Individual Health Insurance 

Individual health insurance is a type of health insurance that covers medical expenses incurred by an individual. Unlike group health insurance plans, which are provided by employers, individual health insurance plans are purchased directly by individuals from an insurance company.

Individual health insurance plans vary in terms of coverage, benefits, deductibles, and premiums. Typically, they cover a range of medical expenses, including doctor visits, hospital stays, and prescription medications. However, some plans may exclude certain types of medical treatments or limit coverage for pre-existing conditions.

 

When purchasing an individual health insurance plan, it's important to carefully review the coverage and cost details. Some plans may have lower premiums but higher deductibles and co-payments, while others may have higher premiums but offer more comprehensive coverage. It's also important to consider any restrictions or limitations that may apply, such as network limitations or waiting periods for certain types of medical treatments.

Individuals who do not have access to employer-sponsored health insurance or who are self-employed may choose to purchase individual health insurance. In some cases, individuals may also be eligible for government-subsidized health insurance plans, such as those offered through the Affordable Care Act (ACA) or Medicaid

​

Medicare Supplements

Medicare supplement, also known as Medigap, is a type of insurance policy that is designed to help fill the gaps in coverage that are left by original Medicare. Original Medicare is the government-run health insurance program for people who are 65 or older or those who have certain disabilities.

Medicare supplement policies are offered by private insurance companies, and they are designed to cover certain out-of-pocket costs that are not covered by original Medicare. These costs may include deductibles, coinsurance, and copayments for medical services.

There are ten different standardized Medigap plans, labeled A, B, C, D, F, G, K, L, M, and N. Each plan offers a different combination of benefits, with some plans offering more comprehensive coverage than others. For example, Plan F is the most comprehensive Medigap plan and covers all of the out-of-pocket costs that are not covered by original Medicare, while Plan A offers the least amount of coverage.

 

It's important to note that Medigap policies only work with original Medicare, so they cannot be used with Medicare Advantage plans. In addition, Medigap policies are not designed to cover long-term care, vision, dental, or hearing services.

To enroll in a Medigap policy, you must be enrolled in both Medicare Part A and Part B. You also need to purchase the policy during your open enrollment period, which is a six-month period that starts on the first day of the month in which you turn 65 and are enrolled in Medicare Part B. During this period, insurance companies cannot deny you coverage or charge you higher premiums based on pre-existing conditions.

​

Group Health Insurance

Group health insurance is a type of health insurance plan that is provided by an employer or other organization for its employees or members. The plan is typically designed to provide medical coverage for a group of people, and it can be offered in a variety of different forms and coverage levels.

In a group health insurance plan, the employer or organization pays for a portion of the cost of the insurance, while the employees or members pay for the remainder through deductions from their paychecks or dues. The cost of the plan is typically lower than that of an individual health insurance plan because the risk is spread across a larger group of people.

 

Group health insurance plans can vary in terms of coverage and benefits, but they typically cover a range of medical expenses, including doctor visits, hospital stays, and prescription medications. Some plans may also cover vision, dental, and other health services.

One advantage of group health insurance is that it is usually easier to qualify for than individual health insurance. Group plans typically do not require medical underwriting or a health exam, so people with pre-existing conditions can still obtain coverage.

Another advantage of group health insurance is that it often includes a wider network of healthcare providers, which can make it easier for employees or members to find the care they need. Additionally, group plans may offer lower out-of-pocket costs and higher coverage limits than individual plans.

Overall, group health insurance can be an important benefit for employees or members of an organization, providing access to affordable healthcare and protection against unexpected medical expenses.