Individual and Family Health Insurance in Elgin, IL

Health insurance is a type of insurance coverage that pays for medical and surgical expenses incurred by the insured. It is designed to protect individuals and families from the high cost of healthcare and to provide financial security in the event of unexpected medical expenses.

There are several types of health insurance plans available, including traditional health insurance plans, Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Consumer Directed Health Plans (CDHPs). Each type of plan offers different levels of coverage, deductibles, and out-of-pocket expenses.

Traditional health insurance plans, also known as fee-for-service plans, allow individuals to choose their own healthcare providers and to seek medical treatment when they need it. These plans typically have higher out-of-pocket costs than other types of plans, but they also offer the most flexibility in terms of choosing providers.

HMOs typically require individuals to choose a primary care physician who will coordinate their medical care. These plans also have a network of providers that members must use in order to receive coverage. They generally have lower out-of-pocket costs than traditional health insurance plans, but they also have less flexibility in terms of choosing providers.

PPOs also have a network of providers that members must use in order to receive coverage, but they generally offer more flexibility than HMOs in terms of choosing providers. They also typically have higher out-of-pocket costs than HMOs.

CDHPs, also known as high-deductible health plans, typically have lower monthly premiums but higher out-of-pocket costs. They often include a savings account, such as a Health Savings Account (HSA), which can be used to pay for medical expenses.

Can I change my health insurance plan during the year?

Yes, in most cases, you can change your health insurance plan during the year. The most common time for changing your health insurance plan is during the annual open enrollment period. However, you may also be eligible to change your plan if you have a life event such as a marriage, birth of a child, or loss of coverage.

Does my health insurance cover pre-existing conditions?

The Affordable Care Act (ACA) prohibits insurance companies from denying coverage or charging more for pre-existing conditions.

How do I know if a doctor or medical facility is in-network?

You can check with your insurance company or look up providers on your insurance company's website. You can also ask the provider directly if they accept your insurance.

What is the difference between a copay and a deductible?

A copay is a fixed dollar amount that you pay for a medical service, while a deductible is the amount you pay for medical expenses before your insurance starts to cover the costs.

Is there a limit to how much I will pay for medical expenses?

Yes, most insurance plans have an out-of-pocket maximum, which is the most you'll have to pay for covered medical expenses in a year. After you reach this limit, your insurance will cover the remaining costs.

Protect your health and get insurance today.