If you want to review your current health insurance policy or sign up for a new plan, you’ll likely need to wait until the next Open Enrollment Period starts on November 1, 2017. Until then, why not check out this handy guide.

What Health Insurance Terms Should I Learn?

Do you know the difference between copayments, deductibles and coinsurance? If not, our licensed agents can assist and help you navigate our Members Health Insurance Exchange.

Open Enrollment Period

The annual period allowing anyone to enroll in a new health insurance plan or make changes to a current plan. Since the implementation of the Affordable Care Act (ACA), no one can be refused coverage for having pre-existing conditions.

Special Enrollment Period (SEP)

An enrollment period when you’re eligible to sign up for a health insurance plan outside of Open Enrollment due to qualifying life events (QLE).

Premium

The payment you make to your insurance provider on a monthly basis to maintain coverage.

Copayment

A predetermined fixed amount you pay on the spot for eligible services, such as during a doctor’s visit or while filling a prescription. Plans with higher premiums tend to have lower copayments, and vice versa. However, some plans may have no copayments. For example, an HSA-qualified plan could have no copayment structure, with the possible exception of emergency care.

Deductible

The amount you need to pay out-of-pocket for covered health care services before your insurance company will begin to cover your costs.

Coinsurance

A percentage that you owe for covered medical services after you pay your entire deductible. For example, if you’ve met your deductible and your coinsurance rate is 30%, then you’ll need to pay $30 for a $100 service.

When Does 2018’s Open Enrollment Period Begin and End?

The Open Enrollment Period for health coverage in 2018 begins on November 1, 2017 and ends on December 15, 2017. Plans chosen during Open Enrollment go into effect on January 1, 2018.

Do I Qualify for a Special Enrollment Period?

If you need to change your policy or enroll in a new policy outside of Open Enrollment because of certain life-changing circumstances, then you may be eligible for a Special Enrollment Period. This typically gives you 60 days to change your health plan. Some circumstances qualifying you for an SEP include marrying, divorcing and moving.

Have Any Questions? Give Us a Call!

Next Insurance Marketplace is the resource for any of your questions. If you want to know more about available plans, you can call us at 1.888.204.9058. We have licensed agents standing by to help you.