acquire group medical insurance coverage whenever you could be declined should you tried to acquire particular person medical insurance coverage (resulting from your pre-existing situations). Nonetheless, it’s unhealthy from a monetary sense if you’re a usually wholesome individual since you are paying a better premium value for group medical insurance coverage (versus particular person medical insurance coverage) – that’s until your employer is paying the fee for all your group medical insurance coverage: then you might be fairly completely happy (until you’ve gotten a household and your employer shouldn’t be so type as to pay for them to be on the group medical protection as properly!)
Simply from what you’ve gotten realized to this point; which do you suppose could be costlier – group medical insurance coverage or particular person medical insurance coverage? Should you mentioned group medical insurance coverage then you might be heading in the right direction to understanding the primary distinction between the 2. Consider the price of group medical insurance coverage versus the price of particular person medical insurance coverage like this: in case your new co-worker on the cubicle subsequent to you has most cancers then guess what? They are going to be capable to acquire group protection in your group plan despite the fact that they by no means could be accredited for a person medical insurance coverage coverage. You as a wholesome individual are in a way subsidizing the price of your unhealthy co-worker (and the entire different unhealthy individuals) in paying their premiums. It follows after all that the premiums will probably be increased for a bunch medical insurance coverage plan in Florida the place the insurance coverage firm has to tackle each wholesome and unhealthy individuals versus a person medical insurance coverage plan in Florida the place the insurance coverage firm can decide and select who they may settle for.
Be sure you analysis your Florida medical insurance coverage choices totally by consulting with an impartial agent who can characterize a number of medical health insurance firms and by evaluating Florida medical insurance coverage quotes from a number of firms aspect by aspect. (Make certain to not consider any Florida insurance coverage agent who tells you that you’ll be accredited for a person medical insurance coverage coverage whether or not you’ve gotten pre-existing situations or not – likelihood is they’re simply making an attempt to unload a near nugatory medical low cost plan – not medical insurance coverage).
