Medical Insurance Broker in NYC
Products & Services
We are here to answer your call about our cost-effective benefits packages
How much could you save ?
Interact With Us
Healthcare Insurance & Coverage Options in New York City
At Margolis & Associates, we offer all types of medical insurance available in the under and over 50 employee marketplaces for communities like Manhattan, Brooklyn, and Staten Island. No matter how big or small your company may be, we can find the best health insurance plans that fit into your budget. In addition, we can assist you with individual healthcare insurance solutions even if you are no longer covered under your employer’s medical insurance plan.
Looking For Affordable Health Insurance in the Bronx, Queens, & Surrounding areas?
Not sure what kind of health coverage you need? Medical insurance is categorized into three basic types of coverage: HMO, POS/PPO, and Consumer Directed.
Most healthcare plans offered today are purchased without requiring you to receive a referral from your primary care doctor to see a specialist. There are still some carriers who will offer you some additional savings for accepting health insurance plans that require referrals.
We have over 50 years of business experience and can offer our clientele flexible, customized health insurance solutions. If you are an individual or business in Manhattan, Brooklyn, Bronx, Queens, Staten Island, or anywhere in the Tri-State area, we can find a health insurance package that works for you and your employees. Here are some of the healthcare and insurance plan options we can help you with:
What Are The Differences Between A HMO, PPO/POS, & Consumer Directed Health Plans?
Medical insurance can be complicated. If you don’t know how to get medical insurance, Margolis & Associates is here to help you find affordable health insurance that meets your needs in the Bronx, Queens, and surrounding areas.
Learn about the changing world of medical insurance plans, premiums, and benefits so you can make decisions that make sense for you.
What is an HMO? In an HMO design, you must use the healthcare providers within the network of the medical insurance carrier you have chosen in order to receive benefits.
Physicians and healthcare providers contract with insurance providers to join a network, also known as a Health Maintenance Organization (HMO). This contract provides members of the plan with discounted access to services within the network.
- Members’ HMO coverage is restricted to the hospitals, physicians, pharmacies, and specialists like oncologists or obstetricians within the group.
- Under an HMO plan, before seeking the guidance of an in-network specialist, a referral from your primary physician is required if they are unable to treat the problem.
There are no benefits in this type of health coverage if you want to see a provider or hospital who is not participating with your health insurance company. The only exception to that is emergency room services at hospitals outside your HMO area where you would be covered regardless of your medical insurance network.
Medical insurance can be complicated. Margolis & Associates is here to help you find affordable health insurance that meets your medical insurance needs in the Bronx, Queens, and surrounding areas.
What is a PPO/POS? Short for Preferred Provider Organization (PPO), and Point Of Service (POS).
These types of plans combine covered in-network providers with the addition of partial coverage when you venture to providers outside the group.
- With a PPO plan, you do not need to seek a primary physician’s referral before seeking a specialist or medical service out of the network.
- With a POS plan (think hybrid HMO and PPO), you are required to seek a referral from an in-network primary physician first, then you can receive insurance coverage for that referred out-of-network specialist.
- In the POS/PPO design once you have reached an out of network deductible you will start to receive reimbursements from the health insurance carrier for out of network services.
The New Wave Of Medical Insurance
Learn about the changing world of medical insurance plans, premiums, and benefits so you can make decisions that make sense for you.
A new category of plan design has been gaining interest as costs have been rising called Consumer Directed Health Plans or Health Savings Accounts.
Individual Health Insurance Coverage Options in NYC
No matter what the size of your company, Margolis & Associates can give you information on a range of health insurance plans from the best medical insurance companies in the country. Whether you need healthcare insurance that offers unparalleled coverage for large companies or healthcare plans that are affordable for small businesses on a budget, our team can go over all your options with you and help you select the one that meets all your needs. During our time in business, we have developed relationships with all the top medical insurance companies in the area, so we know what’s available. If you need to set up employee benefits in NYC or you want to change your health insurance plan, we are the agency to call.
We can also advise you on medical insurance plans for individuals. Do you need to review health insurance plans for yourself or find health coverage for you and your family? Do you need assistance with Medicare plans? We are a trusted source of information for all types of individual health insurance.
How Much Does Individual Medical Insurance Cost?
The cost of your medical insurance plan in NYC will vary, and the best insurance isn’t always the most expensive. While it’s difficult to determine the exact cost of the coverage you’ll get, it’s typically more affordable for one person than it is for a couple or a family. On average, an individual may pay between $640 to $1,300 per month, while a couple may pay between $1,290 and $2,690 per month. This largely depends on the insurance agency you choose, the type of plans you select, your age, and other factors. Always make sure you get several quotes from an experienced individual health insurance broker, so you’re sure that you are getting the best possible plan for you.
Do you need to review health insurance plans for yourself or find health coverage for you and your family?
We can also advise you on medical insurance plans for individuals.
- Understanding the deductibles and co-insurances along health insurance plans available for individuals can be complicated.
Margolis & Associates is here to help you find affordable health insurance that meets your needs in the Bronx, Queens, and surrounding areas. In addition to providing private and government-sponsored medical insurance, we can also assist you in obtaining other types of insurance:
- Do you want to protect your family by purchasing Life Insurance in NYC boroughs like Queens, Manhattan, and Staten Island?
- The costs of staying in nursing homes or senior living communities are rising every day, but when you purchase NYC Long-term Care Insurance, you can be prepared for them.
- Will you be able to pay your health insurance bills if you’re out of work after an accident or illness? When you purchase Disability Insurance in NYC, you can be ready for anything.
- By purchasing Travel Insurance in NYC, you can get coverage for unforeseen events like lost baggage, injury or illness while traveling in a foreign country.
We are experts in helping employers select and implement cost-effective Employee Benefits health insurance packages that bests even what the healthcare providers themselves and their employees can offer.
- Selecting a medical group plan for your team may be one of the most beneficial business moves you make.
- There are a wealth of advantages that come with supporting your team with healthcare benefits.
- If you’re hoping to boost your company’s overall wellbeing in unexpected ways, you may be surprised at just how beneficial a group plan can be.
During our time in business, we have developed relationships with all the top medical insurance companies in the area, so we know what’s available. If you need to set up Employee Benefits in NYC or you want to change your health insurance plan, we are the agency to call.
Do you need assistance with Medicare plans, Medicare supplement insurance, or Medicaid insurance plans? Or maybe you’re not sure.
You may qualify for low-cost medical insurance through the government or private insurers approved by the government. Some people are enrolled in Medicare plan automatically but others will need to sign up. You may also want to consider a Medicare Advantage plan, also known as Part C.
Navigating these medical insurance plans can be confusing for anyone, but with the experts at Margolis & Associates on your team, it will be simple to find the best health insurance package for you.
Factors To Consider When Selecting an Individual Health Insurance Plan
Whether you’re in Queens, Brooklyn, Manhattan, the Bronx, Staten Island, or any part of NYC, it’s important to make sure you have a quality individual health insurance plan with the right coverage for your needs. At Margolis & Associates, our agency offers a wide range of medical insurance plans that are affordable to give you the best possible coverage in NYC. Here are some factors to consider when you’re looking for an individual health insurance plan:
- Determine the cost of your monthly premium, which is the cost you’ll pay each month out of pocket, and make sure it includes the best coverage available without affecting your budget.
- Find out the copay for your healthcare provider visits and prescription medications. You should also determine which specific services are covered by your copay as well as which ones count toward the deductible.
- Ask your broker how much the deductible will be for your new individual health insurance plan and find out if there is a separate deductible for prescription drugs.
- If you elect a PPO, find out how much you need to pay if you use any providers outside your network. In some areas, you may only be able to get an HMO plan, which generally only covers you for out-of-network in an emergency.
- Make sure that your medical insurance has a drug formulary that includes the medication you need and use.
- Ask our broker to find out which providers are in the health insurance plan’s network so you can make sure you’re getting the right type of affordable treatment for your needs.
Benefits of Working with a Health Insurance Broker
There are many great benefits when you work with an experienced medical insurance broker. Not only will they provide you with several different plans and options to choose from, but they’ll also go over details like the deductible and more in detail. Here are some other benefits of working with a health insurance broker:
- Brokers will research a variety of health insurance companies for you, saving you a ton of time and money.
- You won’t need to pay a fee to use a broker, and our team is fully licensed and regulated in New York state to ensure that everything is current based on the latest requirements.
- Brokers help you shop for different plans, so you can find the right coverage, and they may also help you apply for a policy directly for an easy transition.
If you’re looking for a trusted health insurance broker in NYC, contact the team at Margolis & Associates by calling us at (212) 684-0711 or send us an email at info@margolisandassociates.com to learn more today.
Other Types of Insurance That We Offer
In addition to providing individual medical insurance, we can also assist you in obtaining other types of insurance. Do you want to protect your family by purchasing life insurance in NYC boroughs like Queens, Manhattan, and Staten Island? We can help you find affordable life insurance that still provides enough coverage no matter what happens in the future. Long-term care expenses are another consideration you will need to make. The costs of staying in nursing homes or senior living communities are rising every day, but when you purchase NYC long-term care insurance, you can be prepared for them so you won’t become a financial burden to your family. Disability is another area where people often choose to purchase additional coverage. Most health insurance doesn’t cover long-term disability. Will you be able to pay your bills if you’re out of work after an accident or illness? When you purchase disability insurance in NYC, you can be ready for anything that may come up.
There is even coverage especially for people who travel frequently. Anything can happen when you travel, from lost bags to injury or illness in a foreign country. By purchasing travel insurance in NYC, you can get coverage for these unforeseen events so they don’t have to ruin your trip. The team at Margolis & Associates can help you find good travel insurance, medical insurance, and more whether you live in Brooklyn, Bronx, or anywhere nearby.
Margolis & Associates is one of the most trusted insurance agencies in the Empire State. Get in touch with us for all your health insurance needs and other types of insurance as well. Call (212) 684-0711 or send an email info@margolisandassociates.com to find out more.